A PROSPECTIVE STUDY ON MANAGEMENT OF INCISIONAL HERNIAS
| Autor: | Deepak R. Chavan, Sanjay Shantappa Namadar, Poojakiran Poojakiran |
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| Rok vydání: | 2014 |
| Předmět: | |
| Zdroj: | Journal of Evolution of Medical and Dental Sciences. 3:6169-6182 |
| ISSN: | 2278-4802 2278-4748 |
| DOI: | 10.14260/jemds/2014/2719 |
| Popis: | OBJECTIVE: To study the age and sex incidence, various factors leading to incisional hernia, methods to control them and various types of surgical repair by mesh and their complications. BACKGROUND DATA: Incisional hernia is a common surgical condition with a reported incidence of 5-11% of patients subjected to abdominal operations. Many factors are associated with incisional hernia like age, sex, obesity, chest infections, type of suture material, type of incision and most important wound infection. All of them present a challenging problem to the surgeon. So this study has been undertaken to assess the magnitude of this condition and different modalities in surgical repair by mesh in our setup. MATERIALS & METHODS: This is a prospective study of 70 cases of incisional hernia who attended to OPD and emergency department of Sri B. M. Patil medical college Hospital & Research Centre from March 2012 to March 2014. Data were collected from the patients ie, clinical history, examination and appropriate investigations. Documentations of patients which include identification, history, clinical finding, investigative tests, operation findings, operative procedures and complications during the stay in hospital and during subsequent follow up period, were all recorded in a proforma specially prepared. RESULTS: In our series of 70 patients, clinical details of 70 patients were available. Females (80%, n=48) out- numbered males (20%, n=12) and the highest incidence was in the age group of 30 to 60 years with mean age of 45 years. Gynecological operation accounted for 73.3% (n=50) of the index operations, with lower midline incision resulting in 53.3%(n=44) of the incisional hernias. The polypropylene mesh placed overlay or inlay method. All patients attended our follow up ranging from 3 months to 2 year. Two recurrences were noticed in inlay mesh repair group. CONCLUSION: Based on our analysis, we believe that overlay mesh repair is superior to inlay mesh repair for incisional hernia repair. There are however, very few publications covering this technique of repair. |
| Databáze: | OpenAIRE |
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