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Prospective study for assessment of incisional hernia and its outcome following anatomical repair and polypropylene mesh repair.

Authors:Pavan B.M, Gurukiran C.S, Mahesh S.H, Raveesh P.M, N.S Venkatesh, Shivkumarappa G.M
Int J Biol Med Res. 2013; 4(3): 3472-3474  |  PDF File

Abstract

Incisional hernia represents one of the most frequent complication of abdominal surgery. The incidence is probably under estimated. The pathogenesis is complex and not fully understood, implying a patient-related factors ( multiparity, obesity, age) as well as technical factors, including among others wound infection, suture material, and types of incisions used. This study was to assess the incidence and aetiopathology of incisional hernia and to compare the management which includes anatomical repair and mesh repair. 40 cases of incisional hernia admitted to chigateri hospital and bapuji hospital, davangere were studied in period between September 2005 to August 2007. Incisional hernia constitute 11.8% of all hernias with maximum age incidence being 30-40 years. Higher incidence is among multiparous and obese females with other predisposing factors like chronic cough and diabetes. Most occurring within 5 years of initial operation majority of incisional hernia were infraumbilcal. Surgery was considered among all patients after pre operative management. Among anatomical repair two had recurrence. Mesh repair didn’t had any recurrence within 2 years of follow-up Conclusion: incisional hernia is an avoidable iatrogenic malady. Proper preoperative preparations, meticulous surgical technique and post operative care go a long way in preventing occurrence of hernia. Surgery is the only treatment. Except for cost, polypropylene mesh repair offers excellent results with regard to recurrence of hernia.