ETIOLOGICAL FACTORS AND MANAGEMENT MODALITIES OF INCISIONAL HERNIA

Abstract

Incisional hernia is considered as one of the most common complication after an
abdominal surgery postoperatively and an important source of morbidity. This study
analyses the various modes of presentation,
etiopathogenesis,modalitiesoftreatmentanditsoutcome.Itusuallyrequiresrepairbyusing
mesh;eitheropen or laparoscopic methods. This study is carried out between
September 2013 and September 2014; 50 patients with incisional hernia who
admitted at our hospital to Department of general surgery are subjected to mesh
repair or anatomical repair depending on surgeon choice and size of the defect. Data
is collected and analysis is done by using statistical methods. Incisional hernia is
found to be the second most common type of hernias next to inguinal hernia.
Incidence of hernia is more common in females who underwent gynaecological
procedures by lower or midline incisions. Incidence of incisional hernia is found to
be more common between 30-50 years; with predominant risk factors being obesity,
wound infection and wound disruption. Most of the patients presented with swelling
within 5 years of previous surgery. Most common complications noted post
operatively are being wound infection and seroma. Mesh repair results in less
recurrence than anatomical repair for incisional hernia.