Abdominal incisional hernia: retrospective study

Authors

  • Archana Shukla Department of Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India
  • Sameer Ahmed Department of Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20183631

Keywords:

Incisional hernia, Incidence, Prevention, Risk factors

Abstract

Background: Incisional hernia presents as herniation or protrusion occurring along a prior abdominal scar. It is a known complication of abdominal surgery. They are the second most common type of hernia after inguinal hernias. This study was undertaken to study the incidence and various risk factors leading to incisional hernia.

Methods: It is a retrospective study done in Gandhi Medical College, Bhopal; Department of Surgery during January 2017 to January 2018. All the cases were analyzed in various aspects like age, sex, relative incidence, clinical presentation, nature of previous operation, site of previous scar, precipitating factors like obesity, wound infection, abdominal distension.

Results: The incidence is around 18.5%. Patients in the age group of 30-50 years found to have highest incidence of incisional hernia. Females outnumbered the males with the ratio of 6:1. Incisional hernia was more common in patients with previous history of gynecological operation. Most of the patients presented with incisional hernia in the infra umbilical region.

Conclusions: Incisional hernias can be prevented by avoidance of midline incisions, especially in the infra umbilical region. Mesh repair results in less post-operative complications provided drains are used.

References

Bucknall TE, Cox PJ, Ellis H. Burst abdomen and incisional hernia: A prospective study of 1129 major laparotomies. British Medical J. 1982;284:931-3.

Muysoms FE, Miserz M, Benevoet F, Campanelli G, Champault GG,5 Chelala E et al. Classification of primary and incisional abdominal wall hernias. Hernia. 2009;13(4):407-14.

Ellis H, Gajraj H, George CD. Incisional hernias- when do they occur? Br J Surg. 1983;70:290.

Shah JB. Incisional hernia-a study of 50 cases. Indian J Surg. 1977;39:353-56.

Goel TC, Dubey PC. Abdominal incisional hernia- Anatomical technique of repair. Indian J Surg. 1981;43:324-27.

Ponka JL, Hernias of the abdominal wall. Philadelphia, PA: WB Saunders;1981.

Parekh JN, Shah DB, Thakore AB. Incisional hernia-a study of 76 cases. Indian J Surg. 1988;50:49-53.

Bose SM, Lal Roshan, Kalra Manju, Wig JD, Khanna SK. Ventral hernia-a review of 175 cases. Indian J Surg. 1999;61(3):180-84.

Devlin HB, Kingsmith HB. Abdominal wall and hernias. Chapter 10th in A new aids companion in surgical studies, 2nd ed. Keim GB Lunard, Edingburgh Churchill Livingstone;1998:688-99.

Jack A. “Hernias” Chapter 14th In: Zinner MJ, Schwartz S, Ellis H, Editors. Maingot’s Abdominal Operations. 10th ed. Connecticut: Prentice hall international Inc. 1997;1:479.

Santora A, Thomas G. Incisional hernia. Surgical Clinics North America. 1993;73(3):557-68.

Khaira HS, Lall P, Hunter B, Brown HJ. Repair of incisional hernias. J R Coll Surg Edin. 2001;46:39-43.

Usher FC, Oschner J, Tuttle LLD Jr. Use of marlex mesh in the repair of incisional hernia. Am J Surg. 1958;24:969.

Burger JW, Luijendijk RW, Hop WC, Halm JA, Verdaasdonk EG, Jeekel J. Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Annals of surgery. 2004 Oct;240(4):578.

Müller-Riemenschneider F1, Roll S, Friedrich M, Zieren J, Reinhold T, von der Schulenburg JM, et al. Medical effectiveness and safety of conventional compared to laparoscopic incisional hernia repair: a systematic review. Surg Endosco. 2007;21(12):2127-36.

Justinger C, Sllota JA, Schilling MK. Incisional hernia after closure with slowly absorbable versus fast absorbable antibacterial coated sutures. Surgery. 2012;15(3):398-401.

Downloads

Published

2018-08-25

How to Cite

Shukla, A., & Ahmed, S. (2018). Abdominal incisional hernia: retrospective study. International Journal of Research in Medical Sciences, 6(9), 2990–2994. https://doi.org/10.18203/2320-6012.ijrms20183631

Issue

Section

Original Research Articles