Study of factors associated with incisional hernia in female

Vidhyasagar M. Sharma, Sushil D. Akruwala

Abstract


Background: Incisional hernia is still relatively common in our practice. The aim of the study was to identify risk factors associated with incisional hernia in females in our region.

Methods: All the women who presented with incisional hernia between 2010 and 2012 were retrospectively studied using records and preparing a standard form to obtain information on pre-hernia (index) operations and possible predisposing factors. They all had open surgical repair and were followed up for 12-36 months.

Results: Fifty two women were treated during study period. The index surgeries leading to the hernias were emergency caesarian section 26/52 (50%), emergency exploratory laparotomy 6/52 (11.6%), and elective surgeries 20/52 (38.5%). Major associated risk factors were the use of wrong suture materials for fascia repair, midline incisions, wound sepsis, and overweight.

Conclusions: For elective surgeries, reduction of weight should be encouraged when appropriate, and transverse incisions are preferred. Absorbable sutures should be avoided in fascia closure. Antibiotics should be used for complicated cases.


Keywords


Incisional hernia, Meshplasty, Recurrence

Full Text:

PDF

References


Sahtora TA, Roslyn JS. Incisional Hernia. Surg Clin North Am 1993;73:557-70.

Anthony T Bergen PC, Kim LT. Factors affecting recurrence following herniorrhaphy. World J Surg 2000;24:95-101.

Niggebrugge AHP, Trimobos JB, Hemans J et al. Influence on abdominal wound closure technique on complications after surgery: A randomized study. Lancet 1999;353:1563-7.

Gerald ML. Ventral hernia repair by the laparoscopic approach. Surg Clin North Am 2000;80:1329-39.

Anthony T, Bergen PC, Kim LT et al. Factors affecting recurrence following incisional herniorrhaphy. World J Surg 2000;24:95-101.

Flum DR, Horvath K, Koepsell T. Have outcomes of Incisional hernia repair improved with time? A population based analysis. Ann Surg 2003;237:129-35.

Millikan KW. Incisional hernia repair. Surg Clin N Am 2003;83:1223.

Si Z, Bhardway R, Rosch R et al. impaired balance of type I and type 3 procollagen mRNA in cultured fibroblasts of patients with Incisional hernia. Surgery 2002;131:324-31.

Cassar K, Munro A. Surgical treatment of Incisional hernia. Br. J Surg 2002;89:534-45.

Isrealsson L.A., Jonsson T., Knutsson A. A suture technique and wound healing in midline laparatomy incisions. European J Surgery 1996;80:162-9.

Shaikh NA, Shaikh NM. Comparative study of repair of incisional hernia. Journal of the Pakistan Medical Association 1994;44:389.

Falase AO, Akinkugbe OO. Diabetes mellitus. In: Falase AO and Akinkugbe OO, eds. A Compendium of Clinical medicine. 2nd ed. Ibadan, Nigeria: Spectrum Books Ltd; 999:376-98.

Korenkov M, Paul A, Sauerland S et al. Classification and Surgical treatment of Incisional hernia: results of an expert’s meeting. Langenbecks Archives of Surgery. 2001;386(1):65-73.

Bageau S, Blanc P, Breton C et al. Laparoscopic repair of Incisional: a retrospective study of 9 patients. Surgical Endoscopy 2002;16:345-8.

Goodney PP, Birkmeyer CM, Birkmeyer JD. Short term outcomes of laparoscopic and open ventral hernia repair: A meta- analysis. Arch Surg 2002;37:1161-5.