17Jul 2017

ANALYTICAL STUDY ON INCISIONAL HERNIA.

  • Assistant Professor, Department of General Surgery, Rajiv Gandhi Institute of Medical Science (RIMS), Kadapa, A.P ? 516003.
  • Assistant Professor, Department of Obstetrics and Gynecology, Rajiv Gandhi Institute of Medical Science (RIMS), Kadapa, A.P ? 516003.
  • Pharm.D(PB) Intern, Department of Pharmacy Practice, P. Rami Reddy Memorial College of Pharmacy, Kadapa, A.P ? 516003.
  • Pharm.D Intern, Department of Pharmacy Practice, P. Rami Reddy Memorial College of Pharmacy, Kadapa, A.P ? 516003.
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Incisional hernia is a common complication of abdominal surgery and an important source of morbidity. It may be repaired using anatomical, mesh or laparoscopic methods. This study analyses the age and sex incidence, etiopathogenesis, modes of presentation, modalities of treatment like anatomical, mesh repair. Methods: one hundred patients with incisional hernia who got admitted at rims medical college & hospital, kadapa in the department of surgery were enrolled in this study based upon the inclusion and exclusion criteria between march 2015 to february 2017. The data was collected and analyzed. Results: data regarding age and sex incidence, clinical presentation, site of incisional hernia, previous surgery, time of occurrence after previous surgery, risk factors, size of hernial defect, type of operation, post operative complications were studied. We found that incisional hernia was more common in middle-aged patients (31-50 yrs) and in females. Majority of hernias have occurred within one year (75%) of previous surgery. Commonest risk factors were midline infra-umbilical incision (59%), post operative infection (38%) and obesity. Seroma formation was the most common post operative complication seen. There were no recurrences found in our study. Conclusion: incisional hernia was found more commonly between 3rd and 5th decade of life with female preponderance. Most common presenting complaint was midline infra-umbilical swelling with cough impulse and reducibility positive. Majority of hernias have occurred within one year of previous surgery. Onlay reinforced primary repair using prolene mesh has given good results and prolene mesh appears to be best tolerated by body tissues.


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[Amanulla shaik, P. Rabbani begum, s. Arshiya banu and k. Siddiq. (2017); ANALYTICAL STUDY ON INCISIONAL HERNIA. Int. J. of Adv. Res. 5 (Jul). 631-643] (ISSN 2320-5407). www.journalijar.com


DR. AMANULLA SHAIK
Assistant Professor, Department of General Surgery, Rajiv Gandhi Institute of Medical Science (RIMS), Kadapa, A.P – 516003

DOI:


Article DOI: 10.21474/IJAR01/4763      
DOI URL: http://dx.doi.org/10.21474/IJAR01/4763