DOI: http://dx.doi.org/10.18203/2349-2902.isj20203231

Incidence of incisional hernia with respect to different sites and causes

Shahaji G. Chavan, Saladi Naga Nithin, Karan Jaiswal, Manasa Rambatla

Abstract


Background: Of all hernias encountered, incisional hernias can be the most frustrating and difficult to treat. The aim of this study is to find out the incidence of incisional hernia at different sites and to find out their possible causes.

Methods: This was a prospective study of 50 cases of Incisional hernias admitted during the period between July 2017 to July 2019. Collected data is analysed over a period of 3 months. Patients with Incisional hernia satisfying the inclusion criteria, attending surgery OPD at Dr. D. Y. Patil Medical College, Pimpri, Pune were included in study group.

Results: Mean age at presentation was 45 (32/50) were female 18 patients were male. Majority of the patients were obese. Infra-umbilical variety of incisional hernia is most common 42%. The most common primary surgery is tubal ligation was 14 (28%). Significant association noted between diabetes mellitus and SSI, p value <0.05. There is a significant association between addictions (tobacco, smoking and alcohol) and hernias in umbilical region and above p value <0.005.

Conclusions: The incidence of incisional hernia is more in multiparous females. Infra-umbilical midline was the most common site for herniation in 42% of cases. Lower midline incisions are more prone for herniation as the posterior rectus sheath is deficient below arcuate line. The most common previous surgery was tubectomy 14. Diabetes and SSI played important role in causing incisional hernia in our study.


Keywords


Incisional hernia, Risk factors, Surgical site infections, Sites

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References


Hodgson NC, Malthaner RA, Ostbye T. The search for an ideal method of abdominal fascial closure: a meta-analysis. Ann Surg. 2000;231(3):436-42.

Eisner L, Harder F. Incisional hernias. Chirurg. 1997;68(4):304-9.

Klinge U, Prescher A, Klosterhalfen B, Schumpelick V. Development and pathophysiology of abdominalwall defects. Chirurg. 1997;68(4):293-303.

Mudge M, Hughes LE. Incisional hernia: a 10 years prospective study of incidence and attitudes. Br J Surg. 1985;72(1):70-1.

Santora TA, Roslyn JJ. Incisional hernia. Surg Clin North Am. 1993;73(3):557-70.

Schumpelick V, Klinge U, Welty G. Meshes within the abdominal wall. Chirurg. 1999;70(8):876-87.

Nieuwenhuizen J, Halm JA, Jeekel J, Lange JF. Natural course of incisional hernia and indications for repair. Scandinavian J Surg. 2007;96(4):293-6.

Ah-kee EY, Kallachil T, O’Dwyer PJ. Patient awareness and symptoms from an incisional hernia. International surgery. 2014;99(3):241-6.

Agrawal M, Singh H, Sharma SP, Singh NK, Kaul RK, Chaudhary R. Prevalence, Clinical Presentation, and Management of Incisional Hernia in the Indian Population: A Cross-sectional Study. Int J Sci Stud. 2016;4(7):51-4.

Deshmukh SN, Varudhkar AS, Chopde AV. Clinical study and management of incisional hernias: a prospective monocentre experience. Int Surg J. 2017;4:1657-61.

Jaykar RD, Varudkar AS, Akamanchi AK. A clinical study of ventral hernia. Int Surg J. 2017;4:2326-9.

Malviya A, Patel A, Bhardwaj G, Bulchandani HP, Saini V. A comprehensive study on the incidence and management of incisional hernia. Int Surg J. 2017;4:2303-7.

Purushothaman R, Rubby SA, Stephen EJ. Clinical study of incidence and surgical management of incisional hernia. Int Surg J. 2016;3:1875-8.