DOI: http://dx.doi.org/10.18203/2349-2902.isj20201874

Study prevalence of risk factors and clinical presentation of ventral incisional hernia an observational study

Anjana Nigam, S. L. Nirala, Niraj Bhusakhare

Abstract


Background: Incisional hernia is the second most common type of hernia after inguinal hernia. It is a complication of abdominal surgery, reported in up to 11% of patients generally and in up to 20% of those who developed post operative wound infection. The list of predictive factors associated with development of incisional hernia is obesity, diabetes mellitus, steroid, smoking, old age, malnutrition, COPD and type of incision.

Methods: This was a hospital based cross sectional observational study carried out from February 2018 - October 2019 in surgery department of Dr. B.R.A.M. Hospital Raipur C.G, with diagnosis of incisional hernia. Total 100 patients were included in the study.

Results: In present study the mean age of study subjects was 47.27±13.16 years. Around two-third 64% were females. 40% of perforation and 35% of LSCS cases later develop to Incisional hernia.  Risk factors profile showed that 31% were alcoholic, 27% smokers, 48% pre-obese and 5% were obese. 36% were hypertensive, 48% diabetic, and 12% had constipation. 25% had prolonged cough, 35% had surgical site infection, 45% had anemia. Clinical presentation of study subjects showed that 63% had swelling, 33% had swelling and pain and 4% had obstruction.

Conclusions: Incisional hernia is more common in female than males and in cases above the age of 45 years. It is more common in patients who underwent the previous surgery on an emergency basis especially in perforation and obstruction and LSCS cases. Risk factors associated with incisional hernia are smoker, alcoholic, obesity, hypertension, diabetes, constipation, prolong cough and anemia.


Keywords


Incisional hernia, Prevalence, Risk factors, Clinical presentation

Full Text:

PDF

References


Muysoms FE, Miserez M, Berrevoet F, Campanelli G, Champault GG, Chelala E, et al. Classification of primary and incisional abdominal wall hernias. Hernia. 2009;13:407-14.

Bailey H, Bulstrode CJ, Love RM, O'Connell PR. Bailey and Love's short practice of surgery. CRC Press; 2008.

Sidhu A, Siedler D, Turner R. Factors affecting the development of ventral incisional hernia post abdominal surgery: a retrospective cohort study. Int Surg J. 2017;4(10):3225-7.

Calisto JL. Laparoscopic repair of incisional hernia. Available at http:// emedicine. medscape. com/ article/ 1892407- overview. Accessed on 10 May 2016.

Kumar SJG, Kumar UK, Manangi M, Madhu KP, Arun BJ, Nagaraj N. Incisional hernia: incidence, clinical profile, risk factors and prevention. Int Surg J. 2016;3:1292-5.

Shah PP, Shaikh S, Panchabhai S. Prevalence of anterior abdominal wall hernia and its associated risk factors. Int J Anat Radiol Surg. 2016;5(3):7-10.

Agbakwuru E, Olabanji J, Alatise O, Okwerekwu R, Esimai O. Incisional hernia in women: predisposing factors and management where mesh is not readily available. Libyan J Med. 2009;4(2):66-9.

Sørensen LT, Hemmingsen UB, Kirkeby LT, Kallehave F, Jørgensen LN. Smoking is a risk factor for incisional hernia. Arch Surg. 2005;140:119-23.

Llaguna OH, Avgerinos DV, Lugo JZ, Matatov T, Abbadessa B, Martz JE, et al. Incidence and risk factors for the development of incisional hernia following elective laparoscopic versus open colon resections. Am J Surg. 2010;200:265-9.

Beltrán MA, Cruces KS. Incisional hernia after McBurney incision: retrospective case-control study of risk factors and surgical treatment. World J Surg. 2008;32:596-601.

Hornby ST, McDermott FD, Coleman M, Ahmed Z. Female gender and diabetes mellitus increase the risk of recurrence after laparoscopic incisional hernia repair. Ann R Coll Surg Engl. 2015;97(2):115-9.

Nagaraju V, Kumar GS, Geethanjali K. Study of incisional hernia in relation to specific risk factors. Int J Sci Stud. 2018;6(7):155-8.

Weissler JM, Lanni MA, Hsu JY, Tecce MG, Carney MJ, Kelz RR, et al. Development of a clinically actionable incisional hernia risk model after colectomy using the healthcare cost and utilization project. J Am Coll Surg. 2017;225(2):274-84.

Walming S, Angenete E, Block M, Bock D, Gessler B, Haglind E. Retrospective review of risk factors for surgical wound dehiscence and incisional hernia. BMC Surg. 2017;17(1):19.

Degloorkar AG, Ganpatrao G. Official Journals By Stat Person Publication. Medpulse-Res Publ. 2020;7(1):12–4.

Jaykar RD, Varudkar AS, Akamanchi AK. A clinical study of ventral hernia. Int Surg J. 2017;4(7):23-6.