1. A HOSPITAL BASED OBSERVATIONAL STUDY OF INCISIONAL HERNIA AND ITS MANAGEMENT IN A TERTIARY CARE HOSPITAL OF UPPER ASSAM, INDIA.
- Author
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Sonkar, Anil, Das, Bijoyananda, Konwar, Siddhartha Sankar, Nath, Biswajit, Singh, Nishant Kumar, and Kro, Ajay Kumar
- Subjects
HERNIA ,HERNIA surgery ,GYNECOLOGIC surgery ,ABDOMINAL surgery ,TERTIARY care ,VENTRAL hernia ,SUTURING - Abstract
An incisional hernia is a typical long-term consequence of abdominal surgery. The majority of surgeons advise that these hernias be repaired as soon as they are identified. As a result, there was a need to study the disease condition and its many manifestations, as well as to assess the level of awareness among the patients who came to us and to decide the appropriate treatment modality in our facility. The following operative procedures were adopted in our study: 1. Prosthetic mesh repair (onlay) 2. Anatomical suture repair 3. IPOM 4. Open PCST In our study the age of the patient ranges from 25 years to 70 years. The mean age was 48.36 years (SD ± 11.00). In our present series of 36 cases of incisional hernia, 23 were female patients (63.89%) and 13 were males (36.11%). The male: female ratio was found to be 1: 1.76. Laparotomy were a major contributing procedure for Incisional hernia comprising of 21 (58.3%) cases out of 36 Incisional hernia cases, followed by gynecological operations 12(33.4%) cases, 2(5.6%) case of Open Cholecystectomy and 1(2.8%) case of Open Appendicectomy. Out of gynecological surgeries, major contributing surgeries were LSCS 10(27.8%) cases, Hysterectomy 2(5.6%) cases. Incisional hernias have a maximum diameter of the hernial defect in our study 12 cm. 2 cases of small incisional hernias were repaired by IPOM. There were 36 cases of incisional hernia comprising whose maximum diameter of the hernial sac is between 5 to 10 cm. 30 of these cases were repaired by open onlay mesh repair. In these cases, laparotomy followed by adhesiolysis, reduction of content, onlay mesh placement and closure of abdominal incision with suture was done. There was one case of incisional hernia whose diameter was more than 12 cm where open PCST was attempted with sublay mesh repair. [ABSTRACT FROM AUTHOR]
- Published
- 2024