DOI: 10.36347/sjams.2021.v09i02.012

Pages: 231-240

Background: The common abdominal hernias include paraumbilical, umbilical, incisional and epigastric hernia. All varieties of ventral hernias are characterized by a defect in anterior abdominal wall. Incisional hernia is defined as a defect occurring through the operative scar. It is the only hernia considered to be truly iatrogenic. It occurs due to failure of the lines of closure of abdominal wall following laparotomy. Conventionally these hernias are treated by suture repair which has led to a substantial rate of recurrence whereby increasing demand for a better technique of repair. The introduction of mesh repair of these hernias has shown encouraging results over the past few years and many studies have shown a substantial decrease in the rate of recurrence with this technique. Objectives: To assess the early post-operative complications (within 30 days) following Intra peritoneal onlay mesh repair in Dhaka Medical Collage & Hospital, Dhaka, Bangladesh. Methods: This Observational study conducted in department of Surgery, DMCH, and Dhaka in study period from June 2016 to May 2017. A total of 30 patients were purposively selected from department of Surgery in DMCH who underwent laparoscopic Intra peritoneal onlay mesh repair for ventral hernia. Patients with ventral hernia in department of Surgery, DMCH, Dhaka in study period. Data analysis was done by SPSS for windows version 21. The 30 days post-operative outcome was analyzed. Postoperatively, patients were observed for Post-operative pain, seroma, post-operative ileus, post-operative cellulitis, wound infection, mesh infection, mesh migration, early mesh failure. Patients were followed up on 7th, 15th and 30th post-operative day. Results: With the objectives to determine the early post-operative complications (within 30 days) following Intra peritoneal onlay mesh repair in department of surgery in DMCH, a total of 30 patients were purposively selected. It was found that more than half of the patients........