DOI: 10.21276/sasjs.2018.4.12.8

Pages: 328-331

Abstract: Background: A hernia occurs when an internal organ or other body part protrudes through the wall of muscle or tissue that normally contains it. Most hernias occur within the abdominal cavity, between the chest and the hips. The most common forms of hernia are Inguinal hernia. Materials and Methods: This is a prospective and descriptive study done in Department of General Surgery, Tertiary care teaching hospital over a period of 6 months after obtaining the institutional ethics committee approval on 70 patients. Included patients 18-60 years of age and incisional hernias associated with other abdominal wall hernias. A detailed history of all the patients was taken and a thorough clinical examination was done to determine the type and cause of hernia. Results: Majority of patients 53 (75.7%) presented with swelling over the anterior abdominal wall after previous surgery, 17 (24.2%) patients presented with pain. At the time of admission majority of patients 64 (91.4%) had reducible hernia while 06 (8.5%) patients presented with irreducible hernia? Out of 70 patients, 45 patients (64.2%) were found to have 5cm size and 11 (15.7%) patients have the defect 3cm. Size of defect dictated the type of repair (suture repair/mesh repair) in present study. Conclusion: Hernias are more likely after emergency surgery or surgery that requires a large incision. If the edges of the wound aren’t properly aligned after surgery, the incision may not heal well, increasing the likelihood of a hernia. Meticulous aseptic technique and careful closure of the abdominal wound is necessary to prevent incisional hernia. Proper preoperative preparation of the patients with high risk is an important factor in preventing recurrence of incisional hernia.