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Scholars Journal of Applied Medical Sciences | Volume-3 | Issue-01
Clinical Profile and Management of Incisional Hernia with Special Reference to Use of Polypropylene Mesh: A Case Series
Umeshchandra D.G, Ankur Bhatia, Varun Patnam
Published: March 27, 2015 |
192
128
DOI: 10.36347/sjams.2015.v03i01.019
Pages: 80-84
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Abstract
Incisional hernia represents the defect in the parietal abdominal wall fascia through which intra-abdominal or
pre-peritoneal contents can protrude due to architectural deterioration of muscular aponeurosis or they may develop from
failed healing of anterior abdominal wall incision. It is a common complication of abdominal surgery and an important
source of morbidity. It may be repaired using either anatomical, mesh or laparoscopic methods. This is a clinical study
done to understand the relative importance of various factors and predisposing to incisional hernia, the occurrence with
relation to the factors and selecting the most optimum technique which has least recurrence rate especially the use of
Polypropylene Mesh. This study was conducted in patients who were admitted at our institution over a period of 2 years
with complain of incisional hernia. 30 patients were analyzed for factors resulting in occurrence of incisional hernia &
selecting the most optimum technique of repair, which has least recurrence rate specially the use of polypropylene mesh
repair. In this study majority of the patients presented within 6 months, with incidence more common in females, who
underwent gynaecological procedures by lower and midline incisions. Its appearance was most common in the age group
of 31-40 years. The predominant risk factors being wound infection and lax abdomen. The most common post-operative
complications were mainly fever, pain and wound infection. Mesh repair is superior to anatomical suture repair with
regard to recurrence of hernia. Polypropylene Mesh is one of the best synthetic materials for repair and “INLAY” mesh
repair is the best technique for repair of incisional hernia.