Background: Abdominal wall hernias are a familiar surgical problem. Millions of patients are affected each year, presenting most commonly with primary ventral, incisional, and inguinal hernias. In this study we have done a prospective study of 25 cases of patients with ventral hernia in whom component separation technique is used to close the midline defect with the use of prosthetic mesh.
Methods: This prospective randomized comparative study was conducted on 25 patients in each group of ventral hernia in the department of surgery, Sir T Hospital and medical college, Bhavnagar. It is a prospective study of component separation in ventral hernia repair in view of surgical site pain, recurrence rate post op complication, post op hospital stay.
Results: It was found that average age was 50.8 years. That showed ventral hernia was more common in 5th and 6th decade of life. Out of 25 subjects 13(52%) were male and 12 (48%) were female. The component separation is mainly done in large ventral hernias, these included: Incisional hernia 20 patients (80%), Umbilical hernia 3 patients (12%), Paraumbilical hernia 2 patients (8%). It was seen that diabetes and COPD was found in major of the cases with ventral hernia. Patients with diabetes as comorbidity had more incidence of surgical site infection leading to high incidence of flap necrosis. Due to high, uncontrolled blood sugar during emergency operation, there were more incidence of both infection and flap necrosis. Conclusion: It was seen that component separation technique resulted in better mesh integration as the vascularity was preserved, significant reduction in morbidity, low incidence of wound discharge, gaping and flap necrosis, resulting in early discharge of patient.
Keywords: Ventral hernia, Incisional hernia, Umbilical hernia, Para umbilical hernia, Component separation technique.
The use of self-gripping mesh with anterior component separation technique in incisional hernia repair: A case series
