scholarly journals Incisional Hernia: A Prospective Study

2021 ◽  
Author(s):  
Anurag Chauhan ◽  
Devendra K. Prajapati ◽  
Vikas Singh
Keyword(s):  
Incisional Hernia ◽  
Prospective Study ◽  
Abdominal Wall ◽  
Mesh Repair ◽  
Abdominal Wall Closure ◽  
Previous Surgery ◽  
Clear Cut ◽  
Hematoma Formation ◽  
Onlay Mesh ◽  
A Prospective Study

AbstractAn incisional hernia is being a universal problem and topic of discussion worldwide. There is no clear-cut guideline of abdominal wall closure after major abdominal surgeries that can effectively prevent the occurrence of incisional hernia. We found out that most of the patients presented with pain over previous surgery scar with swelling. The defect was usually larger than 2 cm. Most postoperative patients complaint of pain, seroma, and hematoma formation. There was a minimal recurrence rate after onlay mesh repair in our setup.

scholarly journals Retromuscular prefascial mesh placement versus onlay mesh placement in the repair of incisional hernias: a prospective study

2017 ◽  
Vol 5 (1) ◽  
pp. 120
Author(s):  
Ranganath M. Venkatarangaiah ◽  
Darshan A. Manjunath ◽  
Amarnath V. Mudda ◽  
Veerabhadra Radhakrishna
Keyword(s):  
Postoperative Complications ◽  
Incisional Hernia ◽  
Prospective Study ◽  
Mesh Repair ◽  
Mesh Placement ◽  
Exact Test ◽  
Incisional Hernias ◽  
Tertiary Center ◽  
Onlay Mesh ◽  
A Prospective Study

Background: An incisional hernia is a common complication of abdominal surgery with an incidence rate of two to 11%. Although there are various techniques described, the mesh repair has been the gold standard in the elective management of incisional hernias. But the best method of mesh placement is still debatable. Hence a study was conducted to compare the Retromuscular prefascial mesh placement with Onlay mesh placement in the treatment of incisional hernias.Methods: A prospective study was conducted in the Department of General Surgery in a tertiary center from November 2010 to May 2012. All patients with an incisional hernia underwent either Retromuscular prefascial mesh repair or onlay mesh repair. The nature of the previous surgery, size of the defect, operative, and postoperative complications were recorded. Mann Whitney test and Fisher’s exact test was used to evaluate the significance of the difference. A ‘p’ value <0.05 was considered significant.Results: A total of 60 patients were studied with 30 patients each in the Retromuscular prefascial group and the onlay group. Forty (67%) cases of incisional hernia were secondary to lower midline incision and hysterectomy was the most common surgery [30 patients (50%)]. The Retromuscular prefascial mesh group had significantly lesser postoperative complications (2/30 vs. 12/30; p=0.002; Fischer’s exact test) and seroma formation (1/30 vs. 8/30; p=0.02; Fischer’s exact test) compared to the onlay mesh group.Conclusions: Retromuscular prefascial mesh repair was equally effective but associated with fewer complications compared to onlay mesh repair.

scholarly journals Preperitoneal mesh repair in incisional hernia: a prospective study

2020 ◽  
Vol 7 (12) ◽  
pp. 3994
Author(s):  
Uma Dhanasekaran ◽  
Ramesh Arumugam
Keyword(s):  
Incisional Hernia ◽  
Prospective Study ◽  
Polypropylene Mesh ◽  
Mesh Repair ◽  
Incisional Hernias ◽  
Post Surgery ◽  
Operative Complications ◽  
A Prospective Study ◽  
Post Operative Complications

Background: Incisional hernia is a common surgical condition encountered in day to day practice. Based on national operative statistics, incisional hernias account for 15 to 20% of all abdominal wall hernias. Of all hernias encountered incisional hernias can be the most frustrating and challenging to treat. This prospective study aims to assess the efficacy of preperitoneal mesh repair technique using polypropylene mesh in the management of incisional hernia.Methods: A total of 40 patients with incisional hernia undergone open preperitoneal polypropylene mesh repair. It had evaluated for post-operative complications and recurrence for six months to one-year post-surgery. The results had tabulated statistically analysed and compared with other published reports in the literature.Results: Out of 40 patients, the size of the defect, 10 patients had less than 2 cm, 28 patients had between 2.1-4 cm, 1 patient between 4.1-6 cm and 1 patient between 6.1-8 cm. The type of hernia, 32 patients had infra umbilical hernia, and 8 patients had a supraumbilical hernia. Post-operative complication 3 patients had seroma, 1 patient had edge necrosis, 1 patient had post-op ileus, and 1 patient had chronic pain. Based on follow up, 4 patients had followed until 6 months, 10 patients till 9 months and 26 patients till one year.Conclusions: Post-operative complications following open preperitoneal polypropylene mesh repair are considerably less compared to other techniques of mesh repair and showed no recurrence among its subjects during the follow-up period, and longer follow-up is required to draw a definitive conclusion.

Midline abdominal wall incisional hernia after aortic reconstructive surgery: A prospective study

Surgery ◽  
2012 ◽  
Vol 151 (6) ◽  
pp. 882-888 ◽  
Author(s):  
Mario Gruppo ◽  
Franco Mazzalai ◽  
Renata Lorenzetti ◽  
Giacomo Piatto ◽  
Antonio Toniato ◽  
...  
Keyword(s):  
Incisional Hernia ◽  
Prospective Study ◽  
Abdominal Wall ◽  
Reconstructive Surgery ◽  
A Prospective Study
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