scholarly journals The clinical study of the incisional hernia and its management

2017 ◽  
Vol 4 (7) ◽  
pp. 2281
Author(s):  
Navdeep Garg ◽  
Pooja Batra ◽  
Sharadendu Bali
Keyword(s):  
Incisional Hernia ◽  
Previous History ◽  
Exploratory Laparotomy ◽  
Suture Repair ◽  
Age Group ◽  
Common Complication ◽  
Response Sets ◽  
History Of ◽  
Sublay Mesh ◽  
Mesh Hernioplasty

Background: Hernia is defined as abnormal protrusion of viscus through a normal or abnormal weakness in the wall of its containing cavity. Incidence of Incisional hernias is 60%. It is the most common complication after exploratory laparotomy followed by LSCS.Methods: Data was collected for 30 cases of incisional hernia according to the proforma which included detailed history, clinical examination and investigation. Data was tabulated, analyzed and results interpreted.Results: Incisional hernia was more common in females with the ratio 1.5:1. The incidence of incisional hernia was highest in the age group ranging from 30-50 years. Most of the patients presented with chief complaint of swelling (100%) followed by pain and swelling (24%). Incisional hernia was more common in patients of previous history of abdominal procedures (explorative laparotomy 53%) followed by gynaecological operations (23%). Out of 30 patients studied, 20 underwent only mesh hernioplasty (67%), 10 underwent sublay mesh hernioplasty (23%).Conclusions: With prosthetic mesh, defects of any size can be repaired without tension. The polypropylene mesh, by inducing inflammatory response sets up scaffolding that in turn induces the synthesis of collagen. Thus, the superiority of mesh repair over suture repair can be accounted for. 

scholarly journals Abdominal incisional hernia: retrospective study

2018 ◽  
Vol 6 (9) ◽  
pp. 2990
Author(s):  
Archana Shukla ◽  
Sameer Ahmed
Keyword(s):  
Retrospective Study ◽  
Incisional Hernia ◽  
Clinical Presentation ◽  
Previous History ◽  
Age Group ◽  
Precipitating Factors ◽  
Medical College ◽  
Operative Complications ◽  
History Of ◽  
Gandhi Medical College

Background: Incisional hernia presents as herniation or protrusion occurring along a prior abdominal scar. It is a known complication of abdominal surgery. They are the second most common type of hernia after inguinal hernias. This study was undertaken to study the incidence and various risk factors leading to incisional hernia.Methods: It is a retrospective study done in Gandhi Medical College, Bhopal; Department of Surgery during January 2017 to January 2018. All the cases were analyzed in various aspects like age, sex, relative incidence, clinical presentation, nature of previous operation, site of previous scar, precipitating factors like obesity, wound infection, abdominal distension.Results: The incidence is around 18.5%. Patients in the age group of 30-50 years found to have highest incidence of incisional hernia. Females outnumbered the males with the ratio of 6:1. Incisional hernia was more common in patients with previous history of gynecological operation. Most of the patients presented with incisional hernia in the infra umbilical region.Conclusions: Incisional hernias can be prevented by avoidance of midline incisions, especially in the infra umbilical region. Mesh repair results in less post-operative complications provided drains are used.

scholarly journals Tucked and treated- a case series on outcome of meshplasty with abdominoplasty for incisional hernia

2021 ◽  
Vol 8 (11) ◽  
pp. 3421
Author(s):  
Nagamallesh C. S. ◽  
Nandini S. Tanwar ◽  
F. Sadiq Nawaz ◽  
Padmanath Bhat
Keyword(s):  
Quality Of Life ◽  
Incisional Hernia ◽  
Previous History ◽  
Case Series ◽  
Weight Lifting ◽  
Aesthetic Outcome ◽  
Strict Glycemic Control ◽  
History Of

Incisional hernia is the second most common type of hernia. Incisional hernia occurs in 10-20% of patients who were subjected to abdominal surgery in India. Here we are presenting a case series of 20 patients with incisional hernia and obesity. Body mass index (BMI) ranges from 28 to 35 in all cases. Females outnumbered the male in the ratio of 4:1 and 40% of cases had a previous history of caesarean section. All cases were operated by combining open polypropylene meshplasty and abdominoplasty techniques and follow up consultations were done for 1 year. 10% of cases had post-op wound infections, who were known to be diabetic. They were managed with appropriate antibiotics and maintained strict glycemic control. 90% of patients were satisfied from the procedure performed which improved their quality of life, significant cosmetic outcome and no recurrence. 10% of cases had recurrence after heavy weight lifting following surgery (BMI was 36). By incorporating the above mentioned techniques in hernia repair, recurrence rate and complications were reduced, quality of life and aesthetic outcome are enhanced.

scholarly journals HYPOTHYROIDISM;

2017 ◽  
Vol 24 (01) ◽  
pp. 36-41
Author(s):  
Shafat Khatoon ◽  
Aijaz Ahmed ◽  
Nighat Jabeen ◽  
Erum Rehman
Keyword(s):  
Serum Lipids ◽  
Previous History ◽  
Young Patients ◽  
P Value ◽  
Age Group ◽  
Active Life ◽  
Group I ◽  
History Of ◽  
Hypothyroid Patients ◽  
Significant Health

Cardiovascular diseases (CVDs) are the number one cause of death globally:more people die annually from CVDs than from any other cause. An estimated 17.5 millionpeople died from CVDs in 2012, representing 31% of all global deaths. Although CVDs areuncommon entity in young patients, it constitutes significant health problem due to itsdyslipidemia cases and devastating effects on active life style of young patients, it is thereforeimportant to identify diseases in young that are associated with or a cause of dyslipidemia1.Hypothyroidism is an important cause of dyslipidemia in young that can significantly increasethe risk of CVDs2. Objectives: This study is designed “to determine frequency of dyslipidemiain young hypothyroid patients”. Place and duration of Study: Study conducted at MedicalOPD JPMC, Karachi (outpatient) in six months duration from 25th May 2009 to 24th November2009. Patients and Methods: Study is performed on 100 newly diagnosed cases of primaryhypothyroidism between ages 25 to 55 years, non-smokers, having no previous history ofIschemic Heart Disease (IHD) or family history of premature CVD, diabetes mellitus (DM), hepaticor renal disease, not on drugs which could alter serum lipids. Selected case undergone 14hours fasting lipid profile check. Results: Out of 100 hypothyroid cases, 91% had dyslipidemiawhich was directly proportional to severity of hypothyroidism. Out of 100 hypothyroid cases,95 (95%) were of young age group i-e from 25-49 years, and all of them were dyslipidemic,while 05 (5%) hypothyroid patients were of age group more than 50 years and none of themhad dyslipidemia. (0.00%) and this distribution of dyslipidemic in young hypothyroid patientsis statistically significant (p value 0.031) Conclusion: Hypothyroidism is associated with highfrequency of dyslipidemia in young patients which significantly predisposes them to risks ofCVDs.

scholarly journals Occurrence of canine mammary and skin/ subcutaneous neoplasms in and around Thrissur district of Kerala during 2017-2020: A review of 265 cases

2021 ◽  
Vol 52 (4) ◽  
Author(s):  
Sudheesh S. Nair ◽  
Narayanan M. K. ◽  
Anoop S. ◽  
Dhanush Krishna B. ◽  
Usha Narayana Pillai ◽  
...  
Keyword(s):  
Previous History ◽  
Mammary Glands ◽  
Cancer Surgery ◽  
Mixed Diet ◽  
Age Group ◽  
Dog Food ◽  
Mammary Neoplasms ◽  
History Of ◽  
Maximum Occurrence ◽  
History Of Cancer

The study was conducted in 265 clinical cases of mammary and skin/ subcutaneous neoplasms in dogs presented to University Veterinary Hospitals Mannuthy and Kokkalai during a period of 36 months from October 2017 to September 2020. Mammary neoplasms were found more in females (51.7 per cent) than in males whereas skin and subcutaneous neoplasms were found more in male dogs (48.3 per cent). The maximum occurrence of neoplasms was recorded in the age group of eight to twelve years (38.5 per cent) whereas least occurrence was noticed in the age group up to four years (9 per cent). Labrador and Rottweiler breeds were found more affected with neoplasms (38 per cent each) with highest occurrence of mammary neoplasms in inguinal mammary glands (35.03 per cent) and highest occurrence of skin/ subcutaneous neoplasms on sites involving trunk region (14.06 per cent cases). Eighty-three per cent of the neoplasm cases in the present study were pet dogs with a greater number of dogs maintained in outdoor kennels and 17 per cent of neoplasm was found in free-roaming dogs rescued from streets. Out of total 265 dogs, 37.73 per cent dogs were found to be having commercial dog food as their main feed and 32 per cent dogs were fed with a mixed diet of homemade food and commercial dog food. Among the cases, 14.71 per cent dogs had a previous history of cancer surgery

scholarly journals Internal hernia - a rare cause of small bowel obstruction: a case report

2016 ◽  
Vol 4 (1) ◽  
pp. 427 ◽  
Author(s):  
Samir U. Rambhia ◽  
Premjeet Madhukar
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Internal Hernia ◽  
Previous History ◽  
Exploratory Laparotomy ◽  
Internal Hernias ◽  
Post Surgery ◽  
History Of ◽  
Acute Small Bowel Obstruction

Internal hernia means a protrusion into pouches or openings in the peritoneum or mesentry in contrast to the hernias through defects in the retaining walls of the abdomen. Internal hernias are of many varieties with different classifications and can be congenital or acquired post-surgery. We present a case of a 55 year old female who presented with symptoms of acute small bowel obstruction with previous history of exploratory laparotomy 20 years back for reasons not known to her. Routine blood investigations, chest and abdomen skiagram and a CECT abdomen were performed (which gave no significant clue to diagnosis) and after a failed conservative trial patient was taken for exploration. Intra operatively a gangrenous loop of small bowel was found herniating through a band between the small bowel mesentry and the sigmoid mesocolon, forming a closed loop obstruction. Resection anastomosis of the gangrenous segment along with band transection was performed. The post-operative course was uneventful. Internal herniation as a cause of bowel obstruction should always be kept in mind as a differential.

scholarly journals Study Of Incisional Hernia At A Tertiary Care Teaching Hospital

2020 ◽  
Vol 11 (2) ◽  
pp. 2591-2597
Author(s):  
Mangesh Padamwar ◽  
Anupam Kakade ◽  
Ajonish Kamble ◽  
Yashwant Lamture ◽  
Meenakshi Yeola
Keyword(s):  
Incisional Hernia ◽  
Laparoscopic Repair ◽  
Tertiary Care ◽  
Age Groups ◽  
Research Centre ◽  
Suture Repair ◽  
Common Procedure ◽  
Medical College ◽  
Mesh Hernioplasty ◽  
Open Mesh

Incisional hernia affects all age groups and involve both male and females. It can be defined as hernia which protrudes through surgical wound which was healed incompletely. Management of incisional hernia requires operative intervention most of the times it may laparoscopic repair with synthetic non-absorbable mesh or open anatomical repair.In partnership with Jawaharlal Nehru Medical College AVBR Hospital (Datta Meghe Institute of Medical Sciences) Sawangi (Meghe), Wardha, Maharashtra, this work was performed in the Department of General Surgery at Datta Meghe Medical College and Shalinitai Meghe Hospital and Research Centre ,Hingna , Nagpur. Over a period of 1 year 59 cases of diagnosed incisional hernia were included.33 males and 26 females were included. The mean age was years. Most common cause of Incisional Hernia (IH)  post-operative wound infection(49.15%). In maximum cases history suggestive of emergency surgery(86.44%).Type of incision suggests maximum cases in midline incision (55.93%) followed by Pffanensteils incision (28.81%).Open mesh hernioplasty was the common procedure (57.62%) ,Lap mesh hernioplasty done in (25.42%)cases and (16.94%) cases were treated by suture repair. There was no evidence of recurrence in laparoscopic repair as open mesh hernioplasty has a recurrence rate of 03.57% and suture repair cases showed 33.33% recurrence.Incisional Hernia and its occurrence can be taken care of by implementing all standard aseptic precautions thereby avoiding chances of infection at the time of primary surgery wherein thorough peritoneal wash, proper techniques of wound closure and use of appropriate antibiotics is recommended. Management of IH with Laparoscopic mesh repair has its own advantage in terms of less hospital stay, negligible rate of recurrence though it is not cost effective at present scenario.

scholarly journals Medidas Basadas En La Ejecución En Ancianos Con Historia De Caídas. Una Muestra.

2019 ◽  
Vol 38 (2) ◽  
Author(s):  
Luis M. Cornejo
Keyword(s):  
High Frequency ◽  
Walking Speed ◽  
Previous History ◽  
The Elderly ◽  
High Morbidity ◽  
Age Group ◽  
Speed Test ◽  
Functional Reach ◽  
History Of ◽  
The One

<p>[Measures Based On The Execution In Elderly People With A History Of Falls. A Sample]</p><div><br />Resumen</div><div>Introducción: Las caídas constituyen uno de los llamados Grandes Síndromes Geriátricos, su elevada frecuencia a medida que envejecemos, se asocia a elevada morbi-mortalidad y discapacidad. Un abordaje diagnóstico y preventivo de esta condición, hace necesaria una Valoración Geriátrica Integral, incluyendo en ésta sistematización las llamadas Medidas Basadas en la Ejecución (MBE). El objetivo general del trabajo fue comprobar la validez de los resultados de medidas basadas en la ejecución realizadas en pacientes de 65 años en adelante. Materiales y métodos: Es un estudio descriptivo y retrospectivo que evaluó un total de 189 pacientes de 65 años en adelante, de ambos sexos, incluidos en el Programa de Caídas del Adulto Mayor (PROPRECAM), del Hospital Irma de Lourdes Tzanetatos, durante los años 2015 y 2016. Se valoraron tanto el índice de Barthel como 4 pruebas de MBE: Velocidad de la marcha, Levántate y anda, Levantarse de una silla con Brazos Cruzados y Alcance Funcional. Resultados: Los resultados se correlacionaron con la historia previa de caídas, encontrándose que el 71% presentaron prueba de velocidad de la marcha alterada, el 65.6% Prueba de Levántate y anda afectada, el 48.1% pruebas de brazos cruzados alterada y 23.8% alcance funcional deficitario. La Prueba de Velocidad de la Marcha en 4 metros fue la que más se relacionó con historia de caídas con 63.70%, seguida por Levántate y Anda con 42.85%.</div><div>Conclusión: En pacientes de 65 años y más, las Medidas Basadas en la Ejecución, representan un conjunto de pruebas fácilmente aplicables, que pueden complementar y aumentar el valor predictivo para las caídas en este grupo de edad.</div><div>Abstract</div><div>Introduction: Falls are one of the so-called Great Geriatric Syndromes, their high frequency as we get older, is associated with high morbidity and mortality and disability. A diagnostic and preventive approach to this condition requires an Integral Geriatric Assessment, including in this systematization the so-called Measures Based on Execution (MBE). The general objective of the work was to verify the validity of the results of measures based on performance performed on patients aged 65 and older. Material and method: It is a descriptive and retrospective study that evaluated a total of 189 patients of 65 years and older, of both sexes, included in the Program of Falls of the Elderly (PROPRECAM), of the Irma Hospital of Lourdes Tzanetatos, during the years 2015 and 2016. Both the Barthel index and 4 MBE tests were assessed: Speed of walking, Stand up and walk, Stand up from a chair with Cross Arms and Functional Reach. Results: The results were correlated with the previous history of falls, finding that 71% presented altered walking speed test, 65.6% of the Levántate test and affected, 48.1% altered crossed arms tests and 23.8% functional reach deficit. The Speed Test of the March in 4 meters was the one that was most related to history of falls with 63.70%, followed by Stand Up and Walk with 42.85%.</div><div>Conclusion: In patients aged 65 years and older, the Implementation-Based Measures represent a set of easily applicable tests that can complement and increase the predictive value for the falls in this age group.</div><p> </p>

scholarly journals Incisional hernia: preliminary observations at a new institute

2017 ◽  
Vol 4 (8) ◽  
pp. 2762
Author(s):  
Farhanul Huda ◽  
Abhijit Kumar
Keyword(s):  
Incisional Hernia ◽  
Abdominal Wall ◽  
Ventral Hernia ◽  
Exploratory Laparotomy ◽  
Previous Surgery ◽  
Surgical Incision ◽  
Clinical Presentations ◽  
History Of ◽  
Average Size ◽  
Incomplete Closure

Background: Ventral hernia develops when an area of the abdominal wall weakens and develops a tear or hole. It may develop as a defect at birth, resulting from incomplete closure of a part of the abdominal wall, or develop where an incision was made during an abdominal surgery, occurring when the incision doesn’t heal properly. Incisional hernia is typically observed within the first 5 years after the surgical incision is made, but may develop long afterwards.1 This study was undertaken to review the history and clinical presentations in patients with incisional hernia, and subsequent treatment.Methods: In the present study, the first 20 cases of incisional hernia admitted to this institute for elective herniorrhaphy were studied. History of the previous surgery was obtained and the findings noted. Treatment carried out was included in the study.Results: Out of 20 cases, 12 were female (60%). Mean age of the patient was 41.9±11.9 years. Lower segment Caesarian section was the commonest preceding surgery (7 out of 12 females; 58.33%). Exploratory laparotomy accounted for 5 out of 8 cases amongst males (62.5%). Commonest site of the hernia was infraumbilical (n=9; 45%). Average size of the defect was 6.2 cm x 5.6 cm. 13 patients underwent surgery. Laparoscopic ventral hernia repair was the most common modality used (10 out of 13; 76.9%).Conclusions: Incisional hernia is more common in females, and gynaecological operations are most common cause and most common site is infraumbilical.

scholarly journals INCISIONAL HERNIA - ONLAY VS SUBLAY MESH HERNIOPLASTY

2015 ◽  
Vol 4 (35) ◽  
pp. 6040-6045
Author(s):  
Ravi Kamal Kumar A ◽  
Chandrakumar S V P L ◽  
Vijayalaxmi A ◽  
Thokala Sivaiah ◽  
Venkat Ramana N
Keyword(s):  
Incisional Hernia ◽  
Sublay Mesh ◽  
Mesh Hernioplasty

scholarly journals Characteristics of abortus patients in Dr. Soetomo Hospital, Surabaya, Indonesia

2020 ◽  
Vol 28 (2) ◽  
pp. 79
Author(s):  
Kadek Novita Damayanti ◽  
Muhammad Yusuf ◽  
Sudarno Sudarno
Keyword(s):  
General Hospital ◽  
Gestational Age ◽  
Previous History ◽  
Age Group ◽  
Observational Method ◽  
History Of ◽  
Threatened Abortion ◽  
Using Data

Objective: The purpose is to uncover the characteristics of abortion patients in Dr. Soetomo general hospital in 2014.Materials and Methods: This study has analized with descriptive observational method using data from medic records on patient that fulfilled inclusion criterias in Dr. Soetomo general hospital during the periods of January 1st - December 31st 2014. Researcher used various variables such as patient’s age, gestational age, parity, previous history of abortion, previous history of contraception and type of abortion. From 40 patients, only 31 patients that fulfilled those inclusion criteria.Results: This study found that from 31 patients of abortion, the age group is dominated by more than 35 years old (52%). Most gestational age of abortion’s patients comes before 20 weeks (68%). Parity occurance is dominated by multiparity (39%). Most of them have no previous history of abortion (55%). Most of them also have no previous history of contraception (65%). And the type of abortion is dominated by Threatened Abortion (61%).Conclusion: Characteristics of abortion patients based on age are dominated by age over 35 years (52%). Based on gestational age are dominated by gestational age less than 12 weeks (1st trimester) (68%). Based on the parity dominated by multiparous groups (39%). Based on previous history of abortion are dominated by patients who have never experienced abortion before (55%). And based on the type of abortion are dominated by patients who experience Imminent Abortion (61%).

Sign in / Sign up

Export Citation Format

Share Document