Incisional Hernia in Pregnancy

2012 ◽  
Vol 2 (4) ◽  
pp. 60-62
Author(s):  
Sujoy Dasgupta
Keyword(s):  
Risk Factors ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Caesarian Section ◽  
Obstetric Complications ◽  
Optimal Management ◽  
Contributing Factors ◽  
Incisional Hernias ◽  
Pregnant State ◽  
In Pregnancy

Incisional hernias are not rare but obstetric complications due to an incisional hernia are rare. Literature suggests that the incisional hernia following a caesarian section may behave differently from an incisional hernia arising after a surgery in the non-pregnant state. The failure of hernia repair is more frequent in the former. The risk factors and the contributing factors to optimal management of these cases are discussed.

scholarly journals Reconstruction of the abdominal wall in anatomical plans. Pre and post – operative keys in repairing “cold’’ incisional hernias.

2016 ◽  
Vol 89 (1) ◽  
pp. 117-121
Author(s):  
Florina Popa ◽  
Oana Rosca ◽  
Alexandru Georgescu ◽  
Claudio Cannistra
Keyword(s):  
Risk Factors ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Positive Impact ◽  
Incisional Hernia Repair ◽  
Repair Process ◽  
Hernia Recurrence ◽  
Reconstruction Procedure ◽  
Incisional Hernias ◽  
Claude Bernard

Background and aims. The clinical results of the vertical "vest-over-pants" Mayo repair were evaluated, and the risk factors for incisional hernia recurrence were studied. The purpose of this study is to point out the importance of reducing pre and post operative risk factors in the incisional hernia repair process in order to achieve a physiologically normal abdominal wall.Methods. Twenty patients diagnosed with incisional hernia underwent an abdominal reconstruction procedure using the Mayo (Paletot) technique at Bichat Claude Bernard Hospital between 2005 and 2015. All procedures were performed by a single surgeon and all patients were pre-operatively prepared, identifying all coexisting conditions and treating them accordingly before undergoing surgery.Results. All patients underwent at least one surgical operation before the hernia repair procedure and a quarter had experienced at least three, prior to this one. Nine patients had a body mass index of >30 kg/m2. Additional risk factors and comorbidities included obesity in 45%, diabetes mellitus in 10%, smoking in 55%, and high blood pressure in 40%.Hernia defect width was from 3 cm (25% F) to 15 cm (5% M) of which nine patients (45%) had a 10 cm defect. Most of the patients had an average hospitalization of 7 days. The patients were carefully monitored and were called on periodic consultations  after 3, 6, and 12 months from the moment of the procedure. Patient feedback regarding  hernia recurrence and complaints about the scar were noted. Physical examination is essential in determining the hernia recurrence therefore the scar was examined for any abnormalities that may  have occurred, which was defined as any palpable or detected fascial defect located within seven centimeters of the hernia repair. Post-operative complications: seroma formation, wound hematoma, superficial and deep wound infection, recurrences and chronic pain were followed and no complications were registered during the follow-up period.Conclusions. Reducing the risk factors to a minimum prior to surgery will increase the success of the incisional hernia repair and generate a positive impact on the patient’s quality of life. The lofty goal of significant weight loss prior to elective hernia has shown to be the key factor in using the Mayo technique for incisional hernia repair. This study demonstrates that the Mayo repair technique is a suitable and trustworthy  alternative for repairing incisional hernias with very good results. It’s costs are minimal and it can be easily reproduced, even by less experienced surgeons.

Risk Factors for Surgical Site Occurrence or Infection and Recurrence After Incisional Hernia Repair in Abdominal Transplant Population

2021 ◽  
Vol 53 (2) ◽  
pp. 762-767
Author(s):  
Fareed Cheema ◽  
Oya Andacoglu ◽  
Li-Ching Huang ◽  
Sharon E. Phillips ◽  
Flavio Malcher
Keyword(s):  
Risk Factors ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Incisional Hernia Repair

scholarly journals Ventral incisional hernia case report: A therapeutic challenge

2020 ◽  
Vol 8 ◽  
pp. 2050313X2092762
Author(s):  
Túlio Fabiano de Oliveira Leite ◽  
Lucas Alves Sarmento Pires ◽  
Carlos Alberto Araujo Chagas
Keyword(s):  
Risk Factors ◽  
Incisional Hernia ◽  
Low Income ◽  
Low Income Countries ◽  
Abdominal Wall Defects ◽  
Obese Patients ◽  
Common Condition ◽  
Recurrence Rates ◽  
Incisional Hernias ◽  
Ventral Incisional Hernia

Incisional hernias are a very common condition and they still are considered to be a surgical challenge due to their recurrence rate. Smoking, obesity and age are risk factors for developing these abdominal wall defects. Despite recent advances in hernia repairs, the recurrence rates of hernias did not significantly diminished, even after the introduction of meshes. The aim of this article is to report a case of a ventral incisional hernia in a 37-year-old man and its successful treatment with a procedure known as the Alcino-Lázaro technique repair. This procedure has been shown to be very effective in incisional hernias, especially in obese patients. Furthermore, it is as cheap as it is reliable, since it can be performed without technological aid or expensive materials (mesh); thus, patients in low-income countries can greatly benefit from this procedure.

scholarly journals Risk factors for incisional hernia repair after aortic reconstructive surgery in a nationwide study

2013 ◽  
Vol 57 (6) ◽  
pp. 1524-1530.e3 ◽  
Author(s):  
Nadia A. Henriksen ◽  
Frederik Helgstrand ◽  
Katja C. Vogt ◽  
Lars N. Jorgensen ◽  
Thue Bisgaard
Keyword(s):  
Risk Factors ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Reconstructive Surgery ◽  
Incisional Hernia Repair ◽  
Nationwide Study

scholarly journals Costs Associated With Modifiable Risk Factors in Ventral and Incisional Hernia Repair

2019 ◽  
Vol 2 (11) ◽  
pp. e1916330 ◽  
Author(s):  
Ryan Howard ◽  
Michael Thompson ◽  
Zhaohui Fan ◽  
Michael Englesbe ◽  
Justin B. Dimick ◽  
...  
Keyword(s):  
Risk Factors ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Incisional Hernia Repair ◽  
Modifiable Risk Factors ◽  
Ventral And Incisional Hernia

Risk Factors for Bad Outcomes in Incisional Hernia Repair: Lessons Learned From the National Registry of Incisional Hernia (EVEREG)

2018 ◽  
Vol 96 (7) ◽  
pp. 436-442 ◽  
Author(s):  
José Antonio Pereira ◽  
Blanca Montcusí ◽  
Manuel López-Cano ◽  
Pilar Hernández-Granados ◽  
Laura Fresno de Prado
Keyword(s):  
Risk Factors ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Incisional Hernia Repair ◽  
National Registry ◽  
Lessons Learned

scholarly journals Incisional hernia rate after laparoscopic colorectal resection is reduced with standardisation of specimen extraction

2015 ◽  
Vol 97 (1) ◽  
pp. 17-21 ◽  
Author(s):  
AV Navaratnam ◽  
R Ariyaratnam ◽  
NJ Smart ◽  
M Parker ◽  
RW Motson ◽  
...  
Keyword(s):  
Risk Factors ◽  
Incisional Hernia ◽  
Smoking Status ◽  
The Body ◽  
Specimen Extraction ◽  
Incisional Hernias ◽  
Extraction Site ◽  
Incision Technique ◽  
Incisional Hernia Rate

Introduction Incisional hernia is a common complication of laparoscopic colorectal surgery. Extraction site may influence the rate of incisional hernias. Major risk factors for the development of incisional hernias include age, diabetes, obesity and smoking status. In this study, we investigated the effect of specimen extraction site on incisional hernia rate. Methods Two cohorts of patients who underwent laparoscopic colorectal resections in a single centre in 2005 (n=85) and 2009 (n=139) were studied retrospectively. In 2005 all specimens were extracted through transverse muscle cutting incisions. In 2009 all specimens were extracted through midline incisions. Demographic variables, rate of incisional hernias and risk factors for hernia development were compared between the year groups. All patients had been followed up clinically for two years. Results A total of 224 patients (mean age: 67.5 years, standard deviation: 16.35 years) were included in this study. Of these, 85 patients were in the 2005 transverse group and 139 were in the 2009 midline group. The total incisional hernia rate for the series was 8.0% at the two-year follow-up visit. For the 2005 group, the incisional hernia rate was 15.3% (n=13) and for the 2009 group, it was 3.6% (n=5) (p<0.01). The body mass index was higher in patients who developed incisional hernias than in those who did not (p=0.02). Conclusions The 2005 group had a significantly higher incisional hernia rate than the 2009 group. This is due to the differences in the incision technique and extraction site between the two groups.

Risk factors for postoperative wound infections and prolonged hospitalization after ventral/incisional hernia repair

Hernia ◽  
2013 ◽  
Vol 19 (1) ◽  
pp. 113-123 ◽  
Author(s):  
C. Kaoutzanis ◽  
S. W. Leichtle ◽  
N. J. Mouawad ◽  
K. B. Welch ◽  
R. M. Lampman ◽  
...  
Keyword(s):  
Risk Factors ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Incisional Hernia Repair ◽  
Wound Infections ◽  
Postoperative Wound ◽  
Prolonged Hospitalization ◽  
Ventral Incisional Hernia
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