This paper is published in Volume-5, Issue-1, 2019
Area
Medical
Author
Kumar Raghvendra
Co-authors
Dr. Ashok Kumar Gupta
Org/Univ
National Institute of Medical Science and Research, Jaipur, Rajasthan, India
Pub. Date
25 February, 2019
Paper ID
V5I1-1407
Publisher
Keywords
Clinical evaluation, Surgical management of incisional hernia, Incisional hernia

Citationsacebook

IEEE
Kumar Raghvendra, Dr. Ashok Kumar Gupta. Clinical evaluation and surgical management of incisional hernia, International Journal of Advance Research, Ideas and Innovations in Technology, www.IJARIIT.com.

APA
Kumar Raghvendra, Dr. Ashok Kumar Gupta (2019). Clinical evaluation and surgical management of incisional hernia. International Journal of Advance Research, Ideas and Innovations in Technology, 5(1) www.IJARIIT.com.

MLA
Kumar Raghvendra, Dr. Ashok Kumar Gupta. "Clinical evaluation and surgical management of incisional hernia." International Journal of Advance Research, Ideas and Innovations in Technology 5.1 (2019). www.IJARIIT.com.

Abstract

Repair of hernia by Laparoscopic technique has revolutionized the treatment of incisional hernia repair by reducing the morbidity and less stay in the hospital of the patient. This study has been undertaken to assess the magnitude of this problem, various factors leading to development of this condition and management. This is a hospital-based descriptive type of study done on 100 incisional hernia cases in the Department of Surgery at National Institute of Medical Science and Research, Jaipur, Rajasthan from January 2017 to June 2018. All the cases were operated and prolene mesh repair were done. The next immediate post-operative complications were also be evaluated here. Our study showed that the Incidence of incisional hernia is maximum (up to 60%) in the age group of 31-50 years and hence the ratio of male: female was 0.15:1. Most of the cases were found “with only swelling” which is about 73%. 40% of the cases where Patients had previous operations using planned incision, 19% cases in upper midline incisions and 13% in paramedian incisions, 11% in Lower midline incisions. According to analysis, 30% of patients as compared to 70% of patients who underwent Mesh Repair instead of Anatomical Repair. we also examined that 22% of patients had wound infection which was treated or handled with antibiotics according to the culture and sensitivity report. Mesh repair is surely considered superior compare to anatomical repair. We highly recommend Hernioplasty (mesh repair) as first line of treatment for uncomplicated incisional hernias to prevent recurrences.
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