ABSTRACT
Aims: A ventral hernia is a protrusion of viscera through an abdominal wall defect. Ventral hernias are mostly treated by a surgical procedure called open ventral hernia repair (OVHR). However, complications arising from the OVHR procedure mayresult in the recurrence of a hernia.This study was aimed to measure the recurrence rate of ventral hernia after OVHR with mesh and the reasons for failure.Study Design:It was a cross-sectional retrospective study conducted on all patients who underwent an OVHR with mesh, between 2010 and 2017, at King Abdulaziz University Hospital (KAUH) in Jeddah, Saudi Arabia. Data were extracted from KAUH medical records. A total of 241 patients were included in the study, divided into two groups; group 1-patients with recurrence(37 patients) and group 2-patients with no recurrence(204 patients).Consent was taken from patientsand preoperative assessment of procedures were performed under general anesthesia. The variables in the study are parameters like age, sex, parity, and history of chronic liver disease and their correlation with recurrence of thehernia. Different variables Data were analyzed by SPSS v 21. Association between the variables was determined using the t-test and Pearson’s Chi-squared tests.Results:The relationship between recurrence and age was statistically significant (P=0.019). The recurrence of hernia was more frequent in females than males. Patients with a history of multiparity(P=0.00) and liver diseases (P=0.041) showed significant differences in terms of recurrence. The umbilical hernia was more prevalent (133 cases; 55.2%) than other types of hernia. The most frequent site of hernia in the recurrence group was supraumbilical(38.46%; P=0.039).Conclusion:OVHR is a commonly performed surgical procedure at KAUH. Because of multiparity, ventral hernia recurrence was more common in women than men. To reduce recurrences, we recommend doing exercises to strengthen the abdominal muscles. Patients with chronic liver diseases in the form of portal hypertension should avoid surgical repair. For the surgeons, the type of mesh does not have a significant impact on recurrence
ABSTRACT
Background: Abdominal exercises have become an important part of fitness and rehabilitation. Sit ups are most common abdominal exercise performed by people without proper training. Hypertension is a progressive cardiovascular syndrome arising from complex and interrelated etiology in which the blood pressure in the arteries is elevated. Material and methods: An experimental study including 30 hypertensive males and females aged 30-60 years was done. Exclusion criteria were back pain, spinal disorders, diabetes, renal disease, cardiovascular disease. They were divided into two groups: Group 1 performed straight and oblique sit ups with breath holding. Group 2 performed straight and oblique sit ups without breath holding. Instructions were given to perform 10 repetitions of straight and oblique sit ups with 10 min rest period between. Heart rate and blood pressure were measured before and after each set of repetition. Wilcoxon Signed Rank Test was used for within group analysis and Mann-Whitney ‘U’ Test was used for inter group analysis. Results: For group A, W= -3.426, -3.458, -3.458 respectively for heart rate (HR), systolic blood pressure (SBP) and diastolic blood pressure (BDP) and p=0.001 and for group B, W= -3.426, -3.475, - 3.464 and p=0.001. The U value for inter group analysis is U=103.00, 73.00, 81.00 respectively for HR, SBP and DBP and p= 0.68, 0.099, 0.183 respectively for HR, SBP and DBP. Conclusion: When performing the OPSU and SPSU exercises as used in this investigation hypertensive individuals may experience peak heart rate and blood pressure increases. Voluntary breath holding significantly increased the blood pressure elevations for both the exercises, but particularly for the OPSU.