Incisional Hernia in Women: Predisposing Factors and Management Where Mesh is not Readily Available
Libyan j. med
;
4(2): 66-69, 2009. tab
Artículo
en Inglés
| AIM
| ID: biblio-1265092
ABSTRACT
Background:
Aim:
Incisional hernia is still relatively common in our practice. The aim of the study was to identify risk factors associated with incisional hernia in our region. The setting is the Obafemi Awolowo University Teaching Hospitals Complex; Ile-Ife; Nigeria during a period when prosthetic mesh was not readily available. Patients andMethods:
All the women who presented with incisional hernia between 1996 and 2005 were prospectively studied using a standard form to obtain information on pre-hernia (index) operations and possible predisposing factors. They all had open surgical repair and were followed up for 18-60 months.Results:
Forty-four women were treated during study period. The index surgeries leading to the hernias were emergency caesarian section 26/44 (59.1); emergency exploratory laparotomy 6/44 (13.6); and elective surgeries 12/44 (27.3). Major associated risk factors were the use of wrong suture materials for fascia repair; midline incisions; wound sepsis; and overweight.Conclusion:
For elective surgeries; reduction of weight should be encouraged when appropriate; and transverse incisions are preferred. Absorbable sutures; especially chromic catgut; should be avoided in fascia closure. Antibiotics should be used for complicated obstetric cases
Texto completo:
Disponible
Índice:
AIM (África)
Asunto principal:
Mujeres
/
Factores de Riesgo
/
Hernia Incisional
Tipo de estudio:
Estudio de etiología
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Humanos
Idioma:
Inglés
Revista:
Libyan j. med
Año:
2009
Tipo del documento:
Artículo
Institución/País de afiliación:
Department of Community Health, Obafemi Awolowo University Teaching Hospitals' Complex/NG
/
Department of Surgery, Obafemi Awolowo/NG
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