Comparative study of repair of incisional hernia

ABSTRACT

In this study fifty five patients were operated for the repair of incisional hernias with four different techniques to compare the results and to find out the best possible method of repair with least incidence of recurrence. As the recurrence of the incisional hernia occurs in high percentage of cases causes disappointment to both patient and Surgeon. The maximum incidence of incisional hernia was seen in 40-63 years age group. Incisional hernias were seen more frequently after gynaecological surgery in 37 [67.2%] cases and 18 [32.7%] cases reported after General Surgery Operation. Forty eight [88%] patients presented with incisional hernias were operated in emergency by trainee surgeons. Most hernias occurred within one year after surgery and the herniation of lower mid line incision was more frequent in 70.9% of cases. History of wound infection of previous surgery recorded is 45.5% of cases which is the important risk factor in causation of incisional hernia. In view of literature it is reported that the results are satisfactory with the use of synthetic prosthesis to strengthen the repair in comparison to simple technique. We have also observed after comparing the results of different techniques that simple repair of incisional hernia has significant rate of recurrence where as when synthetic mesh was used in repair no recurrence was recorded