CLINICAL STUDY AND MANAGEMENT OF INCISIONAL HERNIA WITH MESH REPAIR

Objective: To assess the magnitude of this problem, various factors leading to development of this condition and the different modalities of treatment practiced in our set up. Background: Incisional hernia is the one true iatrogenic hernia ianAird denes incisional hernia as a diffuse extrusion of peritoneum and abdominal contents through a weak scar of an operation or accidental wound.Incisional hernia usually starts early after surgery, as a result of failure of the lines of closure of the abdominal wall following laparotomy. Material and methods: The study was carried out a prospective study of 60 consecutive patients who underwent mesh repair for symptomatic incisional hernia in the period between October 2019 and April 2021 in G.R. Medical College and Jaya Arogya Hospital, Gwalior. Results: In our study, out of 60 patients of incisional hernia predominant in females and compared to males mainly between 41-50 years of age predominantly 65% presented with complaint of swelling in abdomen. Etiological factor in our study which lead to hernia is wound infection followed by wound dehiscence and maximum incidence seen after gynaecological procedures and lower midline incision. Incisional hernia predominant in general anesthesia who had previously operated. Incisional hernia is predominantly observed in our study who had previously operated open surgery comparatively laparoscopy procedures. Conclusion: Conscientious aseptic technique and careful closure of the abdominal wound is necessary for preventing incisional hernia. Conventional preoperative preparation of the patients with high risk is an important factor in preventing recurrence of incisional hernia. The postoperative complications can be decreased by the utilization of suction drains in mesh repair.