John Nickson, G (2020) A Clinical study on Incisional Hernia in Tirunelveli Medical College Hospital Patients. Masters thesis, Tirunelveli Medical College, Tirunelveli.
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Abstract
BACKGROUND: Incisional hernia is a common surgical condition with a reported incidence of 11-20% of patients subjected to abdominal surgeries. It occurs as a result of excessive tension and inadequate healing of a previous incision, which is often associated with surgical site infection. The aim of the study was to estimate various etiological factors of incisional hernia, distribution of cases in relation to age and sex, various modalities of treatment and early postoperative complications. OBJECTIVES: 1. To estimate various etiological factors of incisional hernia and distribution of cases in relation to age and sex. 2. To estimate the various modalities of treatment and early postoperative complications. METHODS: This is a hospital based cross sectional study of 50 cases who have been admitted and treated in the Department of General surgery, Tirunelveli Medical College Hospital, during the period from Nov 2017 to July2019.After admission, data were collected regarding clinical history, examination, diagnostic investigations, Operative procedures and early postoperative complications. RESULTS: The mean age of the patient presenting with incisional hernia was yrs. There were 46 (92%) women and 4 (8%) men. In our study 32% of incisional hernias occurred in infraumbilical transverse incision. Wound infection in postoperative period did seem to be the commonest predisposing factor (16%) for weakening of the scar. CONCLUSION: Incisional hernia is a common surgical problem as a result of a failure of fascial tissues to heal following surgical interventions. Prevented by avoidance of midline incisions. Strict aseptic precautions and meticulous closure of abdominal wound is as important as surgical technique.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 221711356 |
| Uncontrolled Keywords: | Incisional hernia, Anatomical repair, Onlay mesh repair. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 11 Feb 2021 01:41 |
| Last Modified: | 11 Feb 2021 01:41 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/14034 |
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