Shahab Javid.
Incisional hernia - 10 years experience.
Pak J Surg Jan ;22(3):146-9.

Objective: To study the outcome of Incisional Hernia repair. Design & Duration: Retrospective, descriptive study from July 1995 to June 2006. The patients were operated from July 1995 to June 2005, but as the follow-up was carried out for one year, hence the study ended in June 2006. Setting: Department of Surgery, Holy Family Hospital, Karachi. Patients: All patients who underwent Incisional Hernia repair during the study period and completed at least one year`s follow-up. Methodology: The biodata of all the patients was collected and appropriate investigations performed, along with history taking and examination. The hernia was repaired with three different techniques viz. single layer of continuous polypropylene suture, two layered closure with polypropylene suture, and the two layered repair with additional mesh on-lay. The patients were followed-up at one, six and 12 months period to detect complications and recurrence. Results: Out of the 92 patients that underwent repair, five were males and the remaining females. Amongst males 90% hernias were the result of emergency surgery, whilst in the females 90% cases were due to some gynaecological procedure. The main post-operative complications were seroma formation (20%) and wound infection (5%), and the recurrence rate was about 12%. There was no mortality in this series. Conclusion: Multiple surgeries (Caesarean/Hysterectomy) are the main cause of incisional hernia amongst females. Repair of the incisional hernia with two layers of polypropylene sutures and on-lay mesh gives better results.

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