A comparative analysis on various techniques of incisional hernia repair–experience from a tertiary care teaching hospital in South India

Kumar, Vikram and Rodrigues, Gabriel and Ravi, Chandini and Kumar, Sampath (2013) A comparative analysis on various techniques of incisional hernia repair–experience from a tertiary care teaching hospital in South India. Indian Journal of Surgery, 75 (4). pp. 271-273.

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Abstract

This prospective study was conducted at a tertiary care teaching hospital in South India over a period of 7 years and included 90 patients with incisional hernia (n090; 76 females and 14 males), operated over 2 years (January 2004 to December 2005), and followed-up for 5 years postoperatively (2005–2009). As per the surgical unit preference, patients underwent different methods of hernia repair— onlay mesh repair (n045, 50 %), underlay mesh repair (n018, 20 %), and anatomical repair (i.e., without mesh) (n027, 30 %). Parameters studied included seroma formation, wound infection, postoperative pain, and hernia recurrence. Although the first two parameters were statistically not significant, postoperative pain was found to be more in patients who underwent an underlay repair. A significant difference in the hernia recurrence rate was observed between mesh repair and anatomical repair groups. Hence, we conclude that all incisional hernias should be repaired with a mesh (meshplasty).

Item Type: Article
Uncontrolled Keywords: Incisional hernia; mesh repair; recurrence.
Subjects: Medicine > KMC Manipal > Surgery
Depositing User: KMC Manipal
Date Deposited: 13 Jun 2015 05:18
Last Modified: 13 Jun 2015 05:18
URI: http://eprints.manipal.edu/id/eprint/142977

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