THE CLINICAL STUDY OF THE INCISIONAL HERNIA AND ITS MANAGEMENT

BACKGROUND: Hernia is defined as abnormal protrusion of viscus through a normal or abnormal weakness in the wall of its containing cavity. It is the most common complication after emergency exploratory laparotomy followed by LSCS. METHODS: Data was collected for 60 cases of incisional hernia admitted in surgery department of SMT. SCL Hospital, Ahmedabad, during the period of June 2017 to June 2019, in according to the proforma which included detailed history, clinical examination and investigation. Data was tabulated, analyzed and results interpreted. RESULTS: Incisional hernia was more common in females with the ratio 1.5:1. The incidence of incisional hernia was highest in the age group ranging from 30-50 years. Most of the patients presented with chief complaint of swelling (100%) after abdominal procedures (emergency exploratory laparotomy 53%) followed by gynaecological operations (23%). Out of 60 patients 52(86.6%) patients had complain of swelling and 8(13.4%) patient had complain of pain and swelling. Incisional hernia was more common in patients of previous history of tubal sterilisation studied, 40 underwent onlay mesh hernioplasty (67%), 20 underwent sublay mesh hernioplasty (33%). CONCLUSIONS: With prosthetic mesh, defects of any size can be repaired without tension. The polypropylene mesh, by inducing inflammatory response sets up scaffolding that in turn induces the synthesis of collagen. Thus, the superiority of mesh repair over suture repair can be accounted for.