variables for incisional hernia repair by open and laparoscopic technique
Hitesh Khandra, Nilesh A. Patel, Hiren Parmar, Rajan Patel
Abstract
Hitesh Khandra, Nilesh A. Patel, Hiren Parmar, Rajan Patel
Abstract
Background: Incisional hernia is protrusion of part or whole of abdominal viscus through the weakness in layers of anterior wall in the scar of previous operation. The major predisposing factors being post operative wound infection or h adverse factors (local and systemic) such as wound infection, obesity, hypoproteinemia. In all suture repair techniques the tissues are under tension and this increase the risk of ischemia, suture cut out and repa ir failure. The studies showed that the complication seen in open incisional hernia repair is seroma, hematoma, wound infection, stitch sinus, and recurrence. To overcome this complications and recurrent rates of open incisional hernia repair the Laparosco introduced in the 1990s, which reports (Olmi study) have showed more improvement in recovery time, hospital stay and complication rate. Objective: The purpose of this study wa complications, operative time, length of hospital stay, duration of return to work and recurrence of patients undergoing laparoscopic or open repair of their ventral/incisional hernia a meta technique for observational studies. Material and methods: The present study was a prospective study which had during the period of July 2010 to September 2012 at a tertiary care centre. A total number of 50 cases were studied and were followed up for a period of 6 months. All the same surgical team, adapting the type of surgical technique depending on the type of hernia. In the sele ction process of the technique patients we
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Background: Incisional hernia is protrusion of part or whole of abdominal viscus through the weakness in layers of anterior wall in the scar of previous operation. The major predisposing factors being post operative wound infection or h adverse factors (local and systemic) such as wound infection, obesity, hypoproteinemia. In all suture repair techniques the tissues are under tension and this increase the risk of ischemia, suture cut out and repa ir failure. The studies showed that the complication seen in open incisional hernia repair is seroma, hematoma, wound infection, stitch sinus, and recurrence. To overcome this complications and recurrent rates of open incisional hernia repair the Laparosco introduced in the 1990s, which reports (Olmi study) have showed more improvement in recovery time, hospital stay and complication rate. Objective: The purpose of this study wa complications, operative time, length of hospital stay, duration of return to work and recurrence of patients undergoing laparoscopic or open repair of their ventral/incisional hernia a meta technique for observational studies. Material and methods: The present study was a prospective study which had during the period of July 2010 to September 2012 at a tertiary care centre. A total number of 50 cases were studied and were followed up for a period of 6 months. All the same surgical team, adapting the type of surgical technique depending on the type of hernia. In the sele ction process of the technique patients we
Key concepts: Seroma, Medicine, Incisional hernia, Surgery, Hematoma, Abdominal wall, Complication, Fibrous joint