A CLINICAL STUDY OF ABDOMINAL INCISIONAL HERNIA

An evaluation of 34 patients with abdominal incisional hernia treated in a recent one decade has been conducted. Nine patients were males, and 25, females. The mean age was 55.7 years in the males and 64.1 years in the females. Hence the disease might be common in aged females, and this tendency was remarkable in cases with long interval from laparotomy to the operation for incisional hernia. Incisional hernias occurring within 1 year after laparotomy seemed to be attributed largely to technical problems at closure of the abdomen. Adequet considerations at the time of laparotomy may prevent this disease to some degree. On the other hand, incisional hernias occurring 10 years or more after laparotomy were frequently observed in the lower abdomen in females. Such hernias were not often noticed and left untreated because of a small hernia hilus and few symptoms. However, since complications such as incarceration frequently occurred during their course, treatment at an early stage is needed.