Analysis of Abdominal Incisional Hernia-Analysis of 130 cases

Objective To explore the etiology and treatment of abdominal incisional hernia. Methods The clinical data of 130 cases of incisional hernia were analyzed retrospectively. Results The average age was 62.8% , 58.5% in female. The postoperative onset of incisional hernia was 56.2% within 1 year, 26.9% after 5 years. The hernia was 85.4% in longitudinal incision, 66.9% in lower abdominal incision. The incision secondary healing was 44.6% . 56 patients were repaired with synthetic material and their recurrent rate was 7.1% . Conclusion Incision secondary healing, obesity and diabetes, elevation of intraabdominal pressure, the aged, the female, longitudinal incision and lower abdominal incision are etiological factors of incisional hernia. To avoid infection of incision, prevent and cure increase of intraabdominal pressure, promote wound healing and ensure suture quality are the key of preventing incisional hernia. The patients with large incisional hernia must be repaired with synthetic mesh and subjected to perioperative management effectively to decrease the recurrence.