Study of multiple risk factors associated with development of incisional hernia

Authors

  • Sandeep S. Dabade Assistant Professor, Department of General Surgery, Rajiv Gandhi Medical College, Kalwa, Thane, Maharashtra-400605
  • Prashant D. Pawar Assistant Professor, Department of General Surgery, Rajiv Gandhi Medical College, Kalwa, Thane, Maharashtra-400605
  • Prashant C. Sawarkar Associate Professor, Department of General Surgery, All India Institute of Medical Sciences, Nagpur, Maharashtra -441108

DOI:

https://doi.org/10.7439/ijbr.v10i9.5251

Keywords:

Incisional hernia, Incidence, Risk factors, Obesity, Infection, Infra-umbilical, Pelvic

Abstract

Background: Incisional hernia (IH) is a known complication of abdominal surgery. Its incidence remains high in spite of the great improvement in the techniques and suture materials used for closing the abdominal wall incisions. This study was undertaken to study the incidence and various risk factors leading to IH.

Methods: A total of 40 patients having IH admitted in a Tertiary Care Hospital at Hyderabad from 2007 to 2009 have been studied in various aspects like age, sex, clinical presentation and nature of previous operation, site of previous scar, precipitating factors like obesity, nutrition and wound infection.

Results: Incisional hernia was common in 4th, 5th and 6th decade with female predominance (Male: Female ratio = 1:9). IH was more common in patients with previous history of gynaecological operation. Most of the patients presented with IH in the infra-umbilical region. In this study, 65% of patients with IH found to be obese, among them, 76.9% had wound infection during previous surgery. The P value was extremely significant. It is showing strong association between obesity and wound infection to the occurrence of IH.

Conclusions: The highest incidence of incisional hernia observed in elderly patients with female preponderance. Operations on the female pelvic organs were the most common procedure preceding the development of IH. Obesity and post operative wound infection are important predisposing factors. All these factors are inter-related. Presence of more than one risk factor in a patient shows increased predisposition to the incidence of IH.

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Published

2019-09-28

Issue

Vol. 10 No. 9 (2019): Sep

Section

Original Research Articles

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How to Cite

1.
Study of multiple risk factors associated with development of incisional hernia. Int Jour of Biomed Res [Internet]. 2019 Sep. 28 [cited 2025 Mar. 12];10(9):e5251. Available from: https://ssjournals.co.in/index.php/ijbr/article/view/5251