Retrospective Study Of Outcomes Of Incisional Hernia Mesh Repair At Tertiary Care Centre

Abstract

INTRODUCTION:

Incisional hernias are common surgical complications in post laparotomy patients; usually having multifactorial aetiology. Incisional hernia occurs in 5-11% of patients subjected to abdominal operations. The introduction of prosthetics(mesh) has revolutionized the hernia surgery with the concept of tension free repair. In this retrospective study we have assessed the outcomes of two types of open mesh repairs (onlay v/s retrorectus) 

MATERIAL AND METHODOLOGY:

In the present study outcomes of total 64 patients operated for open (onlay-30/retrorectus-34) mesh repair for incisional hernia assessed with various parameters like intra-op time, post op pain, hospital stay, complications and recurrence within 2 year and analysed with standard statistical tests.

OBSERVATION AND RESULTS:

It has been observed that maximum cases were in middle age group of 20 to50 years with female preponderance. Average intra op time is more in retrorectus mesh placement(94min.) as compared to onlay mesh repair(78min). Surgical site infections occurred in 4 patients of onlay repair compared to 0 in retrorectus group. Out of these 4, one patient required mesh explantation. Average post op hospital stay is 4days (almost same in both groups). Recurrence rate is also higher in onlay mesh repair (4:1)

CONCLUSION:

Retrorectus mesh repair found to be better alternative as compared with onlay mesh repair for incisional hernias. Met analysis of multicentric studies with long term follow up of larger sample size recommended to draw consensus statement.