Study of The Causes And Incidence of Incisional Hernia In Midline Abdominal Incision,Its Management In Tertiary Care Centre of Jharkhand

Background-Incisional hernias arise through a defect in the musculofascial layers of the abdominal wall in the region of a post-operative scar.Objectives-1.) To evaluate the incidence and clinical presentation of incisional hernia in elective abdominal surgery and emergency abdominal surgery.2) To enumerate the different causal factors for incisional hernia in abdominal surgery in our hospital setup.3)To evaluate mode of prevention and proper management for incisional hernia.Place and Duration-Patients admitted in various surgical wards of Rajendra Institute of Medical Sciences, Ranchi having incisional hernia were included in our study.. The study was conducted during the period from November 2015 to November 2017.Material and methodsThere were 62 patients fulfilling Inclusion criteria with Incisional Hernia between 8 to 70 years of age including both sexes andpatientswere excluded who were unfit for surgery, Recurrent Incisional Hernia, Pregnancy with Incisional Hernia and Strangulated and incarcerated Incisional Hernia. Data of All the patients were collected from a specially designed Performa pertaining to patient's particulars,clinical,examinations,investigations, diagnosis and surgical procedures.it is then subjected to statistical analysis .All the surgical procedures & medical management and investigations will be conducted under direct guidance and supervision of our Guide. Before start of our study, a written/informed consent will be obtained in local vernacular in each patient.ResultsIncidence of incisional hernia were 11.6% ,highest number of cases were (30.64%) presented between 30-40 years of age for the first time, 72.58% were females.Conclusion-incisional hernia in midline abdominal incision which is 11.69% of all hernia in incidence is commonly seen in females and affect 30-40 years of age group of patients preferably in housewives and sedentary workers which appears usually within 2 years of inciting operation, the commonest of which being Gynaecological operations or Emergency laparotomy through subumbilical midline incision.