IJSRP, Volume 3, Issue 1, January 2013 Edition [ISSN 2250-3153]
Kshirsagar A Y, Patil R K, Chotai T, Bane P, Agarwal S, Patil M.
Background: The incisional hernia can present in various clinical presentations which require emergency surgery for better outcome and survival. We want to share our experience in the management of incisional hernias.
Methods: 100 patients were treated for incisional hernias. All patients were treated with intraperitoneal mesh repair except patients with enterocutaeneous fistula, who were treated with anatomical repair. Observations were made with regards to presentation at the time of admission like skin necrosis, type of incision, obstruction and strangulation, enterocutaeneous fistula, post-operative complications, hospital stay and recurrence were also observed.
Results: In our series of 100 patients 42 were males and 58 were females. Sites of hernia were pfannenstiel incision in 30 patients, colostomy closure incision in 19 patients. 10 patients presented with skin necrosis, 25 patients presented with strangulation and obstruction and 19 patients presented with enterocutaeneous fistula. All patients were followed up for a period of 6 months after surgery, with recurrence seen in 2 patients.
Conclusion: The treatment of complicated incisional hernia by intraperitoneal method is preferred as it has less complications and less chances of recurrences. In cases with enterocutaeneous fistula where infection is already settled and anatomical repair is preferred to mesh repair.