Dr. Sai Bharat Sunkara

BACKGROUND Hernia is among the oldest known afflictions of humankind, and surgical repair of the inguinal hernia is the most common general surgery procedure performed today.1 Incisional hernia is one of the most common long-term complications of abdominal surgery. Various studies with sufficient follow-up have reported the incidence of incisional hernia after laparotomy to be up to 20%. METHODS This prospective study was conducted on 40 cases of incisional hernia admitted in the Department of General Surgery, Hi-Tech Medical College and Hospital, Bhubaneswar, from September 2016 to September 2018 over a period of 2 years RESULTS 50% of patients were in the age group of 41-60 years and 30% were between 21 and 40 years of age. There was no statistically significant difference in the age of patients in Group A and Group B. (p >0.05). Incidence of incisional hernia was 82.5% following emergency surgery and 17.5% after elective surgery. Site of incisional hernia was infraumbilical in 60% and supraumbilical in 40% of patient in Group A as compared to 40% infraumbilical and 60% supraumbilical in Group B. Various complications observed in Group A were retention of urine, seroma and chest infection in 20% of cases each. Chest infection was observed in 15% of patients in Group B. CONCLUSIONS Underlay mesh repair for incisional hernia was better than onlay mesh repair procedure because of shorter post-operative hospital stay, lesser complications and cost effectiveness.