Assessment Of Causes And Complications While Repairing The Incisional Hernia By Preperitoneal Meshplasty

Abstract

Background: Incisional hernia is defined as a defect occurring through the operative scar. The present study was conducted to assess
causes and complications while repairing the incisional hernia by preperitoneal meshplasty.
Materials & Methods:45 with incisional hernia between 15 and 65 years located in the upper and lower midline incisions of the
abdomen were included. Parameters such as operative time, creation of adequate preperitoneal plane, duration of hospital stay(days),
recurrence, assessment of pain using VAS score and complications such as bleeding, wound infection, peritoneal breach were
recorded.
Results: Out of 45 patients, males were 28 and females were 17. The mode of presentation was abdominal swellingin 22 and
abdominal swelling & pain in 2. It was reducible swelling in 27 and non- reducible swelling in 18. Duration since surgery was 0-3
months in 11, 3 months- 1 yearin 15 and 1-3 years in 19 patients. VAS on day 1 was 5.6, on day 2 was 3.2 and on day 7 was 1.4.
Type of incision used in previous surgeries was upper midline in 28, lower midline in 3, paramedian in 2, pfannensteil in 10 and
umbilical port site in 2 patients. The difference was significant (P< 0.05). Complications recorded were post-operative cough in 5,
wound infection in 3, peritoneal breach in 6 and bleeding in 2 cases. The difference was non- significant (P>0.05).
Conclusion: Preperitoneal mesh repair had excellent long-term results with minimal morbidity. The preperitoneal mesh repair is the
gold standard treatment for incisional hernia repair as compared to other types of mesh repair techniques