A CLINICAL PROFILE AND RISK FACTORS IN VENTRAL HERNIA PATIENTS: A RETROSPECTIVE STUDY

VINAYKUMAR HARIYANI; DIVYANG PATEL; JIGNESHKUMAR RAMANI; TEJAS RAIYANI

doi:10.22159/ajpcr.2023.v16i11.49558

Authors

VINAYKUMAR HARIYANI Department of General Surgery, GMERS Medical College and Hospital, Junagadh, Gujarat, India.
DIVYANG PATEL Department of General Surgery, GMERS Medical College and Hospital, Junagadh, Gujarat, India.
JIGNESHKUMAR RAMANI Department of General Surgery, GMERS Medical College and Hospital, Junagadh, Gujarat, India.
TEJAS RAIYANI Department of General Surgery, GMERS Medical College and Hospital, Junagadh, Gujarat, India.

DOI:

https://doi.org/10.22159/ajpcr.2023.v16i11.49558

Keywords:

Hysterectomy, Incisional hernia, Obesity, Surgical site infection, Ventral hernia

Abstract

Objective: About 4% of all hernia patients admitted to the ward had ventral hernias. Obesity, wound infections, malnutrition, immunosuppression, and inappropriate suture materials or incorrect suture placement were important causative factors for ventral hernia.

Methods: This retrospective study was carried out among 50 patients of ventral hernias. Data were compiled in a pre-designed proforma using information from clinical notes, discharge summaries, and operation notes. This study excluded patients under the age of 18, those with femoral, inguinal, or posterior abdominal wall hernias.

Results: The most common subtype of ventral hernia was incisional hernia (54.0%). The most common presenting symptom was swelling only (60.0%). The most common associated risk factor was obesity (36.0%) and constipation (26.0%). About 48.0% hernia occurred following gynecological procedures (hysterectomy - 22.0%, lower segment cesarean section - 8.0%, and tubectomy - 8.0%).

Conclusion: The most common ventral hernia is the incisional hernia, which often occurs after obstetric and gynecological surgeries. Surgical site infection, obesity, and constipation increase the risk of ventral hernias.

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References

Lassandro F, Iasiello F, Pizza NL, Valente T, Stefano ML, Grassi R, et al. Abdominal hernias: Radiological features. World J Gastrointest Endosc 2011;3:110-7. doi: 10.4253/wjge.v3.i6.110, PMID 21860678

Muysoms FE, Miserez M, Berrevoet F, Campanelli G, Champault GG, Chelala E, et al. Classification of primary and incisional abdominal wall hernias. Hernia 2009;13:407-14. doi: 10.1007/s10029-009-0518-x, PMID 19495920

Behera M. The clinical profile and management of ventral hernia. Int J Pharm Clin Res 2023;15:353-8.

Cruse PJ, Foord R. The epidemiology of wound infection. A 10-year prospective study of 62,939 wounds. Surg Clin North Am 1980;60:27-40. doi: 10.1016/s0039-6109(16)42031-1, PMID 7361226

Jadhav GS, Adhikari GR, Purohit RS. A prospective observational study of ventral hernia. Cureus 2022;14:e28240. doi: 10.7759/cureus.28240, PMID 36158325

Christoffersen MW, Helgstrand F, Rosenberg J, Kehlet H, Strandfelt P, Bisgaard T. Long-term recurrence and chronic pain after repair for small umbilical or epigastric hernias: A regional cohort study. Am J Surg 2015;209:725-32. doi: 10.1016/j.amjsurg.2014.05.021, PMID 25172168

Kingsnorth AN, Giorgobiani G, Bennett DH. Hernias umbilicus and abdominal wall. In: Bailey and Love’s Short Practice of Surgery. 25th ed. London: Hodder Arnold; 2008. p. 968-90.

Shah PP, Shama S, Panchabhai S. Prevalence of anterior abdominal wall hernia and its associated risk factors. Int J Anat Radiol Surg 2016;5:SO07-10.

Clement SH, Bharath PV, Omkar HM, Reddy BK. A clinical study on ventral hernia at a tertiary care hospital. Int Surg J 2018:5714-8.

Bose SM, Lal R, Kalra M, Wig JD, Khanna SK. Ventral hernia: A review of 175 cases. Indian J Surg 1999;61:180-4.

Cassar K, Munro A. Surgical treatment of incisional hernia. Br J Surg 2002;89:534-45. doi: 10.1046/j.1365-2168.2002.02083.x, PMID 11972542

Van ’t Riet M, Steyerberg EW, Nellensteyn J, Bonjer HJ, Jeekel J. Meta-analysis of techniques for closure of midline abdominal incisions. Br J Surg 2002;89:1350-6. doi: 10.1046/j.1365-2168.2002.02258.x, PMID 12390373

Howard R, Thompson M, Fan Z, Englesbe M, Dimick JB, Telem DA. Costs associated with modifiable risk factors in ventral and incisional hernia repair. JAMA Netw Open 2019;2:e1916330. doi: 10.1001/ jamanetworkopen.2019.16330, PMID 31774525

Jensen JA, Goodson WH, Hopf HW, Hunt TK. Cigarette smoking decreases tissue oxygen. Arch Surg 1991;126:1131-4. doi: 10.1001/ archsurg.1991.01410330093013, PMID 1929845

Klinge U, Si ZY, Zheng H, Schumpelick V, Bhardwaj RS, Klosterhalfen B. Abnormal collagen I to III distribution in the skin of patients with incisional hernia. Eur Surg Res 2000;32:43-8. doi: 10.1159/000008740, PMID 10720845

Geçim IE, Koçak S, Ersoz S, Bumin C, Aribal D. Recurrence after incisional hernia repair: Results and risk factors. Surg Today 1996:26:607-9.

Jaykar RD, Varudkar AS, Akamanchi AK. A clinical study of ventral hernia. Int Surg J 2017;4:42326-9. doi: 10.18203/2349-2902.isj20172791

Deysine M. Epigastric hernias. In: Bendavid R, Abrahamson J, Arregui ME, Flament JB, Phillips EH, editors. Abdominal Wall Hernias: Principles and Management. 1st ed. New York: Springer-Verlag; 2001. p. 685-7.

Ríos A, Rodríguez JM, Munitiz V, Alcaraz P, Flores DP, Parrilla P. Antibiotic prophylaxis in incisional hernia repair using a prosthesis. Hernia 2001;5:148-52. doi: 10.1007/s100290100026, PMID 11759801

Millikan KW. Incisional hernia repair. Surg Clin North Am 2003;83:1223-34. doi: 10.1016/S0039-6109(03)00129-4, PMID 14533912

Shukla A, Ahmed S. Abdominal incisional hernia: Retrospective study. Int J Res Med Sci 2018;6:62990-4. doi: 10.18203/2320-6012. ijrms20183631

Goel TC, Dubey PC. Abdominal incisional hernia-anatomical technique of repair. Indian J Surg 1981:43324-7.

Parekh JN, Shah DB, Thakore AB. Incisional hernia-a study of 76 cases. Indian J Surg 1988:5049-53.

Toms AP, Dixon AK, Murphy JM, Jamieson NV. Illustrated review of new imaging techniques in the diagnosis of abdominal wall hernias. Br J Surg 1999;86:1243-9. doi: 10.1046/j.1365-2168.1999.01211.x, PMID 10540124

Victor C, Titus D, Roopavathana B, Nadarajan AR, Chase S, Nayak S. Clinical outcomes of ventral hernia repair with ventralex patch-a retrospective study from a tertiary care centre. J Clin Diagn Res 2021;15:PC01-4. doi: 10.7860/JCDR/2021/47550.14826

Hadi HI, Maw A, Sarmah S, Kumar P. Intraperitoneal tension-free repair of small midline ventral abdominal wall hernias with a ventralex hernia patch: Initial experience in 51 patients. Hernia 2006;10:409-13. doi: 10.1007/s10029-006-0127-x, PMID 16932846

Vychnevskaia K, Mucci-Hennekinne S, Casa C, Brachet D, Meunier K, Briennon X, et al. Intraperitoneal mesh repair of small ventral abdominal wall hernias with a ventralex hernia patch. Dig Surg 2010;27:433-5. doi: 10.1159/000318783, PMID 21051893

Berrevoet F, Van den Bossche B, de Baerdemaeker L, de Hemptinne B. Laparoscopic evaluation shows deficiencies in memory ring deployment during small ventral hernia repair. World J Surg 2010;34:1710-5. doi: 10.1007/s00268-010-0600-7, PMID 20422186

Castro PM, Rabelato JT, Monteiro GG, del Guerra GC, Mazzurana M, Alvarez GA. Laparoscopy versus laparotomy in the repair of ventral hernias: Systematic review and meta-analysis. Arq Gastroenterol 2014;51:205-11. doi: 10.1590/s0004-2803201400030008, PMID 25296080

Rogmark P, Petersson U, Bringman S, Eklund A, Ezra E, Sevonius D, et al. Short-term outcomes for open and laparoscopic midline incisional hernia repair: A randomized multicenter controlled trial: The ProLOVE (prospective randomized trial on open versus laparoscopic operation of ventral eventrations) trial. Ann Surg 2013;258:37-45. doi: 10.1097/ SLA.0b013e31828fe1b2, PMID 23629524

Helgstrand F, Jorgensen LN. The danish ventral hernia database-a valuable tool for quality assessment and research. Clin Epidemiol 2016;8:719-23. doi: 10.2147/CLEP.S99501, PMID 27822119

A CLINICAL PROFILE AND RISK FACTORS IN VENTRAL HERNIA PATIENTS: A RETROSPECTIVE STUDY

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