Abstract
STUDY OF CHARACTERISTICS OF PATIENTS UNDERGOING INCISIONAL HERNIA IN HADITHA GENERAL HOSPITAL FOR SURGERY DURING THE PERIOD FROM 2005 TO 2018
*Dr. Mohammed Saeed Hasan and Dr. Jameel Abdul Jabbar Salman
ABSTRACT
Incisional hernia is a frequent complication of abdominal surgery. Its incidence varies between 2 and 15% of patients, and some authors indicate that it can reach 23% when it is related to an infection of the surgical wound. This retrospective descriptive observational study aimed to describe the characteristics of patients operated by incisional hernia in the Haditha General Hospital for surgery / Iraq during the period from 2005 to 2018. The total 200 patients with preoperative diagnosis of incisional hernia were operated between January 2005 and December 2018. incisional hernia, operated between January 2005 and December 2018. Demographic parameters, toxic habits, personal pathological history, previous surgeries, location of the anterior incision, surgical technique, use and location of prosthesis, antibiotic therapy and postoperative complications were analyzed. Results showed that 85% of the patients were female, 40.6% were between 50 and 61 years of age, 58.3% had toxic habits, 66.0% of the hernias had infra umbilical location, and the highest incidence corresponded to hysterectomies and cesarean sections. The Stoppa technique was the most applied in hernioplasty and the Mayo technique in herniorrhaphy. It can be concluded from our study that obesity and diabetes were the most frequent diseases. The majority of the patients were smokers. The infra umbilical surgical incisions for abdominal hysterectomies were the most frequent location of the incisional hernias. Infection of the surgical wound was the complication found most frequently. Postoperative recurrence occurred in 3.7% of patients.
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