Incisional Hernia in Women: Predisposing Factors and Management Where Mesh is not Readily Available

被引:9
作者
Agbakwuru, E. A. [1 ]
Olabanji, J. K. [1 ]
Alatise, O., I [1 ]
Okwerekwu, R. O. [1 ]
Esimai, O. A. [2 ]
机构
[1] Obafemi Awolowo Univ Teaching Hosp Complex, Dept Surg, Ife, Nigeria
[2] Obafemi Awolowo Univ Teaching Hosp Complex, Dept Community Hlth, Ife, Nigeria
关键词
Incisional hernia; Women; Predisposing factors; Nigeria; ABDOMINAL-WOUND CLOSURE; SURGICAL-TREATMENT; REPAIR; COMPLICATIONS; TRIAL;
D O I
10.4176/081105
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background / Aim: Incisional hernia is still relatively common in our practice. The aim of the study was to identify risk factors associated with incisional hernia in our region. The setting is the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria during a period when prosthetic mesh was not readily available. Patients and Methods: All the women who presented with incisional hernia between 1996 and 2005 were prospectively studied using a standard form to obtain information on pre-hernia (index) operations and possible predisposing factors. They all had open surgical repair and were followed up for 18-60 months. Results: Forty-four women were treated during study period. The index surgeries leading to the hernias were emergency caesarian section 26/44 (59.1%), emergency exploratory laparotomy 6/44 (13.6%), and elective surgeries 12/44 (27.3%). Major associated risk factors were the use of wrong suture materials for fascia repair, midline incisions, wound sepsis, and overweight. Conclusion: For elective surgeries, reduction of weight should be encouraged when appropriate, and transverse incisions are preferred. Absorbable sutures, especially chromic catgut, should be avoided in fascia closure. Antibiotics should be used for complicated obstetric cases.
引用
收藏
页码:66 / 69
页数:4
相关论文
共 21 条
[1]   Incidence and predisposing factors for incisional hernia in patients with liver transplantation [J].
Gomez R. ;
Hidalgo M. ;
Marques E. ;
Marin L. ;
Loinaz C. ;
Gonzalez I. ;
Garcia I. ;
Moreno E. .
Hernia, 2001, 5 (4) :172-176
[2]   Incisional hernia following liver transplantation:: incidence and predisposing factors [J].
Kahn, Judith ;
Mueller, Helmut ;
Iberer, Florian ;
Kniepeiss, Daniela ;
Duller, Doris ;
Rehak, Peter ;
Tscheliessnigg, Karlheinz .
CLINICAL TRANSPLANTATION, 2007, 21 (03) :423-426
[3]   Incidence, risk factors and management of incisional hernia in a high volume liver transplant center [J].
Fikatas, Panagiotis ;
Schoening, Wentzel ;
Lee, Ji-Eun ;
Chopra, Sascha Santosh ;
Seehofer, Daniel ;
Guckelberger, Olaf ;
Puhl, Gero ;
Neuhaus, Peter ;
Schmidt, Sven C. .
ANNALS OF TRANSPLANTATION, 2013, 18 :223-230
[4]   Open IPOMs for medium/large incisional ventral hernia repairs in the French Hernia Registry: factors associated with their use and mesh-related outcomes [J].
Gillion, J-F ;
Fromont, G. ;
Verhaeghe, R. ;
Tiry, P. ;
Binot, D. ;
Dugue, T. ;
Dabrowski, A. .
HERNIA, 2024, 28 (03) :745-759
[5]   Mesh Infection in Ventral Incisional Hernia Repair: Incidence, Contributing Factors, and Treatment [J].
Sanchez, Vivian M. ;
Abi-Haidar, Youmna E. ;
Itani, Kamal M. F. .
SURGICAL INFECTIONS, 2011, 12 (03) :205-210
[6]   Incisional hernia after liver transplantation: Risk factors, management strategies and long-term outcomes of a cohort study [J].
Cos, Heidy ;
Ahmed, Ola ;
Garcia-Aroz, Sandra ;
Vachharajani, Neeta ;
Shenoy, Surendra ;
Wellen, Jason R. ;
Doyle, Maria M. B. ;
Chapman, William C. ;
Khan, Adeel S. .
INTERNATIONAL JOURNAL OF SURGERY, 2020, 78 :149-153
[7]   Chronic Mesh Infection after Incisional Hernia Repair. Factors Influencing Negative Outcomes of Complete Mesh Removal [J].
Oprea, Valentin ;
Buia, Florin ;
Gheorghescu, Dan ;
Leuca, Dan ;
Toma, Mihai ;
Grad, Ovidiu .
CHIRURGIA, 2021, 116 (03) :284-293
[8]   A Review of the Incidence, Manifestation, Predisposing Factors, and Management of Recurrent Pediatric Inguinal Hernia [J].
Koivusalo, Antti I. .
EUROPEAN JOURNAL OF PEDIATRIC SURGERY, 2017, 27 (06) :478-483
[9]   Risk factors and management of incisional hernia in the recipients of living donor liver transplant: A single institutional experience [J].
Yassein, Taha ;
Elgady, Ammar ;
Ayoup, Islam ;
Gaballa, Nahla K. ;
Abbasy, Mohamed ;
Abou-Shady, Mohammed ;
Osman, Maher ;
Zakaria, Hazem M. .
SURGICAL PRACTICE, 2020, 24 (03) :97-104
[10]   Management of chronic postoperative pain following incisional hernia repair with Composix mesh: A report of two cases [J].
LeBlanc K.A. ;
Whitaker J.M. .
Hernia, 2002, 6 (4) :194-197