Management of Incisional hernia: A tertiary centre Experience.
Background.
Incisional hernia following abdominal procedure is on the increase in both developed and developing countries. A significant psychological impact in young females especially those who had caesarean section is largely under reported.
Aim.
This was to review the trends of incisional hernia in a tertiary Hospital in south-southern Nigeria.
Methodology.
This was a review of a prospectively collected data of cases performed, stored electronically in Excel spread sheet and Epi-info from December 2016 to March 2021. The review included abdominal incisional hernia repairs, It excluded all non-incisional ventral hernia.
The results were analyzed using SPSS version 23.
Results.
A total of 66 cases were performed. The age range was 20 to 70 years. The mean age was 41.2 ± 11.9 years. Caesarean section resulted in most of the hernia 52 (37.3%), a significant number was seen in a tertiary center. Most of these operations were first performed in private hospitals. Mesh repair constituted 45.5%.
Conclusion.
Incisional hernia is a major burden to the patient and relatives. Most cases arise from caesarean section even tertiary. We recommend use of mesh as it was quite rewarding especially to prevent recurrence.
Key words. Incisional hernia surgery, tertiary institution.
