Review of 87 Patients with Incisional Hernia and its Risk Factors

Abstract

AbstractBackground: Incisional hernia is a common complication of abdominal surgeries and more following emergency than elective surgery with many risk factors playing role in its occurrence.Objectives: To show the important risk factors and their relation to the occurrence of incisional hernia in the present cases Patients and methods: Eighty seven patients with incisional hernia who were admitted in the fifth floor (third unit)/department of surgery in Baghdad Teaching Hospital were included in this case series study during the period from Jan 2007 to Jan 2009; they were inquired about their history and were examined for their scars.Results: Seventy eight patients out of 87 (89.6%) patients are presented for elective repair, and 9 patients (10.3%) were presented with complicated incisional hernia undergo emergency surgery. Vertical incision found in 59 patients (67.8%) and emergency surgery had been done in 55 patients (63.2%).Conclusion: Vertical incision and emergency surgery were the more frequent risk factors for incisional hernia in the study. With prolong time interval (between the presentation with incisional hernia & the remedy surgery) for more than 6 years, age >60 years or defect >10cm increases the risk for emergency presentation of incisional hernia.Keywords: Incisional hernia, risk factor