Study of factors associated with incisional hernia in female

Background: Incisional hernia is still relatively common in our practice. The aim of the study was to identify risk factors associated with incisional hernia in females in our region.Methods: All the women who presented with incisional hernia between 2010 and 2012 were retrospectively studied using records and preparing 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 12-36 months.Results: Fifty two women were treated during study period. The index surgeries leading to the hernias were emergency caesarian section 26/52 (50%), emergency exploratory laparotomy 6/52 (11.6%), and elective surgeries 20/52 (38.5%). Major associated risk factors were the use of wrong suture materials for fascia repair, midline incisions, wound sepsis, and overweight.Conclusions: For elective surgeries, reduction of weight should be encouraged when appropriate, and transverse incisions are preferred. Absorbable sutures should be avoided in fascia closure. Antibiotics should be used for complicated cases

STUDY OF INCISIONAL HERNIA REPAIR BY PREPERITONEAL MESHPLASTY

Background: Incisional Hernia is a common surgical condition. Preperitoneal mesh repair technique showed reduced number of postoperative complications and recurrence compared to other techniques. Aims: The aim of the study was to evaluate the technique of preperitoneal mesh repair of incisional hernias. Material and Methods: This prospective study consisting of 53 cases was done from January 2011 to December 2012. Preperitoneal mesh repair was done in all the 53 cases. Follow up of 12 to 24 months was carried in the OPD with regards to postoperative complications and recurrences if any. Results: No recurrence was noticed in the present study. Less number of postoperative complications were noticed in the present study. Conclusion: We conclude that preperitoneal mesh repair is the ideal technique for incisional hernia repair

A case of inferior lumbar hernia

In this article we report a case of inferior lumbar hernia. The patient underwent preperitoneal meshplasty. The patient is well on follow up with no recurrence. The relevant literature has been reviewed and management discussed in brief

Retrospective analysis of inguinal hernia repair by various methods in a teaching institute

Background / Aim: Inguinal hernia is a very common problem. Surgical repair is the current approach. This original article aims to study various methods of inguinal hernia repair over a span of 3 years in a teaching hospital. Methods: All the patients operated electively for uncomplicated inguinal hernia from 2010 to 2012 were selected for the study. They were operated by various methods and followed till 2013. Results: There were total 260 cases of inguinal hernia repair during study period. 210 cases were operated by Lichtenstein method of hernioplasty, 27 by Preperitoneal meshplasty and 23 by TEP. Conclusion: Lichtenstein repair and endoscopic/laparoscopic techniques have similar efficacy. It is found that Lichtenstein’s tension free repair is standard and cost effective

A study of variables in gastrointestinal stromal tumor: surgical experience at a single institute

Background: Gastrointestinal stromal tumors (GIST) have been recognized as a biologically distinctive tumor type, different from the smooth muscle and neural tumors of the gastrointestinal tract. They constitute majority of the gastrointestinal mesenchymal tumors of the gastrointestinal tract and are considered to be refractory to conventional chemotherapy or radiation. Surgery remains the mainstay of primary tumor management of GIST.Methods: This was a cross sectional study of the diagnosis, management and clinical outcome of cases diagnosed with GIST of the gastrointestinal tract from a teaching institute in a single year and a comparison of findings with previously published cases.­­ Study included patients newly diagnosed with GIST and managed in department of general surgery from 10 April 2018 to 31 March 2019.Results: Most patients were of age group 60-69 years with an almost equal incidence among males and females. Stomach and small bowel were found to be the commonest sites with an equal distribution of 45.45% with an average tumor size of 5 cms.Conclusions: Surgical treatment remains the main stay of management for the GIST, depending on the location, staging and metastasis. Staging laparoscopy may be done to assess respectability as peritoneal deposits can be missed by CT scan. Immunohistochemistry is mandatory in defining GIST.</jats:p

20 A Prospective Comparative Study of Conservative and Surgical Management of Varicose Veins

&lt;p&gt;24A | 38 | JAN 2022 | IJABMS&lt;/p&gt;&lt;p&gt;Medical Journal Research Article&lt;/p&gt;&lt;p&gt;20 A Prospective Comparative Study of Conservative and Surgical Management of Varicose Veins&lt;/p&gt