Incisional hernia: Risk factors, incidence, pathogenesis, prevention and complications

Mutwali, Ismat M

doi:10.4103/1858-5000.146580

Cited by 15 publications

(13 citation statements)

References 38 publications

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“…The incidence of Incisional hernia in this study was 21.2% which was second only to inguinal hernia (59.5%). According to a study done by Mutwali et al 8 the incidence was 11 -20% which was slightly lesser when compared to the present study. Incisional hernia is a common complication due to patient or wound related factors in spite of the good technique adopted by the surgeons.…”

Section: Discussioncontrasting

confidence: 69%

A Clinical Study on Epidemiology and Management of Incisional Hernia

Kunche¹,

Kumar²

2020

jemds

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BACKGROUND Incisional hernia is one of the common complications encountered following abdominal surgery and is an important cause of morbidity. It can be repaired by following anatomical, mesh or laparoscopic methods. The incidence of these hernias is high even with recent advances in surgery, anaesthesiology, antibiotics, and suture materials used. We wanted to study the epidemiology, aetiology, mode of presentations, modalities of treatment and its outcome, of incisional hernia.

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Section: Discussioncontrasting

confidence: 69%

A Clinical Study on Epidemiology and Management of Incisional Hernia

Kunche¹,

Kumar²

2020

jemds

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“…About 90% of incisional hernia occur during the first 3-year of surgery. It varies between 11% and 20% in uncomplicated wounds (25) .…”

Section: Discussion:-mentioning

confidence: 99%

A Clinical Study on Extra-Abdominal Hernia

Qasim¹,

Majeed²,

Atiea³

2020

IJAR

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“…The longer-term effect of muscle atrophy remains to be studied. We speculate that atrophy may, over time, result in mechanical failure or recurrent incisional hernia formation later on, since fascial pathology [50], muscle atrophy and degeneration have all been implicated in hernia pathophysiology [51]. Moreover, it has been suggested that defective collagen synthesis may play an important role in hernia recurrence [9] since one-third of recurrences occur after three years of mesh implantation for incisional hernia repair [52].…”

Section: Discussionmentioning

confidence: 99%

Biomechanical Behaviour and Biocompatibility of Ureidopyrimidinone-Polycarbonate Electrospun and Polypropylene Meshes in a Hernia Repair in Rabbits

et al. 2019

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Although mesh use has significantly improved the outcomes of hernia and pelvic organ prolapse repair, long-term recurrence rates remain unacceptably high. We aim to determine the in vivo degradation and functional outcome of reconstructed abdominal wall defects, using slowly degradable electrospun ureidopyrimidinone moieties incorporated into a polycarbonate backbone (UPy-PC) implant compared to an ultra-lightweight polypropylene (PP) textile mesh with high pore stability. Twenty four New-Zealand rabbits were implanted with UPy-PC or PP to either reinforce a primary fascial defect repair or to cover (referred to as gap bridging) a full-thickness abdominal wall defect. Explants were harvested at 30, 90 and 180 days. The primary outcome measure was uniaxial tensiometry. Secondary outcomes were the recurrence of herniation, morphometry for musculofascial tissue characteristics, inflammatory response and neovascularization. PP explants compromised physiological abdominal wall compliance from 90 days onwards and UPy-PC from 180 days. UPy-PC meshes induced a more vigorous inflammatory response than PP at all time points. We observed progressively more signs of muscle atrophy and intramuscular fatty infiltration in the entire explant area for both mesh types. UPy-PC implants are replaced by a connective tissue stiff enough to prevent abdominal wall herniation in two-thirds of the gap-bridged full-thickness abdominal wall defects. However, in one-third there was sub-clinical herniation. The novel electrospun material did slightly better than the textile PP yet outcomes were still suboptimal. Further research should investigate what drives muscular atrophy, and whether novel polymers would eventually generate a physiological neotissue and can prevent failure and/or avoid collateral damage.

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Incisional hernia: Risk factors, incidence, pathogenesis, prevention and complications

Cited by 15 publications

References 38 publications

A Clinical Study on Epidemiology and Management of Incisional Hernia

A Clinical Study on Epidemiology and Management of Incisional Hernia

A Clinical Study on Extra-Abdominal Hernia

Biomechanical Behaviour and Biocompatibility of Ureidopyrimidinone-Polycarbonate Electrospun and Polypropylene Meshes in a Hernia Repair in Rabbits

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