EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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 ISSN 2394-3211

Impact Factor: 6.222

 ICV - 79.57

Abstract

SPECTRUM OF VENTRAL HERNIA IN PATIENTS PRESENTING AT INDIRA GANDHI MEDICAL COLLEGE SHIMLA

Dr. Vipul Parmar, Dr. RS. Jhobta, Dr. Geeti Parmar, Dr. Vishal Thakur and Dr. Ramesh Kaundal*

ABSTRACT

Background: ventral hernia is one of the common complications encountered in surgery OPD day by day 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 ventral hernia repair. Method: with the aim of studying spectrum of the ventral hernia in Indira Gandhi medical college, study was conducted on 207 patients who presented in IGMC Shimla with in two year period. History, clinical examination, radiological as well as laboratory investigations, comorbid conditions, operative techniques, post operative period was recorded on a preformed performa and analysed. Results: 207 patients were studied age ranging from 10-88 with mean age was found to be 51.33 years with female predominance with ratio 1.5:1. Most of the patients who present in IGMC are from shimla district and Epigastric hernia (41.55%) was commonest variety followed by incisional hernia (30.43%), umbilical, paraumblical, recurrent incisional and spigelian hernia. 104 patients were symptomatic and prostatism (29.80%) was the most common comorbidity followed by hypertension, respiratory and diabetes. Majority of the patients underwent anatomical repair (37.68%), open mesh hernioplasty 31.67% and laparoscopic ventral hernia was done in 19.8%. Patients followed for one month after surgery for post op complications and only 10 patients (4.8%) of operated patients had wound infection. Conclusion: Ventral hernias are common surgical burden in Himalayan population. Better treatment strategies need to be devised to manage these. Presence of ventral hernia is an indication for surgery even in presence of co-morbid conditions like ascites, COPD, BPH as these patients are more prone for complications and of course these conditions need proper addressal.

Keywords: Ventral hernia, Incidence, Prevention, Risk factors.


[Full Text Article]

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing