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Volume 6, Issue 1, February 2018, Page: 19-22
Incisional Hernia Post Laparotomy-Incidence and Risk Factors
Amjad Shah, General Surgery, Department of Surgery, Hamad General Hospital, Doha, Qatar
Zia Aftab, General Surgery, Department of Surgery, Hamad General Hospital, Doha, Qatar
Syed Muhammad Ali, General Surgery, Department of Surgery, Hamad General Hospital, Doha, Qatar
Salah Gehani, General Surgery, Department of Surgery, Hamad General Hospital, Doha, Qatar
Khalid Ahmed, Trauma and Critical Care, Hamad General Hospital, Doha, Qatar
Ahmed Almodaris, General Surgery, Department of Surgery, Hamad General Hospital, Doha, Qatar
Rashad Fouad, General Surgery, Department of Surgery, Hamad General Hospital, Doha, Qatar
Abdulrahman Al-Aal, General Surgery, Department of Surgery, Hamad General Hospital, Doha, Qatar
Received: Nov. 27, 2017;       Accepted: Dec. 8, 2017;       Published: Jan. 16, 2018
DOI: 10.11648/j.js.20180601.14      View  2228      Downloads  231
Abstract
Laparotomy incisions are one of the most common procedures performed in any surgical service. However, they carry certain risks like surgical site infections, wound dehiscence and incisional hernia. There have been various risk factors associated with the incidence of incisional hernia post laparotomy. Some of these factors are patients- related like history of diabetes, obesity, smoking, sex and age. The other factors are related to the disease process itself like emergency surgeries, presence of peritonitis, history of radiation to the abdominal cavity or presence of surgical site infection. Another set of factors relates purely with the technique used to close the wound, choice of suture material and expertise of the surgeon. Methods. This is a retrospective chart review. Data was collected from all patients who were previously admitted at Hamad General Hospital for laparotomy and subsequently developed incisional hernia. Methods. All patients of age 18 years or above who were found to have incisional hernia after laparotomy were included in the study. Hospital medical records database were used for file reviews. Patients characteristics like age, sex, obesity, history of smoking, DM etc were recorded. Nature of surgeries like emergency or elective were documented along with other factors like suturing techniques etc. Results. The total number of study subjects was 672, out of which 47 (6.9%) developed incisional hernia. Out of these 23 were male and 24 were female. Diabetes was identified in 18 patients (38.3%) whereas the incidence of smoking, steroid use, COPD and obesity was 2 (4.3%), 0 (%), 3 (6.4%) and 7 (14.9%) respectively. Other risk factors like the nature of surgery (emergency vs electives) were addressed also. The incidence of immediate postop complications was also addressed. Three patients out of 47 (6.4%) developed surgical site infection whereas one patient (2.1%) had post -op wound dehiscence. The number of contaminated and dirty wounds during the initial surgery was 10 (21.3%) and 6 (12.8%) respectively.
Keywords
Laparotomy, Incisional Hernia, Risk Factors, Incidence
To cite this article
Amjad Shah, Zia Aftab, Syed Muhammad Ali, Salah Gehani, Khalid Ahmed, Ahmed Almodaris, Rashad Fouad, Abdulrahman Al-Aal, Incisional Hernia Post Laparotomy-Incidence and Risk Factors, Journal of Surgery. Vol. 6, No. 1, 2018, pp. 19-22. doi: 10.11648/j.js.20180601.14
Copyright
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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