Ventral Hernias in Kalyana Karnataka Teaching Hospital: A Prospective Study.

Abstract

A ventral hernia is a protrusion of the abdominal viscus through the anterior abdominal wall at any site other than the inguinal and femoral areas. Surgeons commonly encounter this problem.

Aims & Objective: Due to the lack of prospective cohorts to determine the natural history of untreated ventral hernias, most surgeons recommend that they be repaired as soon as they are discovered. This study aimed to determine the proportion of ventral hernias occurring in both sexes, various age groups, various risk factors, and complications, as well as their clinical presentations and treatment.

Material and Methods: A prospective study was conducted at our tertiary care hospital from August 2020 to August 2021 (12 months). The study included 50 cases of anterior abdominal hernias, excluding groin hernias and posterior abdominal wall hernias. Data were collected through a detailed history and a thorough clinical examination. The data were entered, tabulated, and analyzed using statistical software (SPSS 2015) in the proforma.

Results: Ventral hernias accounted for 5% of surgical admissions. Para umbilical hernias were the most prevalent among the ventral hernias (48%). An infra umbilical midline herniation accounted for 36% of cases, followed by an umbilical region herniation in 18%. Constipation and obesity were found to be the significant risk factors. Most defects are minor (>2cm). 48% of inlay mesh repairs were made.

Conclusion: 50 cases of ventral hernias were studied in the present study, conducted in our tertiary care hospital. Five percent of all admissions to the surgical ward were due to ventral hernias. The female-to-male ratio was 1:17, and the mean age was 41. The total duration for surgery in the subway group was 75.4±9.23 minutes compared to 63.7±10.58 minutes in the only group, which was statistically significant (p<0.05).