Alebous A, Amera A, Khamash F, Majali R.
Morphological features and recurrence of incisional hernia.
Rawal Med J Jan ;32(2):190-2.

Objective: To emphasize the importance of the size, shape and multiplicity of incisional hernia defect and its recurrence after repair. Methods: From June 1990 to August 1993, fifty-two patients presented to Queen Alia Military Hospital (QAMH), with incisional hernias and were included in this study. Results: Mean age was 52.35 years. Fourteen (26.9 %) were males and 38 (73.1%) were females. Thirty-five (92.2%) were multiparous and 3 (7.8%) were nuliparous. Cholecystectomy was the commonest primary surgery with 11 patients (21.1%), followed by Cesarien Section in 10 patients (19.2%). All the smaller sized (less than 1 cm diameter) and middle sized (1-5 cm diameter) defects were circular in shape whereas the large sized (more than 5 cm) were ovoid. In 20 patients (38.4%) there was one defect only and in 32 patients (61.6%) there were more than one defect. We used mesh graft (prolene mesh) or classical repair using non-absorbable suture material. All patients were followed up for 84 months and one recurrence (1.92%) was noted. Conclusion: Cholecystectomy was the commonest cause of incisional hernia and multiple defects were found in many cases. With our approach in repairing incisional hernia, recurrence rate was low. (Rawal Med J 2007;32:190-192).

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