Study of Postoperative Complications of Mesh Repair in Ventral Hernia in Obese and non Obese Patients

Dr D. Nagarajan MS., Professor & HOD, Dept of General Surgery, Chettinad Hospital & Research Institute (CHRI), Chennai, Tamil Nadu, India
2019 Journal of Medical Science And clinical Research  
Aim and Objectives: To analyse the short-term post operative complications following repair of ventral hernia using two different materials for mesh fixation among obese and non-obese patients and to identify the risk factor for the complications between obese and non-obese cases. Materials and Methods: This Prospective, randomized, comparative study was conducted in the Department of Surgery, in Chettinad Hospital and Research Institute. Patients scheduled for umbilical hernias and previous
more » ... ias and previous midline incision who met the inclusion criteria. 40 subjects from the sample are divided into four groups of ten by means of a computer generated randomization code.The data collection for the study was done over a period in the year of 2017-2018. All went hernia repair based following suture material in two different groups. Non -obese -Group A1 -Vicryl Group A2 -Prolene and in Obese group -Group B1 -Vicryl, Group B2 -Prolene. Results: This study shows most common age group distribution is less than 50 yrs (60%) with male preponderance. The complication seroma is (15%) more common in Obese Vicryl patients, sinus formation (12.5%) seen in obese prolene patients, Chronic pain is (22.5%) more common in both obese and non obese prolene patients. Conclusion: Obesity plays a major role in Ventral hernia and its complication shows vast variation between Obese and non-obese patients. Among the two different suture materials are Vicryl and prolene, vicryl shows more complications especially in obese patients than prolene. . In future this study helpful in reduce the risk of postoperative complications and recurrence of hernia among the patients.
doi:10.18535/jmscr/v7i7.64 fatcat:ljpq2bcbrvbixcius64eue737a