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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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The Spectrum of Etiopathological Considerations in Ventral Abdominal Wall Hernias, Presenting to A Tertiary Care Center

L. Sridhar, Rohit K. Phadnis, Faiz hussain, Sarath Chandra Chappidi, K. Abhilash Reddy, Aman Khanna, Deeba Fatima, Rokkam Meher Krishna Priyanka and D. Atul Vishwanath
Page: 496-500 | Received 20 Apr 2024, Published online: 25 Jun 2024

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https://doi.org/10.36478/10.36478/makrjms.2024.7.496.500

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Abstract

Ventral hernias, including incisional and umbilical varieties, are common conditions affecting the anterior abdominal wall. Understanding these hernias' demographic and clinical profiles is crucial for effective management and treatment. This study aimed to analyze the demographics, clinical profiles, and etiological factors of ventral hernias in patients visiting a tertiary care center in India. A total of 100 patients presenting with ventral hernias from August 2022 to July 2023 were included. Patients were treated with hernioplasty using Prolene mesh. Demographic data, hernia types, defect sizes, comorbidities, and surgical histories were recorded and analyzed. The study population had a mean age of 42.57 years. Umbilical hernias were the most common (54%), followed by incisional hernias (46%). Among incisional hernia patients, 77% were female, compared to 57% for umbilical hernia patients. The overall male‐to‐female ratio for ventral hernias was approximately 1:2.5. Factors such as multi parity, reduced abdominal muscle tone, and previous gynecological surgeries contributed to the higher prevalence in females. The distribution of defect sizes showed that 65% of hernias were <4 cm (W1), 31% were 4‐10 cm (W2) and 4% were >10 cm (W3). Diabetes was present in 19% of patients, with 15% in incisional and 22% in umbilical hernias. Obesity was noted in 37% of patients, with 42% and 32% in umbilical and incisional hernias, respectively. A significant proportion of incisional hernia patients (73.9%) had a history of gynecological surgeries. The findings underscore the complexity of ventral hernia management and the influence of demographic and regional factors. While some results align with existing literature, others highlight the need for tailored surgical approaches. Future prospective studies with larger sample sizes are recommended to validate these findings and enhance the understanding of ventral hernia repairs.

How to cite this article:

L. Sridhar, Rohit K. Phadnis, Faiz hussain, Sarath Chandra Chappidi, K. Abhilash Reddy, Aman Khanna, Deeba Fatima, Rokkam Meher Krishna Priyanka and D. Atul Vishwanath. The Spectrum of Etiopathological Considerations in Ventral Abdominal Wall Hernias, Presenting to A Tertiary Care Center.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.7.496.500
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.7.496.500