Original Articles
Preoperative predictors of ventral hernia recurrence | |
Dr. Rashi Dubey, Dr. Krishnanand | |
Introduction: Hernia recurrence is an extremely important postoperative outcome and assesses surgical efficacy. The ability to predict recurrence accurately would have considerable clinical utility, allowing surgeons to make better-informed decisions with their patients as to when, and when not, to op erate. Thus, the present study was designed to analyze various risk factors, and predict recurrence preoperatively. Materials and Method: The present study was carried among 60 patients admitted in General Surgery Department, in LNMC and JK hospital, who underwent ventral hernia repair over a period of 2 years. The present study evaluates the incidence and factors associated with recurrence after Laparoscopic ventral hernia repair (LVHR). Patient related factors i.e., age, sex, BMI, history of smoking; presence of comorbidities i.e., diabetes mellitus, COPD, hypertension and other cardiac comorbidities, benign prostatic hyperplasia (BPH) were analysed. Cases were assessed as incisional /primary ventral hernia and recurrent /primary ventral hernia. Statistical analysis was carried using SPSS-21 and p value <0.05 was considered as statistically significant value. Results: The present study reported a recurrence rate of 13.3%. BMI, smoking, diabetes, COPD, were found to be patient variables significantly associated with recurrence. Only hernia related variables associated significantly with increased recurrence were incisional versus primary and recurrent versus primary ventral hernias. Conclusion: Only hernia related variables associated significantly with increased recurrence were incisional versus primary and recurrent versus primary ventral hernias. This analysis suggests that male sex and age above 65 years is protective. Knowing these factors could help surgeons during pre-operative assessment and take necessary precautions during ventral hernia repair. |
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