INCISIONAL HERNIA - A CLINICAL STUDY, OBESITY - A MAJOR RISK FACTOR

Abstract

Ramesh Kota1, Ramesh Lingala2

BACKGROUND
Incisional hernia is a common surgical problem with which a patient presents to the surgical OPD. There are certain modifiable risk factors, which if corrected can prevent incisional hernia. Among these risk factors, obesity is a major risk factor. Present study aims to prove that obesity is a major risk factor for incisional hernia.
MATERIALS AND METHODS
It is a prospective observational study conducted at a tertiary care centre from December 2014 to December 2017.
RESULTS
Obesity was a common risk factor in the study population. About 92% of them had a BMI >25, (74% being overweight and 18% falling under class I obesity) with a mean BMI of 28.1. Most of them (94%) had disease causing central abdominal obesity with waist hip ratio of more than 1 and (6%) are with waist hip ratio less than 1.
CONCLUSION
Obesity is a major risk factor in development as well as recurrence of incisional hernia and to take appropriate measures of weight reduction and proper surgical technique of mesh repair while managing a case of incisional hernia with obesity.

image