Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
Ventral hernias, characterized by the protrusion of abdominal contents through weakened abdominal walls, present substantial challenges to patients and clinicians. Addressing these challenges the preperitoneal meshplasty technique involves strategically placing a mesh prosthesis within the preperitoneal space, effectively reinforcing the abdominal wall and significantly reducing the risk of hernia recurrence. This study aims to provide valuable insights into ventral hernia management using the preperitoneal meshplasty technique. This study included a cohort of diagnosed cases of Ventral hernia who underwent preperitoneal meshplasty. The study was conducted from June 2021 to December 2021 within our institute, primarily focusing on investigating outcomes of the preperitoneal meshplasty technique, assessing complications and tracking recurrence over six months. All patients underwent thorough assessments, including medical history, clinical examinations, laboratory tests and ultrasonography. Ventral hernia repair using open preperitoneal meshplasty was conducted after obtaining medical clearance, with general or regional anesthesia as suitable. Post‐surgery, meticulous observation was carried out for immediate postoperative phases until discharge. Relevant data on outcomes and complications were recorded. Patients were followed up at one week, three weeks, six weeks, 12 weeks and six months post‐discharge to monitor complications and hernia recurrence. Among these, 28% of patients had umbilical hernias, 14% had epigastric hernias, 10% had paraumbilical hernias and 12% had infra umbilical hernias. There were 18 patients (36.00%) with incisional hernias and 32 (64%) with non‐incisional hernias. Early complications, including fever, wound infections, hematoma, surgical site infections and skin necrosis, exhibited distinct occurrences across the initial days following surgery. The study contributes insights into the patterns of hernia complications and their management outcomes. Late complications involving induration, seroma and skin necrosis showed consistent trends. No seroma, mesh removal, or recurrence was reported during observation. The study contributes insights into the patterns of hernia complications and their management outcomes.
How to cite this article:
Sagar Jaware, Dhammapal Sable, Tejashree Junagade, Bhagwan Aname and Amrut Swami. Exploring Preperitoneal Meshplasty on Ventral Hernia: A Prospective Study from Western Maharashtra.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.1.70.74
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.1.70.74