Panchkula: Abdominal wall hernias are very common surgical problem known to mankind. The high prevalence of hernia, for which the lifetime risk is 27 % for men and 3 % for women, has resulted in this condition inheriting one of the longest traditions of surgical management. The Egyptians (1500 BC), the Phoenicians (900 BC), and the Ancient Greeks (Hippocrates, 400 BC) diagnosed hernia.
The problem
of recurrence of disease or defect is high and next after the cancer recurrence
rates. This leads to the quest for a better and comprehensive technique so as
to achieve long and short term results and lesser recurrence rates.
Type of
Repair
|
Method
|
Wound
Complications
|
Pain
|
Recurrence
|
On The
Muscle- Onlay
|
Open
|
+++
|
+++
|
20-25%
|
Retro
Muscular- Sublay
|
Open or Lap
|
+
|
+
|
5-7%
|
Inside
abdomen-Inlay
|
Lap or Open
|
++
|
+
|
10-15%
|
Retro
muscular approach of the abdominal wall repair and component separation
(with or without Transverses abdominus separation-TAR) has proved to be best
alternative to all repairs. Although infrequently performed due to difficult
and demanding skills, it has a long scar too. But the correction of
divarication and Abdominoplasty are added advantages of it.
Dr Rajender Kumar Batra has
been doing this repair by Retro
muscular approach at Alchemist Hospital Sector 21 Panchkula since 3
years now and with less than 3 partial recurrences out of 30 odd cases. This
type of mesh repairs have lesser pain, less recurrences and wound problems after
surgery.
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