Understanding Hernia's Repair, Techniques, Mesh Options, and Recurrence Rates in Abdominal Wall Surgery

Muhammad Umair; Syeda Farwa Zaidi; Muhammad Usman Khan; Mahnoor Naveed; Sumbal Yaseen Wazir; Lal Jawahir

doi:10.62497/IRABCS.2024.42

Authors

Muhammad Umair Northwest School of Medicine, Peshawar, Pakistan Author https://orcid.org/0009-0001-3114-1127
Syeda Farwa Zaidi Rehman Medical College, Peshawar, Pakistan Author https://orcid.org/0009-0004-0240-6685
Muhammad Usman Khan Northwest School of Medicine, Peshawar, Pakistan Author
Mahnoor Naveed Combined Military Hospital, Peshawar, Pakistan Author https://orcid.org/0009-0007-2883-7258
Sumbal Yaseen Wazir Khyber Medical College, Peshawar, Pakistan Author https://orcid.org/0009-0001-5048-0079
Lal Jawahir Northwest School of Medicine, Peshawar, Pakistan Author

DOI:

https://doi.org/10.62497/IRABCS.2024.42

Keywords:

hernia repair, surgical techniques, mesh options, recurrence rates, postoperative complications

Abstract

Introduction: Hernia repair surgery is a common procedure with significant variations in techniques, mesh options, and recurrence rates. Understanding these factors is essential for optimizing patient outcomes.

Objective: This study aims to investigate hernia repair techniques, mesh options, and recurrence rates in abdominal wall surgery, providing insights to optimize patient outcomes and inform clinical decision-making.

Methodology: A retrospective cohort study was conducted at two renowned hospitals in Peshawar, Pakistan, with a sample size of 102, from April 2023 to March 2024. Data on surgical techniques, mesh options, postoperative complications, and hernia recurrence rates were collected from medical records. Chi-square tests were used for statistical analysis.

Results: A total of 102 patients were included in the study, with inguinal hernias being the most common (56.9%). Open tension-free repair was the predominant surgical approach (62.7%), and polypropylene mesh was the most commonly used (70.6%). Postoperative complications were observed in 19.6% of patients, with surgical site infection being the most frequent (11.8%). Hernia recurrence occurred in 13.7% of cases, with no significant association found between surgical approach and recurrence rates (p=0.632).

Conclusion: This study provides insights into hernia repair outcomes highlighting the prevalence of inguinal hernias, the predominance of open tension-free repair, and the challenges posed by postoperative complications and hernia recurrence. By addressing these challenges and embracing tailored surgical approaches, we can enhance patient care and improve surgical outcomes.

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Author Biographies

Muhammad Umair, Northwest School of Medicine, Peshawar, Pakistan

MBBS, house officer
Syeda Farwa Zaidi, Rehman Medical College, Peshawar, Pakistan

MBBS, house officer
Muhammad Usman Khan, Northwest School of Medicine, Peshawar, Pakistan

MBBS, house officer
Mahnoor Naveed , Combined Military Hospital, Peshawar, Pakistan

Pharm D, Hospital Pharmacist
Sumbal Yaseen Wazir, Khyber Medical College, Peshawar, Pakistan

MBBS, house officer
Lal Jawahir, Northwest School of Medicine, Peshawar, Pakistan

MBBS

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