Incisional hernia
- Hernia through poorly healed abdominal incisions
- More common with midline vertical incisions
Predisposing factors:
- Poor surgical technique: Layered closure, absorbable suture, suturing under tension, drain tubes are brought out through the main wound
- Preoperative straining factors: Chronic cough, chronic constipation and urinary obstruction.
- Postoperative complications: Abdominal distension, cough, respiratory distress due to pneumonia or lung collapse, and postoperative wound infection.
- General factors: Age (elderly patients), malnutrition, hypoproteinemia, jaundice, malignancy, diabetes, chronic renal failure, steroid or immunosuppressive therapy and alcoholism.
ZZ ospe
