A Study on Clinical Assessment and Management of Hernia Patients in A Tertiary Care Hospital

Abstract

A hernia is an out pouching of the parietal peritoneum through a preformed or secondarily established hiatus. If the hernia extends beyond the abdominal cavity and is thus visible on the surface of the body, it is defined as an external hernia. Incisional hernias arise through a defect in the musculofascial layers of the abdominal wall in the region of a post-operative scar. Thus they may appear anywhere in the abdominal surface. The prospective observational study was carried out for a period of 6 months. The study was conducted in General medicine department in a tertiary care hospital. A written and informed consent was obtained from the recruited patients. A Total of 75 patients were enrolled in the study.  The present study aimed to assess the risk factors for Hernia, clinical profile and its management in a tertiary care hospital. Site of hernia includes Upper abdomen Site of hernia patients were more 23(30.66%). Hernia complication patients were more 53 (70.66%) as compared to without complication patients. Duration of Hernia diagnosis includes 1-6 days Duration of Hernia diagnosis patients were more 36(48%) as compared to other Duration of Hernia patients. Surgical treatment patients were more 55 (73.33%) as compared to conservative treatment patients were 20 (26.33%).  The burden of inguinal hernia among the young and middle-aged patients in our practice is huge, with many patients having a family history of the disease and evidence of complications at presentation. Incisional hernia is one of the most prevalent complications of abdominal surgery and frequently causes morbidity which raises healthcare costs.