Abstract: Introduction: A ventral hernia is defined by a protrusion through the anterior abdominal wall fascia. The anterior abdominal wall is the site of variety of hernias due to mans erect posture which renders anterior abdominal wall weak. Almost all hernias protrude through the abdominal wall to form palpable swellings. These hernias present as a swellings and rarely go for complications like strangulation, incarceration and present with respective manifestations.
Aims and Objectives: 1.To study the various presentations of ventral hernias, age and sex distributions of ventral hernias.2. To study the influence of obesity and diabetes mellitus on postoperative complications of different types of hernias.3. To study clinically various forms of ventral hernias and management protocol with respect to different types of mesh repairs.4. To investigate relative effectiveness of mesh and suture repair of ventral hernias in terms of clinical outcome and post-operative complications. 5. To study the morbidity associated with obesity and diabetes on ventral hernia mesh repairs.
Materials and Methods: This was a single Centre study, randomized, prospective study conducted from October 2022 to September 2023. It was carried out on 42 patients with ventral hernia admitted in surgical wards of Chalmeda Anand Rao institute of medical sciences, Karimnagar.
Results: SSI being more common in cases of ventral hernia repair with comorbidities, it was documented in 22 cases out of over all cases. 71.42% cases of diabetes group experienced surgical site infection and 36.36% of obesity group. Post operative complications are more in patients with comorbidities.
Conclusion: The incidence of these complications can be reduced to minimum by measures such as strict Glycaemic control and loss of weight prior to surgery so that post operative course is uneventful or minimised to lowest morbidity. The proper surgical technique and wound care are crucial in minimising mesh infection and recurrence.
