::INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES::

CODEN : IAJPBB
issn 2349-7750

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TITLE:

FREQUENCY OF EARLY COMPLICATION IN MESH REPAIR OF PARAUMBILICAL HERNIA

AUTHORS:

Dr.Komal Mushtaq, Dr.Arif Hussain, Dr.Ammara Akbar

ABSTRACT:

Objective- This study aimed to analyze the“frequency of early complications in mesh repair of paraumbilical hernia.”This is a descriptive case series study. Methodology- this study was conducted in Holy Family Hospital Rawalpindi where total 170 patients were selected including both males and females having the age between 20 to 50 years. To look for early complication like hematoma formation, seroma, and wound infection, every patient were followed in post -operative period. Every patient signed a written consent paper. SPSS ver 20 was used for statistical analysis. Percentage and frequency has been calculated for hematoma formation, seroma, wound infection and gender while for BMI and age Mean standard deviation was calculated. To address effect modifiers data has been stratified for BMI, gender and age. Results- The selected people belonged to the agr group of 20 to 50 years with mean age of 42.1±6.9 years. While majority of the selected patients i.e. 86.5% or N=147 belonged to the age group of 36 to 50 years. The male to female ratio of selected patients was 1:4 i.e.in selected patients 136 are males and 34 are females. The mean BMI was 30.3±2.8 Kg/m2 ranged from 24.0 Kg/m2 to 34.8 Kg/m2. Among the various complications, one of the most frequent complication was wound infection which was observed in 8.8% i.e. n=15 then seroma in 7.1% i.e. n=12 and hematoma formation in 3.5% i.e. n=6. When stratified, there was no significant difference in hematoma formation, seroma, wound infection across various subgroups based on BMI, gender, age of patient. Conclusion- Patients suffering mesh repair of paraumbilical hernia, seroma formation and wound infection were observed in a considerable proportion which warrant appropriate antibiotic prophylaxis and meticulous surgical dissection and minimize the chances of such kind of complications “as well as watchful follow up to timely identify and treat at the time of occurrence.” Key Words: Complications, Mesh Repair, Paraumbilical Hernia.