Factors Affecting the Recurrence After Incisional Hernia Repair

Aim: Incisional hernias are one of the most common problems seen after abdominal operations. About 2 – 11% of abdominal incisions result in incisional hernia. The recurrence rate is about 30-50% after primary repair. Recently with the use of prostethic materials recurrence rate decreased to 0-15%. The aim of this study to determine the risk factors that may have a role in incisional hernia recurrence. Material and method: We retrospectively analyses the files of 60 cases that had incisional hernia and repaired with a prosthetic material. Cases were evaluated for the risk factors for hernia recurrence. Statistical analysis was performed by SPSS sotware. The mean follow up of the study was 33.8 months. Findings: Thirty two cases underwent onlay reapir and 28 cases underwent sublay repair. The overall recurrence rate was 20%. Risk factors for recurrence were found to be; chronic constipation, history of malignancy, wound site infection and seroma formation. Conclusion: Postoperative close follow of co-morbidities and a good wound care can be affective in prevention of recurrence after incisional hernia repair