A clinical study on ventral hernia at a tertiary care hospital

Suresh Clement H., P. Vamshi Bharath, Harsha Omkar M., Bharath Kumar Reddy


Background: Ventral hernias comprise the second most common hernial presentations in the surgical world. This study was undertaken to know the different clinical types, age incidence, predisposing factors for ventral hernia and also to study the post-operative results of different operative procedures.  objective of present study was to investigate clinical profile of patients with ventral hernia.

Methods: Forty cases of abdominal wall hernia were studied during the period of 2 years. Informed consent was obtained. Detailed history, thorough clinical examination was carried out. Patients were operated with standard surgical procedure. They were followed for 3-18 more months to observe occurrence of complications among them. Data was analyzed using proportions and presented.

Results: Sixty percentage were Incisional hernia following an operation and remaining contributed to 40%. 22.5% patients had presented with complications like irreducibility, obstruction and strangulation. The presence of associated diseases, large hernia, poor condition of local tissue (muscle), all make the surgical management of ventral hernia a complex problem. Each patient was evaluated separately and thoroughly, and his surgery planned so as to obtain satisfactory results. Different methods of surgical procedures were undertaken in this study. The post-operative complication rate was minimal that is 12.5% and the recurrence rate observed was 0% but the sample size and follow up period (3-18 months) was short, in view of which I am not able to give a definite.

Conclusions: Good pre-operative evaluation and preparation; sound anatomical knowledge and meticulous attention to surgical detail are the most important factors for prevention of post-operative complications and recurrence of hernia.


Epigastric hernia, Incisional hernia, Para-umbilical hernia, Umbilical hernia, Ventral hernia

Full Text:



Bennet HD, Kingsworth NA. Hernias, umbilicus and abdominal wall: Bailey and love’s, Short practice of Surgery, 24th Ed. Arnold publishers, London; 2004:1272-1293.

Zollinger M, Robert JR. Nyhus and Condon’s Hernia, 5th Ed. Philadelphia; 2002;5:331.

Jennings WK, Anson BJ, Wright RR. A new method of repair for indirect Inguinal Hernia Considered in reference to parietal anatomy. Surgery. Gynecology Obstetrics. 1942;74:697.

Bose SM, Lal R, Kalra M, Wig JD, Khanna SK. Ventral hernia: A review of 175 cases. Indian Journal of surgery. 2014:61(3):180 -4.

Rao MM. Surgery for ventral hernias. Recent advances in surgery. Jaypee Brothers Publishers. New Delhi. 1988;11(2):104-14.

Ponka LJ. Hernias of the abdominal wall, 3rd Ed. Philadelphia, WB Saunders Publishers; 1980:492.

Abrahamson. J. Hernias in Maingots Abdominal Operations 10th Ed. McGraw-Hill; 2001;14:479-580.

Obney JA, Barnes MJ, Lisagor PG, Cohen DJ. A method for mediastinal drainage after cardiac procedures using small silastic drains. Ann Thorac Surg. 2000;70(3):1109-10.

Akman PC. A Study of 500 incisional hernias, J Int Coll Surgs. 1962;37:125-42.

Read RC. The Development of Surgical herniography. surgical clinics of North America. 1984;64:185-96.