RF's for recurrence post-repair

Question 1

incisional hernias make up ?% of the hernias seen and ?% of abdominal incisions lead to hernia

Answer 1

10

1

Question 2

Risk Factors;

Pre-op factors: ? age, poor ?, sepsis, uraemia, jaundice, obesity &
steroids all decrease wound healing.
Operative factors: ? incisions, knots that are too ?/ too ? & presence of ? make hernias more likely.
Post-op factors: post-operative ?, ? and obesity all increase IAP, and wound ? slows the healing process.

Answer 2

old
nutrition
vertical
tight/loose[
drains
ileus
coughing
infection

Question 3

Surgical repair involves ? out the hernia and then ? closure of each ? layer.
Repair is usually contra-indicated by the factors that ? to an ? hernia in the first place

Answer 3

dissecting
individual 
abdo
pre-dispose
incisional

Question 4

? reduction/ ? cessation will increase the likelihood of a successful repair, as well as prophylactic ?
? incisional hernias have a recurrence risk of 2-5%, with ? ones
having a recurrence risk of 10-20%.

Answer 4

wt
smx
abx
small
large

Question 5

Symptoms;

? in the scar and local ?.
Subacute bowel ? is common as the hernia ?.
There is usually a wide ?, so strangulation is generally ?, however as contents accumulate then ? often develop so the hernia becomes ? (with obstruction/ strangulation then more likely).

Answer 5

bulge
discomfort
obstruction
enlarges
neck
uncommon
adhesions
irreducible