Bsbwor501 Case Study In Nursing

In this review, we enrolled 60 patients with complicated large ventral hernia due to large abdominal wall defect whom were treated by mesh repair. The study group included 38 women (63.3%) and 22 men (37.7%); their mean age was 46.5 years (range, 25-70). Their Body Mass Index was between 30-35 kg/m2 in 14 patients, 35-40 in 19, 40-45 in 22 and more than 45 in 5 patients. Associated co morbidities were present in 18 patients (30%). Thirteen patients had ASA score I, 29 had a score of II and 18 patients had a score of III.
Fourteen patients had recurrent hernia; three of them had undergone five or more previous hernia repairs. Complicated incisional hernia was the commonest presentation (33 cases); 19 after midline exploratory incision, 5 after …show more content…
They needed close ventillatory and cardiovascular monitoring and support. Medical complications as chest infections, ischemic heart attacks and uncontrolled diabetes were recorded. Seven wound infections were encountered that were successfully treated in six cases by sensitive antibiotics after obtaining culture and sensitivity and repeated daily dressings while in one patient in group A, there was deep infection extending to the mesh, this patient was subjected to mesh removal to control the infection. Seroma affected 22 patients but was easily managed by repeated evacuation using a large wide pored syringe under wide-spectrum antibiotic cover. Four patients in PP group and one in composite group developed grade II abdominal compartmental syndrome; all patients were treated conservatively with appropriate fluid therapy under ICU guidance. One patient died in group B after 5 days due to severe myocardial infarction. No case of major haematoma requiring evacuation was found. Postoperative findings are presented in table 3. The mean hospital stay in PP group was 8.1 (4-21) days, while patient of composite group stayed in hospital for a mean of 9 (4-18) days with no statistically significant difference between two