Background: Ventral wall hernias are a common surgical concern with evolving management strategies. This study aims to explore the outcomes and patient demographics of ventral wall hernia repairs at Government Medical College, Thiruvananthapuram. Methods: A retrospective cohort study was conducted from January 2022 to June 2023, encompassing 100 cases. Patient demographic data, hernia types, surgical outcomes, and complications were analyzed. Statistical analyses were employed to interpret the results. Results: Incisional hernias (50%) were the most prevalent, followed by paraumbilical (30%) and supraumbilical hernias (10%). The success rate was 90%, with 10% recurrence. Patient satisfaction stood at 80%. Post-operative complications included surgical site infections (20%), seroma formation (15%), and mesh infections (5%). Notably, 77% of cases reported no complications. Conclusion: The study provides insights into the outcomes and demographics of ventral wall hernia repairs. The results highlight the significance of regional variations in hernia demographics and outcomes, necessitating tailored approaches to management. |