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ISSN 1665-2576 (Impreso)

2009, Número 2

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Rev Mex Cir Endoscop 2009; 10 (2)


Hernia bilateral y laparoscopia. Un enfoque diferente

Weber SA, Garteiz MD

Idioma: Español
Referencias bibliográficas: 56
Paginas: 92-96
Archivo PDF: 84.51 Kb.


RESUMEN

Es difícil conocer el porcentaje exacto de bilateralidad de las hernias en adultos, aunque los reportes muestran un incremento considerable que es mayor con el uso de laparoscopia. En la actualidad, es sabido que la reparación puede hacerse en forma simultánea, sin aumentar la posibilidad de recidiva, especialmente si se hace con técnicas sin tensión. El abordaje laparoscópico de las hernias ha mostrado ser un método efectivo para la detección temprana de los defectos contralaterales y una vía menos invasiva que el abordaje tradicional, en el cual, ya sea con reparación simultánea o secuencial, requiere de dos incisiones quirúrgicas. Tampoco incrementa la morbilidad ni prolonga significativamente el tiempo operatorio, con las ventajas conocidas de menor dolor y recuperación más temprana. Es importante que los cirujanos tengan en mente que aunque la presentación común del paciente es con la hernia de un solo lado, la incidencia de bilateralidad es alta, por ello es recomendable comentar con los pacientes esta posibilidad y explorar ambos lados, especialmente bajo ciertas condiciones que pueden levantar la sospecha de que el caso pueda ser más complejo.


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