2007, Number 3
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Cir Gen 2007; 29 (3)
Umbilical hernia, transumbilical approach, an alternative in surgical resolution
Gómez-Cordero LR, Ramírez OBC, Ovando JE, Piña GMC
Language: Spanish
References: 14
Page: 192-196
PDF size: 167.76 Kb.
ABSTRACT
Objective: To propose a simple and fast surgical alternative for the repair of the umbilical aponeurosis, providing good cosmetic results.
Setting: General Hospital “Valle Ceylan”.
Design: Prospective, longitudinal, observational study.
Statistical analysis: Percentages as summary measures for qualitative variables.
Patients and methods: A transumbilical incision was performed in 154 patients approaching the skin flaps with one stitch that fixed them to the aponeurosis. Assessed variables were: age, gender, time of evolution of the hernia, size of the defect, concomitant diseases, results and complications.
Results: We obtained good esthetic results in 145 (94.2%) cases. In six cases (3.06%) were had complications: in two patients with diabetes mellitus the wound became infected; two patients developed a hematoma, and in the other two, one developed a seroma and, in the other, the umbilical fundus detached from its fixation point. No recurrence of the hernia occurred.
Conclusion: The direct access to the herniary sac makes the technique simple and the esthetic results are immediate.
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