Ramón ME, Borges SR

Language: Spanish
References: 20
Page: 472-482
PDF size: 177.87 Kb.

ABSTRACT

Introduction: incisional hernia is included in the more fearsome complications by surgeons after carrying out of a laparotomy. The application of tissular techniques for its repair was traditionally used but these ones have not good results. The advent of prosthetic materials has decreased the relapse rate and the postoperative pain in patients presenting with incisional hernia.
Objective: to know the results obtained in our center with application of an incisional hernioplasty model for treatment of post-laparotomy hernia.
Methods: a longitudinal and prospective study was conducted in the "Dr. Carlos J. Finlay" Hospital in 143 patients with incisional hernias.
Results: the female sex was the more involved one. Obesity, smoking, chronic obstructive pulmonary diseases and the collagenosis are included in the more frequent risk factors. Most of patients had medium hernias with rings between 10 and 15 cm. Seroma was the major complication. The relapse rate was only of 2.06 %.
Conclusions: the proposed model of incisional hernioplasty is a safe alternative, thus it offers an acceptable relapse rate.

REFERENCES

1. Adamian A. Results of the front abdominal wall plasty with polypropylene mesh. Ventral hernia. Hernia. 2006;5(2):62.

2. Ayde B, Luna G. Incidence of abdominal wall hernia in aortic surgery. Am J Surg. 2007;175:400-2.

3. Alexandre J, Aouad JP. Recetn advances in incisional hernia treatment. Hernia. 2005;4(1):1-2.

4. Alexandre JH, Bouillot JL. Recurrent inguinal hernia. Dacron mesh. Eur J Surg. 2006;162(2):25-30.

5. Arumugan S, Jang YC, Chen-Jensen C, Gibran NS, Isik FF. Temporal activity of plasminogen activators and matrix metaloproteinases durig cutaneos wound repair. Surgery. 2006;125:587-93.

6. Balique JG. Intraperitoneal treatment of incisional and umbilical hernias intermediate results of a multicenter prospective clinical trial using an innovative composite mesh. Hernia. 2005;4(1):10-6.

7. Gadacz TR. Technology of prosthetic material. Laparoscopic Surgery. 1994;1(2):123-7.

8. Bellon JM, Bujan J, Honduvilla NG, Juradi F. Study of boichemical substrate and role of metalloproteinases in fascia transversalis from hernia processes. Eur J Clin Invest. 2007;27:510-6.

9. Williams RF, Martin DF, Mullrooney MT, Voeller GR. Intraperitoneal modification of the Rives-Stoppa repair for large incisional hernias. Hernia. 2008;12(2):141-5.

10. Nikoloudis N, Provatidis A. Our experience in the treatment of ventral incisional hernia. Hernia. 2001;5(1):39.

11. Correa R. Tratamiento de la hernia incisional con malla supraponeurótica. Rev Cubana Cir. 2006;6:607-9.

12. Goderich D, Goderich JM, Molina E. Hernia incisional: puntos de vista para un consensus. Rev Cubana Cir [serie en internet]. 2003 [9 de agosto de 2010];42(4). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S0034-74932003000400007&lng=es&nrm=iso&tlng=es

13. Heniford B, Park A, Ramshaw B, Voeller G. Laparoscopic ventral and incisional hernia repair in 407 patients. J Am Coll Surg. 2000;190:645-50.

14. Mayagoitia GJC. Acceso anterior para hernioplastía lumbar postincisional. Cir Gen. 2001;23:40-3.

15. Docimo L. Sutureless. Reconstruction of umbilical, epigastric and laparocelic hernias. Hernia. 2004;5(2):21.

16. Lucas E. Tratamiento de la eventración gigante con técnica de sandwich peritoneal. Rev Argent Cir. Abr 2004;9(1):26-30.

17. Goderich J. Is it necessary to closet the aponeurosis in the bigger incisional hernia? Hernia. 2004;5(1):38.

18. Hodgson NC, Malthaner RA. The search for an ideal metod of abdominal fascial closure: a meta-analysis. Ann Surg. 2007;231:436-42.

19. Jacob B. Complications in incisional repairs by the placement of retreomuscular prothesds. Hernia. 2005;4(1):25-9.

20. Van der Linden FT, Van Vroonhoven TJ. Longterm results after surgical correction of incisional hernia. Neth J Surg. 2008;40:127-9.