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2019, Number 3

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Revista de Ciencias Médicas de la Habana 2019; 26 (3)

Results of surgical treatment of incisional hernia with tension-free techniques

Brismat RI, Gutiérrez RÁR, Álvarez MM

Language: Spanish
References: 16
Page: 303-312
PDF size: 500.21 Kb.


ABSTRACT

Introduction: the incisional hernia is a challenge for surgeons and often represents the failure of the closure of the abdominal wall after a laparotomy. The advent of prosthetic materials in the field of surgery improves the quality of life in patients with different types of abdominal wall hernia and a hernia repair is performed with any variant of incisional hernioplasty.
Objective: to describe the results in the repair of the incisional abdominal hernia through the alba line.
Methods: a descriptive, retrospective, longitudinal study was carried out in 197 patients who presented incisional hernias and were treated at the "Dr. Carlos J. Finlay" Central Military Hospital from January 2009 to January 2012.
Results: female sex predominated (65.48 %), the age between 40-49 years (38.58 %); smoking (62.43 %) and obesity (49.75 %) were the predominant risk factors. Patients with a hernia ring stood out between 11 and 15 centimeters (46.19 %). The most used space was the preperitoneal (47.21 %), the exposure diameter of the grade II mesh prevailed (39.08%).
Conclusions: patients in the fourth decade of life stand out, the most affected female sex. Smoking and obesity are the prevailing risk factors. Depending on the diameter of the ring, most patients have medium hernias and the fascial space where the most efficient mesh is placed is the preperitoneal; the most frequent mesh exposure diameter is Grade II.


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