Abstract

MUSIBAY, Enia Ramón  and  BORGES SANDRINO, René. Repair of post-laparotomy hernia by means of an incisional hernioplasty model. Rev Cubana Cir [online]. 2011, vol.50, n.4, pp. 472-482. ISSN 0034-7493.

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.

Keywords : incisional hernia; relapse; tissular techniques; incisional hernioplasty.

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