Abstract

ABRAHAM ARAP, Jorge F et al. Non-videolaparoscopic minimal access technique to treat umbilical hernia with multiple midline defects. Rev Cubana Cir [online]. 2012, vol.51, n.4, pp. 271-279. ISSN 0034-7493.

Introduction: apreliminary study conducted by the author of this paper on relapsing umbilical hernia showed that the multiple midline defects may predispose a patient to it, if not treated at the same time. The present paper was aimed at demonstrating that the application of a non-videolaparoscopic technique manages to comprehensively cure the umbilical hernia and the multiple midline defects. Methods: from 2006 through 2011, all the herniated patients (72) who went to the specialized service of “Calixto García” general university hospital and presented with umbilical hernia and midline defects such as dyasthasia or epigastric hernia were selected. An intervention study was conducted to demonstrate the advantages of the surgical technique registered by the author in the National Center of Copyright (CENDA) under the register no. 856-2007. Through a transumbilical incision, a preperitoneal polypropylene prosthesis that protects the affected area was placed. The complications and the level of satisfaction of the patient were evaluated Results: males and patients with umbilical hernia and diasthasia prevailed, followed by cases with umbilical and epigastric hernia and finally the three defects together. The surgical time mean was 45 minutes. The predominant postoperative complication was serome, but there was no infection, rejection or death. The level of satisfaction was considered excellent in most of cases, and just one relapse. Conclusions: this method is feasible and useful.

Keywords : umbilical hernia; multiple defects; non-vide olaparoscopic minimal access.

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