Introduction:

incisional hernias are currently considered a public health problem throughout the world that affects 10 to 15% of the general population, with a significant impact on the social and work performance of people of economically active age.

Objective:

to evaluate the result of surgical treatment with the use of a prosthesis in this type of hernia.

Methods:

a descriptive and longitudinal investigation of a series of cases was carried out, followed by a qualitative, evaluative investigation in patients with incisional hernia operated in the General Surgery Service of the General Teaching Hospital "Carlos Manuel de Céspedes" in the period from January 2013 until December 2016. The universe was made up of 171 patients; the sample consisted of 146 incisional hernia surgery.

Results:

146 incisional hernia patients were operated with the use of a pre-peritoneal prosthesis by the Rives technique. The majority were women (111) with 76%. Regarding the hernial defect, 89 predominated as medium with 61%, of which 74 (50.7%) underwent elective surgery and 15 (10.3%) urgently, while 52 large (35.6%), 44 (30.2%) underwent elective surgery and 8 (5.4%) urgently. In relation to complications, there was a predominance of recurrence that reached 16.4%. 97.3% of users considered the medical care received adequate.

Conclusions:

the result obtained allows to improve the knowledge about its approach, to reincorporate the patients to social and work life by reducing early relapses in the first two years after the operation and making it possible to carry out subsequent investigations.

        · abstract in Spanish | Portuguese     · text in Spanish     · Spanish ( pdf )