Resumen

CORREA ALFONSO, Roberto et al. Reparación de hernias incisionales grandes con malla supraaponeurótica. Rev Cubana Cir [online]. 2002, vol.41, n.3, pp. 156-163. ISSN 1561-2945.

17 patients that underwent surgery at Comandante Manuel Fajardo Teaching Hospital, from 1996 to 2000, with big incisional hernias reproduced in more than one ocassion, and with repair by polypropylene or polyester meshes in prefascial or supraaponeurotic position, were presented. In our series, all the patients had undergone at least 2 previous operations. 5 cases had been operated on 4 times and 1,7 ocassions. In all cases, a careful preoperative arrangement was made that included the local preparation of the skin and the reestablishment of the thoracoabdominal capacity by pneumoperitonea, which made possible the fascia to fascia facing without tension. The hernial rings measured more than 10 cm, with an average of 16. Cefazolin was used as a prophylactic antibiotic in all cases. There was no wound sepsis. No hernial relapse was observed with an average follow-up of 39.6 months. There have been no manifestations of rejection to the prosthetic material up to now. No immediate complications as seroma or hematoma of the surgical wound were reported, since a drainage was placed in the surgical zone in all cases

Palabras clave : HERNIA [surgery]; HERNIA [diagnosis]; SURGICAL MESH [utilization]; PNEUMOPERITONEUM, ARTIFICIAL [methods]; CEFAZOLIN.

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