Abstract

PUERTA ALVAREZ, Juan Francisco; BLANCO MILA, Abel; PITA OJEA, Miguel  and  REYES CARDERO, Jorge. Hernia incisional grande: Resultado del tratamiento quirúrgico con material protésico. Rev Cubana Cir [online]. 1996, vol.35, n.2. ISSN 0034-7493.

An observation and prospective study was carried out to assess the surgical treatment of the big incisional hernias with prosthetic material in 75 operated patients in the "Joaquín Castillo Duany" Educational Military Hospital, at Santiago de Cuba, from February 1990 to July 1994. Two groups were formed: a study group with 50 patients, subdivided in two groups of 25 each, and a witness group with 25 patients. In this last group the abdominal wall was closed by planes with non reabsorbable suture and without prosthetic material, and in the study group, in one 25 patients subgroup the same procedure was carried out, but using Mersilene mesh, and in the other subgroup the mesh was substituted with homologous duramater. The big incisional hernias were more frequent in women from 40 to 60 years old with partial primary incision, mostly obese and diabetic. There was a confirmation of no reject to the homologous duramater. This group showed the smallets rate of relapses and complications, and had the best results at 5 years o postoperative follow up

Keywords : VENTRAL HERNIA [surgery]; SURGICAL MESH; DURAMATER.