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Fundamentos técnicos y resultados de la reparación protésica novedosa de hernias incisionales grandes.

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Title: Fundamentos técnicos y resultados de la reparación protésica novedosa de hernias incisionales grandes.
Alternate Title: Technical basics and results of the prosthetics original repair of large incisional hernias.
Authors: Jaén Oropeza, Adolfo Rafael1 adolfo.jaen@medired.scu.sld.cu, Gonzalo Goderich Lalán, José Miguel1, Pardo Olivares, Elvis1, Quevedo Tamayo, Miguel Ángel1, Casamayor Callejas, Ernesto1
Source: MEDISAN. 2017, Vol. 21 Issue 2, p201-213. 12p.
Abstract (English): Introduction: the large incisional hernia has a high recurrence in spite of the use of meshes. Objective: to describe a technique for the repair of the abdominal wall defects of more than 15-20 cm in diameter. Methods: a descriptive, quantitative, retrospective - prospective and longitudinal study of 62 patients operated by means of this technique was carried out in the "Dr. Juan Bruno Zayas Alfonso" University General Hospital in Santiago de Cuba, from 2003 to 2015. Results: there was a prevalence of the female sex, 45-65 years age group, hypertension as comorbidity with previous gynecological abdominal surgery, infraumbilical localization of the hernial site, Bendavid hernioplasty and abdominoplasty as associated surgery. The endotraqueal general anesthetic as anesthetic method had a higher incidence, the most outstanding postoperative complication was the serous complication; there was neither mortality, nor recurrences. Conclusions: this is a safe and effective method for the repair of large hernial defects of the front abdominal wall. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: la hernia incisional grande tiene una elevada recurrencia a pesar del uso de mallas. Objetivo: describir una técnica para la reparación de defectos de la pared abdominal de más de 15-20 cm de diámetro. Métodos: se realizó un estudio descriptivo, cuantitativo, retrospectivo - prospectivo y longitudinal de 62 pacientes operados mediante esta técnica en el Hospital General Universitario "Dr. Juan Bruno Zayas Alfonso" de Santiago de Cuba, desde 2003 hasta 2015. Resultados: predominaron el sexo femenino, el grupo etario de 45-65 años, la hipertensión arterial como comorbilidad con cirugía abdominal ginecológica previa, localización infraumbilical del sitio herniario, hernioplastia de Bendavid y abdominoplastia como cirugía asociada. Tuvo mayor incidencia la anestesia general endotraqueal como método anestésico, la complicación posoperatoria más relevante fue el seroma; no hubo mortalidad, ni recurrencias. Conclusiones: este es un método seguro y eficaz para la reparación de grandes defectos herniarios de la pared abdominal anterior. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
Description
Abstract:Introduction: the large incisional hernia has a high recurrence in spite of the use of meshes. Objective: to describe a technique for the repair of the abdominal wall defects of more than 15-20 cm in diameter. Methods: a descriptive, quantitative, retrospective - prospective and longitudinal study of 62 patients operated by means of this technique was carried out in the "Dr. Juan Bruno Zayas Alfonso" University General Hospital in Santiago de Cuba, from 2003 to 2015. Results: there was a prevalence of the female sex, 45-65 years age group, hypertension as comorbidity with previous gynecological abdominal surgery, infraumbilical localization of the hernial site, Bendavid hernioplasty and abdominoplasty as associated surgery. The endotraqueal general anesthetic as anesthetic method had a higher incidence, the most outstanding postoperative complication was the serous complication; there was neither mortality, nor recurrences. Conclusions: this is a safe and effective method for the repair of large hernial defects of the front abdominal wall. [ABSTRACT FROM AUTHOR]
ISSN:10293019