Análisis prospectivo de hernioplastías umbilicales en adultos

Abstract

Umbilical mesh hernia repair. Experience in 60 patientsBackground: There is a lack of consensus on the best technique umbilical for hernia repair and several options have been use. The systematic use of prostheses is currently recommended. Aim: To evaluate the treatment of umbilical hernias with a mesh and assess the placement of a prosthetic cone as an alternative. Materials and Methods: We evaluated prospectively the surgical procedures in 60 patients with umbilical hernia aged 30 to 86 years (40 females). We excluded surgical procedures in which a mesh was not used and those performed as emergencies. When the hernia ring was of less than 3 cm in diameter, a polypropylene cone or plug was placed. A preperitoneal mesh technique was used when rings were larger. Results: Forty five patients had a ring of less than 3 cm. Among these, a polypropylene cone or plug was placed in 30 and 15 patients, respectively. A mesh was placed in the remaining patients. As surgical complications, one patient had a hematoma (1.6%) and three patients had seromas (5%). There were no surgical site infections or hernia relapse. Conclusions: Umbilical hernia repair using with polypropylene prostheses is a safe and easy to implement technique.

Ventajas de la hernioplastía abdominal ambulatoria en el Hospital Regional de Sayaxché.

“…Los anteriores resultados son apoyados por las grandes instituciones del mundo con capacidades suficientes de hospitalización, al realizar el análisis costo beneficio entre los pacientes que se operen de hernia de la pared abdominal con anestesia local y otras variantes raquídeas han llegado a la conclusión que del punto de vista social el paciente se incorpora más rápido con sus familiares, presenta menos estrés y su recuperación e integración al trabajo es más rápida. (8,9,10) Tabla 1: Medicamentos utilizados en hernioplastía abdominal. Hospital Distrital de Sayaxché.…”