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ISSN 1405-0099 (Print)

2003, Number 1

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Cir Gen 2003; 25 (1)

Abdominal wall hernioplasty using Rives’ technique

Mayagoitia GJC, Cisneros MHA, Suárez FD

Language: Spanish
References: 21
Page: 19-24
PDF size: 67.07 Kb.


ABSTRACT

Objective: To assess our results using the Rives’ technique to repair abdominal wall hernias with a ring larger than 50 cm2.
Setting: Third level health care hospital.
Patients and methods: Observational, descriptive study of patients subjected to surgery of hernias with a ring #8250; 50 cm2, using the Rives’ technique (preperitoneal mesh), from November 1996 to May 2002, using a polypropylene mesh. The following variables were analyzed: surgery that originated the hernia, associated pathology, number of previous surgeries, size of the ring, early and late complications, recurrences.
Results: One hundred patients were operated, 77 women and 23 men, their ages ranged from 31 to 84 years. Eight patients had primary hernia and 92 incisional hernias. Most of the latter were caused by gynecological surgeries. In 52 patients it was the first hernioplasty, 25 had a previous plasty, 10 with two, 8 with 3, 3 with 4, 1 with 5, and 1 with 7. The hernia defect covered an area of 97.5 cm2 (range 50 to 499 cm2). Hospital stay was of 1 to 4 days, average of 2.1 days. Antecedents of wound infection in previous surgeries were found in 23 patients. Fifty six patients had an associated pathology. Early com plications were present in 13 (13%) patients. At the end of the study only two recurrences (2%) had occurred. Average follow-up time was 22 months (range 6 to 65 months).
Conclusion: The Rives’ procedure for incisional hernias is a procedure with a low complication index.


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