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>Journals >Cirujano General >Year 2003, Issue 1


Mayagoitia GJC, Cisneros MHA, Suárez FD
Abdominal wall hernioplasty using Rives’ technique
Cir Gen 2003; 25 (1)

Language: Español
References: 21
Page: 19-24
PDF: 4. Kb.


Full text




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.


Key words: Hernioplasty, incisional hernia, prosthesis, morbidity.


REFERENCIAS

  1. Rath AM, Chevrel JP. The healing of laparotomies; a bibliographic study. Part two: Technical aspects. Hernia 2000; 4: 41-8.

  2. Mayagoitia GJC. Acceso anterior para hernioplastía lumbar postincisional. Cir Gen 2001; 23: 40-3.

  3. Stoppa R, Ralaimiaramanana F, Henry X, Verhaeghe P. Evolution of large ventral incisional hernia repair. French contribution to a difficult problem. Hernia 1999; 3: 1-3.

  4. Stoppa R, Henry X, Abet D, Largueche S, Verhague P, Myon Y et al. Que faire devant une éventration post-operatoire? Cah Méd 1979; 30: 2051-61.

  5. Morales GMI, Pérez MA, Rivera AR. Hernias incisionales operadas por cirujanos adscritos y residentes de cirugía. Cir Ciruj 1998; 66: 130-4.

  6. Adye B, Luna G. Incidence of abdominal wall hernia in aortic surgery. Am J Surg 1998; 175: 400-2.

  7. Morris-Stiff G, Cooles G, Moore R, Jurewicz A, Lord R. Abdominal wall hernia in autosomal dominant polycystic kidney disease. Br J Surg 1997; 84: 615-7.

  8. Abrahamson J. Etiology and pathophysiology of primary and recurrent groin hernia formation. Surg Clin North Am 1998; 78; 953-72.

  9. DeBord JR. The historical development of prosthetics in hernia surgery. Surg Clin North Am 1998; 78: 973-1006.

  10. McLanahan D, King LT, Weems C, Novotney M, Gibson K. Retrorectus prosthetic mesh repair of midline abdominal hernia. Am J Surg 1997; 173: 445-9.

  11. Stoppa R, Abourachid H, Duclaye C, Henry X, Petit J. Plastie des hernies de l’aine. L’interposition sans fixation de tulle de Dacron par voie médiane sous-péritoneale. Nouv Presse Med 1973; 2: 1949-51.

  12. Stoppa R, Henry X, Odimba E, Verhaeghe P, Largueche S, Myon Y. Traitement chirurgical des éventration post-opératories. Utilisation des protheses en tule de Dacron er de la colle biologique. Nouv Presse Med 1980; 9: 3541-5.

  13. Stoppa R, Moungar F, Verhaeghe P. Traitment chirurgical des éventrations medianes sus-ombilicales. J Chir (Paris) 1992; 129: 335-43.

  14. Wantz GE. Incisional hernioplasty with Mersilene. Surg Gynecol Obstet 1991; 172: 129-37.

  15. Willis S, Schumpelik V. Use of progressive pneumoperitoneum in the repair of giant hernias. Hernia 2000; 4: 105-11.

  16. Amid PK. Complications of prosthetic hernia repair. Cir Gen 1998; 20(Suppl 1): 49-52.

  17. Amid PK. Prosthetic repair of massive incisional hernias. Cir Gen 1998; 20(Suppl 1): 45-8.

  18. Waldrep DJ, Shabot MM, Hiatt JR. Mature fibrous cyst formation after Marlex mesh ventral herniorrhaphy: a newly described pathologic entity. Am Surg 1993; 59: 716-8.

  19. Houck JP, Rypins EB, Sarfeh IJ, Juler GL, Shimoda KJ. Repair of incisional hernia. Surg Gynecol Obstet 1989; 169: 397-9.

  20. Deysine M. Pathophysiology, prevention and management of prosthetic infections in hernia surgery. Surg Clin North Am 1998; 78: 1105-15.

  21. Heniford BT, Park A, Ramshaw BJ, Voeller G. Laparoscopic ventral and incisional hernia repair in 407 patients. J Am Coll Surg 2000; 190: 645-50.






>Journals >Cirujano General >Year 2003, Issue 1
 

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