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2012, Number 1

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Cir Gen 2012; 34 (1)

Rives’ technique for incisional hernia. Analysis of 218 cases

Mayagoitia GJC, Cisneros MHA, Smolinski KRL

Language: Spanish
References: 21
Page: 25-31
PDF size: 104.41 Kb.


ABSTRACT

Objective: To analyze our personal experience along 15 years with 218 cases of Rives/Stoppa hernioplasty, considered as the gold standard for ventral plasties and open incisional plasties.
Setting: Specialized Center for the Treatment of Hernias, City of León, Gto, México.
Design: Retrospective, observational study.
Statistical analysis: Descriptive statistics, chi square for categorical variables, Student’s t and Mann Whitney U tests for numerical variables.
Material and methods: We reviewed 218 incisional and ventral hernioplasties in two groups, an initial with 123 cases and a subsequent or experienced one with 95 cases. We analyzed the presence of infection, hematomas, seromas and recurrences according to different variables like the use of drainages, type of mesh, body mass index (BMI), size of the defect, and presence of previous infections. Results were compared with those found in the world literature.
Results: We found five deep infections (2.3%), 16 seromas (7.3%), two hematomas (0.9%), and two cystic seromas as complications. Our analysis regarding use of drainages, type of mesh, and BMI did not reveal any statistical significance. Neither was there a statistical significance when comparing the initial and subsequent groups.
Conclusions: Recurrence rates seem to improve with more experience with the Rives/Stoppa technique, but not with the remainder complications. However, we did not find statistical significance between the initial and subsequent experience for complications in general.


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