Espinosa-de-los-Monteros A, Avendaño-Peza H, Gómez-Arcive Z, Arista-de la Torre L

Language: Spanish
References: 9
Page: 6-12
PDF size: 359.76 Kb.

ABSTRACT

Large and lateral incisional hernias in patients without comorbidities and without contamination at the time of repair are considered Ventral Hernia Working Group grade 1 complex hernias. The purpose of this study is to evaluate post-surgery morbidity and recurrence rates in patients with grade 1 complex hernias treated with the components separation and reinforcement technique. A total of 11 patients were treated during a period of five years, with the components separation technique. In seven patients reinforcement was performed with a synthetic mesh, while four patients underwent reinforcement with rectus muscle plication. Differences between groups were analyzed with either Fisher’s exact test or Mann-Whitney’s U depending on the type of variable studied. Postoperative morbidity was 18% and 1-year recurrence-free survival was 91%. The only patient with recurrence had a rectus muscle plication as a reinforcement method. There was a trend towards fewer postoperative complications in patients undergoing perforator-preserving components separation. We conclude that complex clean incisional hernias in patients without comorbidities tend to be less morbid if the perforator-preserving technique is used, and recurrence is lower if synthetic mesh is added to muscle closure.

REFERENCES

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