2019, Number 2
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ABSTRACTIntroduction: The double mesh technique is a great surgical resource for patients with large hernia defects. The objective of this study is to show our experience in the management of recurrent hernia defects larger than 10 cm in the elderly. Material and methods: A retrospective, descriptive study from March 2014 to March 2018 was conducted in patients ranging from 65 to 83 years old with recurrent hernia defects larger than 10 cm or multiple defects with previews failure of other attempts, operated with the double mesh surgical technique associated to anterior component separation in which the following variables were analyzed; Age, gender, defect size, comorbidities, surgical site occurrences, hospital stay, and recurrence. Results: Eight patients were selected, five females and three males ranging from 65 to 83 years old. The most common comorbidities associated were in the order of appearance Obesity (BMI › 30) in 80% of the cases, high blood pressure 62%, diabetes 50%, heart conditions 37.5%, chronic obstructive pulmonary disease 25% and ascites 12%. The most common complications found where seroma in four patients (50%), postoperative pain one patient (12.5%), and superficial surgical site infection in one patient (12.5%), pneumonia one patient (12.5%). The average hospital stay was two to four days and no recurrence has been documented to this date. Conclusions: Hernia repair with double mesh technique is a reproducible and effective therapeutic resource for patients with large recurrent hernia defects in patients with comorbidities susceptible to hernia recurrence.
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