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Journal of General Surgery

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Research Article

Review of Cases of Incisional Hernia in the Period from 2005 to 2018. A Case Reviews of Incisional Hernia in the 2005-2018 Period

Jorge Satorre Rocha, Pedro Rolando Lopez Rodriguez, Olga Caridad Leon Gonzaez, Eduardo Garcia castillo, Luis Manuel Danta Fundora, a. Lais Angelica Ceruto Ortiz

Correspondence Address :

Pedro Rolando Lopez Rodriguez
Specialist I and II Degree in General Surgery
Consultant Professor, Assistant Professor and Auxiliary Researcher General Teaching Hospital "Enrique Cabrera". Havana Cuba
Email: lopezp@infomed.sld.cu pedro.rolando.lopez42@gmail.com

Received on: May 08, 2019, Accepted on: May 22, 2019, Published on: May 28, 2019

Citation: Jorge Satorre Rocha, Pedro Rolando Lopez Rodriguez, Olga Caridad Leon Gonzalez, Eduardo Garcia castillo, Luis Manuel Danta Fundora, a. Lais Angelica Ceruto Ortiz (2019). Review of Cases of Incisional Hernia in the Period from 2005 to 2018. A Case Reviews of Incisional Hernia in the 2005-2018 Period

Copyright: 2019 Pedro Rolando Lopez Rodriguez et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

  • Abstract

Abstract
Introduction: Incisional hernia is a frequent complication of abdominal surgery. Its incidence varies between 2 and 15% of patients, and some authors indicate that it can reach 23% when it is related to an infection of the surgical wound.
Objective: To describe the characteristics of patients operated by incisional hernia in the General Teaching Hospital "Enrique Cabrera", between 2005 and 2018.
Methods: A retrospective descriptive observational study was carried out at the "Enrique Cabrera" General Teaching Hospital between 2005 and 2018. The total of the universe consisted of 424 patients with preoperative diagnosis of incisional hernia, operated between January 2005 and December 2018. incisional hernia, operated between January 2005 and December 2018. Demographic parameters, toxic habits, personal pathological history, previous surgeries, location of the anterior incision, surgical technique, use and location of prosthesis, antibiotic therapy and postoperative complications were analyzed.
Results: 85% of the patients were female, 40.6% were between 50 and 61 years of age, 58.3% had toxic habits, 66.0% of the hernias had infraumbilical location, and the highest incidence corresponded to hysterectomies and cesarean sections. The Stoppa technique was the most applied in hernioplasty and the Mayo technique in herniorrhaphy.
Conclusions: Obesity and diabetes were the most frequent diseases found in the study. The majority of the patients were smokers. The infraumbilical surgical incisions for abdominal hysterectomies were the most frequent location of the incisional hernias. Infection of the surgical wound was the complication found most frequently. Postoperative recurrence occurred in 3.7% of patients.

Keywords: Incisional hernia, Herniorrhaphy, Hernioplasty, Prosthesis