Hernia incisional: técnicas y resultados / Incisional hernia: techniques and results

RESUMO

Incisional hernia continues to be an important post-operative complication since it is a significant source of morbility and unfitness for work.The aim of the present paper is to analyse different surgical techniques used in repairing IH, complications and recurrence as well predisposing factors in theiroccurrence.A retrospective analysis was made of 300 case histories of patients who had undergone surgical repair of IH in the Surgery Department of the Hospital San Juan de Dios between December 1999 and May 2002.The most frequently used surgical procedures nowadays were analysed (anatomical repair by sheets; repair with pre-aponeurotic mesh and repair with retromuscular preperitoneal mesh).The incidence of this pathology is between 2 per cent and 15 per cent. The uses of prosthetic meshes and tensionlessrepair techniques have helped to lower recurrences considerably.