Comparative analysis of 2 surgical techniques in the treatment of subxiphoid incisional hernia. Observational study
| Autor: | Santiago Bonafé, José Bueno-Lledo, Jesús Martínez-Hoed, Miriam Menéndez, Salvador Pous-Serrano, David Abelló, Hanna Cholewa, Lourdes Avelino |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
business.industry Incisional hernia medicine.medical_treatment General Engineering Retrospective cohort study Surgical Mesh Hernia repair medicine.disease Hernia Ventral Surgery Hernia recurrence medicine.anatomical_structure medicine Humans Incisional Hernia Complication rate Observational study Aponeurosis Adjusted double mesh technique Eventración M1 Eventroplastia preperitoneal Hernia incisional subxifoidea M1 incisional hernia Preperitoneal hernia repair Subxiphoid incisional hernia Técnica de la doble malla ajustada Neoplasm Recurrence Local business Retrospective Studies |
| Zdroj: | CIRUGIA ESPANOLA r-IIS La Fe. Repositorio Institucional de Producción Científica del Instituto de Investigación Sanitaria La Fe instname |
| ISSN: | 2173-5077 0009-739X |
| Popis: | Introduction The surgical procedure to repair a subxiphoid incisional hernia is a complex technique due to the anatomical area that it appears. The objective of our study is the analysis of the results obtained with the different surgical techniques performed in our center for 9 years, especially postoperative complications and the recurrence rate. Methods It is an observational, retrospective study from January 2011 to January 2019 of patients operated of subxiphoid incisional hernia in our Unit. We analysed the comorbidities, surgical techniques (preperitoneal hernia repair or TP, and adjusted double mesh technique) and postoperative variable, especially the hernia recurrence. The postoperative complications were summarized flowing the Clavien-Dindo classification. Results 42 patients were operated: 22 (52,4%) TP and 20 (47,6%) adjusted double mesh technique. All the complications registered were minor (grade I) and it appeared mostly in TP group (P = .053). The average follow up was 25.8 ± 15.1 months; there were no statistically significant differences in hernia recurrence comparing two treatment groups (P = .288). Conclusions According to our results, TP is the ideal technique to repair a subxiphoid incisional hernia. Adjusted double mesh technique may represent an effective approach with a low complication rate, although globally analyzing the recurrence rate, aponeurosis closure over the preperitoneal mesh entails less impact on it. |
| Databáze: | OpenAIRE |
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