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Revista Colombiana de Cirugía

Print version ISSN 2011-7582On-line version ISSN 2619-6107

Abstract

TORRES-RESTREPO, Juan Manuel et al. Experience of the treatment of incisional hernia in a third level hospital in Colombia. rev. colomb. cir. [online]. 2023, vol.38, n.3, pp.483-491.  Epub Mar 22, 2023. ISSN 2011-7582.  https://doi.org/10.30944/20117582.2280.

Introduction.

Hernias management has become a common surgical problem, with an estimated increase in the coming years. The objective of this study was to describe the clinical course, aspects of surgical treatment and factors associated with the presence of complications in patients operated on for incisional hernia.

Methods.

Descriptive study, in which the characteristics of a cohort of patients taken to surgical correction of incisional hernia at the Hospital Universitario Hernando Moncaleano Perdomo, a high complexity medical center located in Neiva, Colombia, between 2012 and 2019 were analyzed, whose data were collected in Microsoft Excel® software and analyzed in SPSSTM, version 21.

Results.

One-hundred-thirty-three incisional hernia corrections were performed. The mean age at the intervention was 52 years ± 14.6. The most frequent comorbidities were weight disorders, hypertension and diabetes. Only one laparoscopy was performed, the first etiology of the hernia was traumatic (61.7%) and midline (84.2%). The frequency of complications was greater than 50%, mostly minors. An association with obesity was found for the presence of seroma. Mortality was 2.3%.

Conclusion.

Incisional hernia is a public health problem. We consider that obesity and the use of mesh are a risk factor associated with the presentation of postoperative complications as well as the increase in costs related to days of hospitalization.

Keywords : abdominal wall; abdominal hernia; ventral hernia; incisional hernia; postoperative complications; reoperation.

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