Revista chilena de cirugía
versión On-line ISSN 0718-4026
BELTRAN S, MARCELO A et al. SurgicaI technique and short-term outcomes of open intraperitoneal incisional herniopIasty. Rev Chil Cir [online]. 2012, vol.64, n.4, pp. 352-360. ISSN 0718-4026. http://dx.doi.org/10.4067/S0718-40262012000400005.
Introduction: Areview of current literature failed to find any detailed description on the surgical technique of open intraperitoneal mesh hernia repair. The aim of the present study was to describe the open surgical technique used at our institution to repair incisional hernias with intraperitoneal composite prosthesis, and the short-term outcomes including recurrence, complications and patient satisfaction with the procedure. Patients and Methods: A transversal, observational and descriptive report on open intraperitoneal herniopIasty was designed. Short-term outcomes were assessed at a transversal cut out point at a 12-month interview during the follow-up. The interview included a physical exam and a specific questionnaire inquiring over the patient's satisfaction with the procedure. Results: According to the inguinal ring location, most hernias originated between the xiphoid appendix and the umbilicus (64%). Mean surgical time was 2.6 hours. One or more complications presented in 11 patients (19%). One year after surgery there was not any recurrence. According to the patient' satisfaction questionnaire final score, 17 patients (29%) reported an excellent satisfaction with the procedure, 33 patients (57%) reported a very good satisfaction and 8 patients (14%) a good satisfaction. Conclusions: Intraperitoneal herniopIasty constitutes a secure option to repair incisional hernias. At short-term follow-up there were no recurrences.
Palabras llave : Incisional hernia; intraperitoneal herniopIasty; composite mesh.