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Type: Artigo de periódico
Title: Surgical Treatment Of Subcostal Incisional Hernia With Polypropylene Mesh - Analysis Of Late Results [tratamento Cirúrgico Da Hérnia Incisional Subcostal Com Tela De Polipropileno - Análise De Resultados Tardios]
Author: Peres M.A.O.
Aguiar H.R.
Andreollo N.A.
Abstract: Objective: To evaluate the results of subcostal incisional hernia repair using polypropylene mesh, the technical aspects of musculo-aponeurotic reconstruction, routine fixation of supra-aponeurotic mesh and follow-up for five years. Methods: We conducted a retrospective study that assessed 24 patients undergoing subcostal incisional hernia repair with use of polypropylene mesh; 15 patients (62.5%) were female; ages ranged from 33 to 82, and 79.1% had comorbidities. Results: Early complications: three cases (12.5%) of wound infection, three cases (12.5%) of seroma, one case (4.1%) of hematoma; and one case (4.1%) of wound dehiscence. Late complications occurred in one case (4.1%) of hernia recurrence attributed to technical failure in the fixation of the mesh and in one case (4.1%) of chronic pain. There were no cases of exposure or rejection of the mesh. Conclusion: The subcostal incisional hernia, though not very relevant, requires adequate surgical treatment. Its surgical correction involves rebuilding the muscle-aponeurotic defect, supra-aponeurotic fixation of polypropylene mesh, with less complexity and lower rates of complications and recurrences.
Editor: Colegio Brasileiro de Cirurgioes
Rights: aberto
Identifier DOI: 10.1590/S0100-69912014000200002
Date Issue: 2014
Appears in Collections:Unicamp - Artigos e Outros Documentos

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