%0 Journal Article
%T Hernia incisional grande: Resultado del tratamiento quir¨²rgico con material prot¨¦sico
%A Juan Francisco Puerta Alvarez
%A Abel Blanco Mil¨¢
%A Miguel Pita Ojea
%A Jorge Reyes Cardero
%J Revista Cubana de Cirug¨ªa
%D 1996
%I Editorial Ciencias M¨¦dicas
%X Se realiz¨® un estudio observacional y prospectivo para evaluar el tratamiento quir¨²rgico de las grandes hernias incisionales, con material prot¨¦sico en 75 pacientes operados en el Hospital Militar Docente "Joaqu¨ªn Castillo Duany" de Santiago de Cuba, desde febrero de 1990 hasta julio de 1994. Se conformaron 2 grupos: de estudio con 50 pacientes (subdividido en 2 de 25 cada uno) y testigo con 25. En este ¨²ltimo la pared abdominal se cerr¨® por planos con sutura irreabsorbible y sin material prot¨¦sico, y al del estudio, en uno se practic¨® igual procedimiento pero utilizando malla de Mersilene y en el otro se sustituy¨® por duramadre hom¨®loga. Las hernias incisionales grandes fueron m¨¢s frecuentes en mujeres de 40 a 60 a os con incisiones primarias medias; la mayor¨ªa de ellas obesas y diab¨¦ticas. Se comprob¨® que no hubo rechazo a la duramadre hom¨®loga, grupo ¨¦ste que mostr¨® el menor ¨ªndice de recidivas y complicaciones, y con los mejores resultados a los 5 a os de seguimiento posoperatorio An observation and prospective study was carried out to assess the surgical treatment of the big incisional hernias with prosthetic material in 75 operated patients in the "Joaqu¨ªn Castillo Duany" Educational Military Hospital, at Santiago de Cuba, from February 1990 to July 1994. Two groups were formed: a study group with 50 patients, subdivided in two groups of 25 each, and a witness group with 25 patients. In this last group the abdominal wall was closed by planes with non reabsorbable suture and without prosthetic material, and in the study group, in one 25 patients subgroup the same procedure was carried out, but using Mersilene mesh, and in the other subgroup the mesh was substituted with homologous duramater. The big incisional hernias were more frequent in women from 40 to 60 years old with partial primary incision, mostly obese and diabetic. There was a confirmation of no reject to the homologous duramater. This group showed the smallets rate of relapses and complications, and had the best results at 5 years o postoperative follow up
%K HERNIA VENTRAL
%K MALLAS QUIRURGICAS
%K DURAMADRE
%K VENTRAL HERNIA
%K SURGICAL MESH
%K DURAMATER
%U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74931996000200010