%0 Journal Article
%T Tratamiento quir迆rgico de una hernia inguinal gigante reproducida despu谷s de una plastia de Lichtenstein. Presentaci車n de un caso Surgical treatment of a giant inguinal hernia, reproduced after a Lichtenstein hernioplasty. Presentation of a case
%A Pedro Antonio Casanova P谷rez
%J Revista Mˋˋdica Electrˋ3nica
%D 2013
%I Centro Provincial de Informaci車n de Ciencias M谷dicas. Matanzas
%X La hernia inguinal es la enfermedad quir迆rgica m芍s tratada de forma electiva en muchos centros de salud, la complejidad de su tratamiento var赤a en dependencia de varios factores, dentro de estos el tama o de la hernia y la anatom赤a local deformada son de los m芍s influyentes. El uso de las pr車tesis simplific車 su tratamiento, pero se deben cumplir principios quir迆rgicos establecidos pues la recurrencia luego de la colocaci車n de una pr車tesis distorsiona aun m芍s la anatom赤a. Se presenta el caso de un paciente masculino de 78 a os de edad, de raza blanca, intervenido de urgencia por hernia inguinal primaria atascada, donde se le realiz車 una plastia tipo Lichtenstein. Dos a os despu谷s acude a consulta portando una hernia inguinal reproducida que rebasa el tercio distal del muslo, se prepara para la operaci車n y se le realiza una plastia por v赤a posterior tipo Stoppa, la evoluci車n postoperatoria fue favorable y a los seis a os de operado se encuentra libre de la enfermedad. The inguinal hernia is the surgical disease most treated in an elective way in many health care institutions. Its treatment difficulty changes in dependence on several factors; the hernia size and the deformed local anatomy are the most important of them. The usage of prosthesis simplified its treatment, but there are established surgical principles that have to be fulfilled, because the recurrence after placing prosthesis distorts the anatomy even more. We present the case of a white male patient aged 78 years old, surgically treated in emergency by an obstructed primary inguinal hernia. It was used the Lichtenstein technique. Two years later he assisted to the consultation presenting a reproduced inguinal hernia exceeding the distal third of the thigh. He was prepared for the surgery and was operated by the posterior port using the Stoppa type surgery. The post surgery evolution was favorable, and after six year of the surgery he is free of the disease.
%K hernia inguinal
%K atascada
%K t谷cnica quir迆rgica
%K pr車tesis
%K plastia tipo Lichtenstein
%K inguinal hernia
%K obstructed hernia
%K surgical technique
%K prosthesis
%K reproduced Lichtenstein hernioplasty
%U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1684-18242013000200010