Valoració de l'eficàcia d'una malla protèsica en la prevenció d'hèrnia incisional en pacients que precisen una laparotomia
Objective: to evaluate the prevention of incisional hernia during the postoperative period of a midline laparotomy during elective surgery. Material and methods: a controlled, prospective, randomized and blind study was carried out. The patients in group A (mesh) were fitted with a polypropylene mes...
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| Tipo de recurso: | tesis doctoral |
| Estado: | Versión publicada |
| Fecha de publicación: | 2013 |
| País: | España |
| Institución: | Universitat Rovira i virgili (URV) |
| Repositorio: | Repositori Institucional de la Universitat Rovira i Virgili |
| OAI Identifier: | oai:urv.cat:TDX:1193 |
| Acceso en línea: | https://hdl.handle.net/20.500.11797/TDX1193 http://hdl.handle.net/10803/111167 |
| Access Level: | acceso abierto |
| Palabra clave: | 617 - Cirurgia. Ortopèdia. Oftalmologia |
| Sumario: | Objective: to evaluate the prevention of incisional hernia during the postoperative period of a midline laparotomy during elective surgery. Material and methods: a controlled, prospective, randomized and blind study was carried out. The patients in group A (mesh) were fitted with a polypropylene mesh, to reinforce the standard abdominal wall closure. The patients in group B (non- mesh) were given a standard abdominal wall closure and were not fitted with the mesh. Results: In group A 2/80 incisional hernias were diagnosed, whereas in group B the number was 30/80. The Kaplan-Meier survival curves show that the likelihood of incisional hernia at 12 months is 1.5% in group A compared to 35.9% in group B (p<0.0001), which means that the differences are statistically significant. The risk factotrs for incisional hernia are age>75 years old, BMI>30 and albumine <3g/dL. Conclusion: fitting a prophylactic supra-aponeurotic mesh prevents incisional hernia independently of other factors. |
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