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Revista Colombiana de Cirugía

versión impresa ISSN 2011-7582versión On-line ISSN 2619-6107

Resumen

PADILLA, Cristina Judith et al. Multicenter analysis of ventral hernia repair in IV level institutions, 2015-2019. rev. colomb. cir. [online]. 2020, vol.35, n.1, pp.43-50. ISSN 2011-7582.  https://doi.org/10.30944/20117582.587.

Introduction:

Ventral hernia surgery involves a complex scenario, given the multiple variables that must be controlled to estimate the possible determinants of surgical success and the appearance of complications. According to the world literature, the incidence of ventral hernia is estimated between 10% and 15%, and the average complication rate of this surgery varies between 10% and 37%.

The objective of this study was to describe the experience and outcomes in ventral hernia surgery in two institutions of IV level, in the period from January 2015 to March 2019.

Methods:

This is an observational, descriptive and historical cohort study of patients undergoing correction of ventral hernia at Colsanitas Clinics in the last five years. The data were collected from the statistical record of the mentioned institutions.

Results:

A total of 612 patients were included in a five-year period, most of whom were female, overweight, and predominantly with medial combined defects; the overall complication rate was 20%, and the percentage of operative site infection, 9%. From the development of this infection, the component separation was found as a risk factor (p= 0.01; RR= 2.9; CI95% 1.32-6.5). In this study, recurrence was not analyzed as an outcome factor.

Conclusions:

There is little data in the national literature on the results of this type of surgical procedure, which is why we tried to provide the scientific community with the morbidity and mortality results in our population of patients operated for ventral hernia in the last five years.

Palabras clave : hernia, ventral; incisional hernia; abdominal wall reconstruction; surgical mesh; prostheses and implants; surgical wound infection.

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