Introduction.

Immunosuppressed patients undergoing conventional abdominal surgery have a higher risk of developing incisional hernias postoperatively, and when they do occur, it is necessary to individualize the surgical procedure of choice, according to the anatomical, physiological and clinical characteristics of each patient. This study describes the demographic and clinical characteristics of immunosuppressed patients, who underwent abdominal wall reconstruction and their outcomes 30 days after the surgical procedure.

Methods.

Series of cases of patients with immunosuppression underwent abdominal wall reconstruction in a specialized center of fourth level of complexity. Patients older than 18 years, operated on from January 2016 to December 2019, were included.

Results.

A series of 18 patients is analyzed, five (27.7%) with some type of primary immunosuppression and 13 (72.2%) with some type of secondary immunosuppression. The average age was 56 years, 11 (61%) were women, the average weight of the participants was 73.3 kg. Complications were found in eight patients (44.4%). Two patients required management in the ICU, for a maximum of three days. None of the patients had hernia recurrence or mortality.

Discussion.

Reconstruction of the abdominal wall in immunosuppressed patients represents a challenge for any surgical team due to the special conditions of the patients and the variables associated with the procedure. The recurrence and complication rates in this study are similar to those described in the literature.

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