Placement of bioprosthesis in potentially contaminated areas in emergency surgery

All patients undergoing emergency surgery due to hernia complications were studied. The universe and the sample consisted of two groups. The first group included all inguinal and femoral hernias and any combination of these. Inguinal hernias predominated in men older than 61 years. The most com...

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Main Authors: Eduardo Elías Díaz González, Oliver Martín García, Daniany Hernández González, Byron Centeno Pérez, Cesar Tozcano González, Yésica Paola Burgo
Format: Article
Language:Spanish
Published: Editorial Ciencias Médicas 2013-04-01
Series:Acta Médica del Centro
Subjects:
Online Access:http://www.revactamedicacentro.sld.cu/index.php/amc/article/view/69
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author Eduardo Elías Díaz González
Oliver Martín García
Daniany Hernández González
Byron Centeno Pérez
Cesar Tozcano González
Yésica Paola Burgo
author_facet Eduardo Elías Díaz González
Oliver Martín García
Daniany Hernández González
Byron Centeno Pérez
Cesar Tozcano González
Yésica Paola Burgo
author_sort Eduardo Elías Díaz González
collection DOAJ
description All patients undergoing emergency surgery due to hernia complications were studied. The universe and the sample consisted of two groups. The first group included all inguinal and femoral hernias and any combination of these. Inguinal hernias predominated in men older than 61 years. The most commonly used techniques were the Lichtenstein technique, in the prosthetic variants, and the Leo Zimmerman’s in the tension ones. Seroma was the most common complication of the above mentioned techniques and recurrence was higher in the tension ones – four cases, for a 4.5%. In the second group, all incisional and midline hernias were included (umbilical and epigastric). Most of the surgical interventions were umbilical hernias –69 patients– also in men older than 61 years. The technique described by Jean Rives was among the prosthetic variants, and the Mayo-Robson technique in the tension ones. Seroma was the most common complication in both techniques and recurrence was higher in the tension ones–five patients for 8.7%. The sample showed that the use of surgical mesh has not produced an increase in postoperative complications of septic origin but, on the contrary, there has been a considerable reduction of recurrence in emergency hernia surgery using bioprosthesis.
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spelling doaj.art-ac06d99fb87c4ca0a1e548102a38faf32022-12-22T04:33:55ZspaEditorial Ciencias MédicasActa Médica del Centro2709-79272013-04-0172232764Placement of bioprosthesis in potentially contaminated areas in emergency surgeryEduardo Elías Díaz González0Oliver Martín García1Daniany Hernández González2Byron Centeno Pérez3Cesar Tozcano González4Yésica Paola Burgo5Hospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa ClaraHospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa ClaraHospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa ClaraHospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa ClaraHospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa ClaraHospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa ClaraAll patients undergoing emergency surgery due to hernia complications were studied. The universe and the sample consisted of two groups. The first group included all inguinal and femoral hernias and any combination of these. Inguinal hernias predominated in men older than 61 years. The most commonly used techniques were the Lichtenstein technique, in the prosthetic variants, and the Leo Zimmerman’s in the tension ones. Seroma was the most common complication of the above mentioned techniques and recurrence was higher in the tension ones – four cases, for a 4.5%. In the second group, all incisional and midline hernias were included (umbilical and epigastric). Most of the surgical interventions were umbilical hernias –69 patients– also in men older than 61 years. The technique described by Jean Rives was among the prosthetic variants, and the Mayo-Robson technique in the tension ones. Seroma was the most common complication in both techniques and recurrence was higher in the tension ones–five patients for 8.7%. The sample showed that the use of surgical mesh has not produced an increase in postoperative complications of septic origin but, on the contrary, there has been a considerable reduction of recurrence in emergency hernia surgery using bioprosthesis.http://www.revactamedicacentro.sld.cu/index.php/amc/article/view/69bioprótesisherniaprocedimientos quirúrgicos operativos
spellingShingle Eduardo Elías Díaz González
Oliver Martín García
Daniany Hernández González
Byron Centeno Pérez
Cesar Tozcano González
Yésica Paola Burgo
Placement of bioprosthesis in potentially contaminated areas in emergency surgery
Acta Médica del Centro
bioprótesis
hernia
procedimientos quirúrgicos operativos
title Placement of bioprosthesis in potentially contaminated areas in emergency surgery
title_full Placement of bioprosthesis in potentially contaminated areas in emergency surgery
title_fullStr Placement of bioprosthesis in potentially contaminated areas in emergency surgery
title_full_unstemmed Placement of bioprosthesis in potentially contaminated areas in emergency surgery
title_short Placement of bioprosthesis in potentially contaminated areas in emergency surgery
title_sort placement of bioprosthesis in potentially contaminated areas in emergency surgery
topic bioprótesis
hernia
procedimientos quirúrgicos operativos
url http://www.revactamedicacentro.sld.cu/index.php/amc/article/view/69
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AT olivermartingarcia placementofbioprosthesisinpotentiallycontaminatedareasinemergencysurgery
AT danianyhernandezgonzalez placementofbioprosthesisinpotentiallycontaminatedareasinemergencysurgery
AT byroncentenoperez placementofbioprosthesisinpotentiallycontaminatedareasinemergencysurgery
AT cesartozcanogonzalez placementofbioprosthesisinpotentiallycontaminatedareasinemergencysurgery
AT yesicapaolaburgo placementofbioprosthesisinpotentiallycontaminatedareasinemergencysurgery