Citas bibligráficas
Larios, C., (2023). Eficacia de la colocación de la malla Sublay comparada con la Onlay en la recidiva de las hernias ventrales incisionales [Tesis, Universidad Privada Antenor Orrego]. https://hdl.handle.net/20.500.12759/10918
Larios, C., Eficacia de la colocación de la malla Sublay comparada con la Onlay en la recidiva de las hernias ventrales incisionales [Tesis]. PE: Universidad Privada Antenor Orrego; 2023. https://hdl.handle.net/20.500.12759/10918
@misc{renati/371928,
title = "Eficacia de la colocación de la malla Sublay comparada con la Onlay en la recidiva de las hernias ventrales incisionales",
author = "Larios Silva, Carlos Eduardo",
publisher = "Universidad Privada Antenor Orrego",
year = "2023"
}
To determine if the effectiveness of prevention of incisional ventral hernia recurrence is higher with the Sublay technique compared to the Onlay technique in patients of Luis Arias Schreiber Central Military Hospital during the period 2016-2019. Material and methods: A retrospective cohort of 252 patients older than 18 years was performed. Of them, 126 patients underwent a surgical intervention with mesh placement using Sublay technique, while other 126 patients underwent surgical intervention with mesh placement using Onlay technique. The relationship between the surgical technique of mesh placement and the incidence of incisional recurrent hernia was examined using the chi-square test. In addition, demographic, clinical, and surgical factors associated with the presence of incisional recurrent hernia were analyzed. Results: The population included in the study comprises about 67 % males, with a mean age of 50.4 years. A recurrence rate of 77.8% was observed in patients undergoing mesh placement by Sublay technique, whereas in those treated with Onlay technique it was 14.3% (RR 5.44; 95% CI (0.35 - 8.35). 43); p < 0.05). Most patients experienced recurrent hernias during the second and third year after surgery. In addition, a significant association between smoking and incisional recurrent hernia was found. Conclusions: The association between the Onlay technique of surgical mesh placement for incisional hernias and the decrease in hernia recurrence compared with the Sublay technique of surgical mesh placement was not statistically significant.
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