FACTORES DE RIESGO ASOCIADOS A RECIDIVA EN PACIENTES CON ANTECEDENTE DE PLASTIA DE HERNIA INCISIONAL EN CENTRO MEDICO NAVAL

Incisional hernia repairisone of themostfrequentsurgicalprocedures in General Surgerydue to thehighprevalence of thispathology Thesurgicaltechniqueinvolvesthe use ornot of prostheticmesh, depending onthesurgeon, however, anothercommonproblemistherecurrence of the hernia after a plasty, due to multiplefactorsthatwerestudied in thisresearch, beingnecessary to haveknownthefollow-up of thesepatients in theirpostoperativeperiod and whatcommoncharacteristicstheypresentedthatconditionedthepatients to presentthesepostoperativecomplications and evensurgicalreoperations. Itiswidelydemonstratedthattherecurrence of incisional hernia plastyis a conditionthat can be prevented, knowingtheconditioningriskfactors. Itisimperative to knowtheway in whichpatientshavebeenapproached, theirfollow-up and theirtherapy, determine whichriskfactorswererelevantaccording to thepathology to be studied and thusproposeanalternativesolution, thusreducingmorbidity and mortality. In ourpatients, thesurgicalreoperationsthatnotonlyaffectthequality of life of thepatientsbutalsothegreaterconsumption of material and economicresources in theInstitution.

Objective: to determine themostfrequentriskfactorsassociatedwithrecurrence in patientswith a history of incisional hernia plasty at the Naval Medical Center.

Material And Methods: 48 electronic records of patientswith a history of abdominal wall hernia plastywereanalyzed. Descriptive and inferentialanalysiswascarriedout in order to associateriskfactorswithrecurrence of incisional hernia.

Results: No statisticallysignificantresultswerefoundfortheassociation of obesity, surgicalsiteinfection and smoking withrecurrence of incisional hernia. However, in oursampleobesitywaspresent in 54% of thepatients and 25% overweight.

Conclusions: In Naval Medical Center, therate of patientswithincisional hernia plastyislimited, however, overweight andobesityis a characteristicthatourpopulationpresents in common and thatclearly determines multiplecomplications, such as recurrence in this case, requiring a narrowapproach to thiscondition.