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[Recidivation of bilateral longitudinal peritoneum-aponeurotic transposition on incisional hernioplasty]
Alcino Lázaro-da-Silva1, Rodrigo Garcia Vieira, Gustavo Coelho dos Anjos
1Departamento de Cirurgia, Universidade Federal de Minas Gerais, Belo Horizonte, MG.
Objectives:
To carry out a study of the recidivation rate of incisional hernioplasty by means of bilateral longitudinal peritoneum-aponeurotic transposition.
Method:
A retrospective study was carried out in patients from the University Hospital in Belo Horizonte, MG, Brazil and from a surgeon's private clinic who had undergone incisional hernioplasty by means of bilateral peritoneum-aponeurotic transposition. A total of 132 patients (80 from University Hospital and 52 from private clinic) were monitored over an average period of 4 years and 10 months. Most the patients were obese and all of them had disloged longitudinal hernias of medium and large volume. Three aspects must be stressed: the procedure for reaching the internal abdominal wall, the posterior aponeurotic incision and the threads used.
Results:
Recidivation occurred in 7.69% of the patients belonging to a group operated on by one surgeon and in 18.75% of patients operated on by a trainee surgeon.