ImpactU Versión 3.11.2 Última actualización: Interfaz de Usuario: 16/10/2025 Base de Datos: 29/08/2025 Hecho en Colombia
Caracterización de la experiencia de reconstrucción de pared abdominal en hernias incisionales complejas en institución de 4 nivel de Bogotá, Hospital Universitario Mayor – Méderi
Introduction: The management of ventral hernias has changed. Complex ventral hernias are the result of surgical procedures and closures for the second intention of the open abdomen, this generated the need to restore the anatomy of the abdominal wall by surgical groups specialized in centers of greater complexity. The aim of this project is to collect and characterize the experience of the wall group of the Mederi senior hospital of the last 4 years. Methods: A retrospective cross-sectional study of patients managed by the abdominal wall group, reconstructions made from 2014-2017 are included and only patients who were presented at the surgical board. Results: 82 procedures were performed, with an average age of 60 years, predominantly women. With an average body mass index of 28.32 kg / m2. The risk of infection was grade I (80.5%). The predominant gaps (W) were W2 (4-10 cm) and W3 (10cm), the vast majority of the defects were midline. Due to the characteristics of the defect, 13 were taken to preoperative pneumoperitoneum. The most common procedures were Ramirez and ART (Transversusabdominisrelease), the most common location of the mesh was retrorectal. Most frequent complications of the procedure were enterotomies with (9.8%). No bladder or epigastric lesions were documented. The re-intervention rate is 9.8% and recurrence of 7.3%. The morbidities are related to ClavienDindo II and IIIb. Mortality of 1 patient was presented. The most frequent postoperative complication was Operative site infection in 22% of patients, mostly grade I and II. Conclusion: The abdominal wall has been an area of knowledge of recent boom. We consider the knowledge in abdominal wall as dynamic and complex reason why a specialized group in abdominal wall is required in the centers of greater complexity. It will be the follow-up of these patients in the long term (5 years) that determines the true recurrence of our patients and proposes new management strategies for the future. It will also be important to evaluate the quality of life of these patients.
