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 thispathology Thesurgicaltechniqueinvolvesthe use ornot prostheticmesh, depending onthesurgeon, however, anothercommonproblemistherecurrence the after a plasty, due multiplefactorsthatwerestudied thisresearch, beingnecessary haveknownthefollow-up thesepatients theirpostoperativeperiod and whatcommoncharacteristicstheypresentedthatconditionedthepatients presentthesepostoperativecomplications evensurgicalreoperations. Itiswidelydemonstratedthattherecurrence incisional plastyis conditionthat can be prevented, knowingtheconditioningriskfactors. Itisimperative knowtheway whichpatientshavebeenapproached, theirfollow-up theirtherapy, determine whichriskfactorswererelevantaccording thepathology studied thusproposeanalternativesolution, thusreducingmorbidity mortality. In ourpatients, thesurgicalreoperationsthatnotonlyaffectthequality life thepatientsbutalsothegreaterconsumption material economicresources theInstitution. Objective: themostfrequentriskfactorsassociatedwithrecurrence patientswith history plasty at Naval Medical Center. Material And Methods: 48 electronic records abdominal wall plastywereanalyzed. Descriptive inferentialanalysiswascarriedout order associateriskfactorswithrecurrence hernia. Results: No statisticallysignificantresultswerefoundfortheassociation obesity, surgicalsiteinfection smoking withrecurrence However, oursampleobesitywaspresent 54% thepatients 25% overweight. Conclusions: Center, therate patientswithincisional plastyislimited, overweight andobesityis characteristicthatourpopulationpresents common thatclearly determines multiplecomplications, such as recurrence this case, requiring narrowapproach thiscondition.