Prevalencia de hernia incisional y sus factores de riesgo, Hospital Homero Castanier Crespo. Azogues 2014-2015

Abstract

Background: the incisional hernias are a defect of the abdominal wall, produced by the failure of the reconstruction of the wall in a previous surgery, being indeterminate its prevalence in Homero Castanier Crespo Hospital in the city of Azogues. General Objective: to determine the prevalence of incisional hernia and identify risk factors in patients with a diagnosis of incisional hernia in Homero Castanier Crespo Hospital, Azogues January 2014 – December 2015. Materials and Methods: quantitative, descriptive study, information was collected through forms with data obtained from the medical records of patients with a diagnosis of incisional hernias admitted in the area of surgery. Data were tabulated using SPSS software V15, to be analyzed, to present the results were used frequencies and percentages, for the statistical association Chi square of Pearson and p value for statistical significance. Results: the prevalence of incisional hernia in the Homero Castanier Crespo Hospital was 26.4%; the most affected groups were: elders 40.8%; Women 73.2%; Residents in the urban area 69%, sedentary patients 18.3%; with alcohol consumption 2.8% and diabetes 8.5%. In 31% of the cases, patients had recurrent hernias. In 36.6% of the cases, the hernia was supra umbilical and polyglactin 910 (Vicryl) was the most used suture. Conclusions: the incisional hernia is a pathology that can show up in any patient, however, the control of the modifiable risk factors is a good strategy, which, together with the surgeon's technical abilities, can effectively reduce its presentation