Complicaciones postquirúrgicas de herniorrafias inguinales en pacientes de 30 a 65 años del HAGP desde el 2011 - 2016.

Abstract

Introduction: A hernia is considered to be a defect of the abdominal wall, which can occur from birth or develop later. Within the hernias of the abdominal wall, inguinal hernias, which are currently converted, due to their incidence rate, are a health problem that should be taken into consideration. Currently, herniorrhaphy is considered as one of the most frequent surgical procedures in the general surgery service and there are several techniques available for this procedure, such as Lichtenstein and Bassini. This study aims to determine the complications that occur after a hernia repair, and the frequency they have in relation to the type of technique used, in addition to other variables proposed in our study. Objective: To determine the frequency of postoperative complications of inguinal herniorrhaphy. Materials and methods: An observational, descriptive, cross - sectional prevalence study was carried out, which included the collection of cases that occurred during the period 2011 - 2016 at the Abel Gilbert Pontón Hospital in the city of Guayaquil. Results: Our sample was 295 patients, whose mean age was 51-54 years, 43 women (14.57%) and 252 men (85.43%), in terms of the location of the hernia, 156 (52 , 9%) were right, 130 (44.1) were left and 9 (3.1) were bilateral. Of the total number of patients who underwent surgery, 253 (85.3%) did not present any postoperative complications, while 43 (14.2%) presented complications of different types. The most frequent complication in both men and women was surgical wound infection, 10 men (30%) and 5 women (56%), followed by other complications in a smaller proportion. The most common pathology associated with complications was hypertension, present in 8 patients (19.04%), followed by DM 2 present in 4 patients (9.52%). Regarding the choice of surgical technique, the proportion of complications was 14.95% with Bassini and 9,5% with Lichtenstein Conclusion: The prevalence of complications in our study was 14.2%. Although the number of male and female patients in the sample could not be compared, the greater frequency of inguinal hernias occurred in me. The complications we saw most frequently were surgical wound infections, in both men and women, followed by the seroma. And the least frequent were orchitis in males and hematoma in females. As for the associated pathologies, the most influential in our study were hypertension and DM2.