[Recidivation of bilateral longitudinal peritoneum-aponeurotic transposition on incisional hernioplasty].
OBJECTIVE
To carry out a study of the recidivation rate of incisional hernioplasty by means of bilateral longitudinal peritoneum-aponeurotic transposition.


METHODS
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.
Lázaro-da-Silva
Alcino
A
Departamento de Cirurgia, Universidade Federal de Minas Gerais, Belo Horizonte, MG.
Vieira
Rodrigo Garcia
RG
Anjos
Gustavo Coelho dos
GC
D000009:Abdominal Muscles / Q000601:surgery; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006555:Hernia, Ventral / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications; D010537:Peritoneum / Q000601:surgery; D012008:Recurrence; D012189:Retrospective Studies; D013710:Tendons / Q000601:surgery