[Experience with Clotteau-Prémont's technique in abdominal wall hernias. Preliminary report].
BACKGROUND
Incisional hernias account for at least a third of abdominal wall hernias. There are different techniques of repair that include the use of prosthetic materials, which has lowered the hernia recurrence rate. Nonetheless, its use in case of rejection or infection requires other techniques with local tissue. The use of prosthetic material in a contaminated environment is contraindicated because the risk of infection and recurrence rate is unacceptably high.


METHODS
In order to compare two repair techniques for abdominal wall hernias in terms of complications and recurrence to be used as an alternative for hernia repair in patients with abdominal wall hernias, we conducted, between January 2000 and January 2004, an observational, longitudinal, retrospective, non-randomized matched control case study in patients with abdominal wall hernia. A total of 30 patients were studied and were divided into two groups of 15 patients each. Subjects were matched for sex, age and hernia type (group A, mesh treated and group B, Clotteau-Prémont treated) who had at least a 5-month postoperative follow-up. Complication and recurrence rate was assessed and compared.


RESULTS
There were no differences between the two groups in complications or recurrence (p <0.05). The average follow-up time was 18.9 +/- 8 months for group A and 15 +/- 7.9 months for group B.


CONCLUSIONS
Clotteau-Prémont's technique is a safe and feasible alternative procedure with indications in selected patients.
Soto-Dávalos
Baltazar Alberto
BA
Servicio de Cirugía General, Hospital Central Sur de Alta Especialidad, PEMEX Picacho, México. drbaltazarsoto@yahoo.com.mx
Del Pozzo-Magaña
José Antonio
JA
Luna-Martínez
Javier
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016022:Case-Control Studies; D002648:Child; D000075202:Contraindications; D004322:Drainage; D005260:Female; D005500:Follow-Up Studies; D005549:Foreign-Body Reaction / Q000209:etiology; D046449:Hernia, Abdominal / Q000601:surgery*; D006555:Hernia, Ventral / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D019919:Prosthesis Implantation / Q000009:adverse effects / Q000379:methods; D012189:Retrospective Studies; D018805:Sepsis / Q000150:complications; D013524:Surgical Flaps; D013526:Surgical Mesh; D013529:Surgical Wound Dehiscence / Q000601:surgery; D013536:Suture Techniques