title: [Hernia recurrence long term follow-up after open procedures of abdominal wall plasty-prospective study including 142 patients].
abstract: BACKGROUND
  The incisional hernia continues to be a frequent complication of laparotomies. The purpose of study is the analysis of hernia disease relapse after one year after different open plasties methods of the abdominal wall.
  
  
  METHODS
  A prospective longitudinal study was performed that included 142 patients. An analysis was performed on the individual data, the level of obesity, intra-surgical variations in intra-abdominal pressure, the intensity of post-surgical pain, the post-surgical complications, and the types of plasties of abdominal wall, simple and with polypropylene mesh.
  
  
  RESULTS
  The analysis of studied group showed a general rate of relapse of 16.9%, and within the 4 procedures, 40.74% in the case of simple plasties, of 16.07% after the only plasties, 6.97% after the retro-muscular plasties, and 6.25% after the full substitution of parietal defect. On analysing the collected, hernia relapse was statistically significantly related to the level of obesity, variations in intra-abdominal pressure, post-surgical pain, and the type of procedure performed.
  
  
  CONCLUSIONS
  Hernia is a frequent complication of laparotomies. Hernia relapse was more frequent in the case of simple plasties. Among the mesh procedures, the onlay plasty showed a higher rate of relapse and post-surgical complications. Hernia relapse was more frequent in the case of variations of intra-abdominal pressure, and with increased post-surgical pain. The use of an echography examination may increase the accuracy of the presence of hernia disease.
authors.affiliation: Clínica Cirugía 2, Universidad de Medicina y Farmacia, Tirgu Mures, Rumanía.
authors.forename: Mircea
authors.initials: M
authors.lastname: Mureşan
authors.affiliation: Disciplina Fisiología, Universidad de Medicina y Farmacia, Tirgu Mures, Rumanía. Electronic address: dr_muremir@yahoo.com.
authors.forename: Simona
authors.initials: S
authors.lastname: Mureşan
authors.affiliation: Clínica Cirugía 2, Universidad de Medicina y Farmacia, Tirgu Mures, Rumanía.
authors.forename: Tivadar
authors.initials: T
authors.lastname: Bara
authors.affiliation: Clínica Cirugía 2, Universidad de Medicina y Farmacia, Tirgu Mures, Rumanía.
authors.forename: Radu
authors.initials: R
authors.lastname: Neagoe
authors.affiliation: Clínica Cirugía 2, Universidad de Medicina y Farmacia, Tirgu Mures, Rumanía.
authors.forename: Daniela
authors.initials: D
authors.lastname: Sala
authors.affiliation: Clínica Cirugía 1, Universidad de Medicina y Farmacia, Tirgu Mures, Rumanía.
authors.forename: Bogdan
authors.initials: B
authors.lastname: Suciu
mesh_terms: D058107:Abdominal Wound Closure Techniques; D061645:Abdominoplasty; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D000069290:Incisional Hernia / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000453:epidemiology; D011183:Postoperative Complications / Q000453:epidemiology; D011312:Pressure; D011446:Prospective Studies; D012008:Recurrence; D013526:Surgical Mesh
keywords: Hernia incisional; Incisional hernia; Intra-abdominal pressure; Onlay; Plastia retromuscular; Presión intraabdominal; Recurrencia de la hernia; Recurrent hernia; Retromuscular plasty