Article information
Abstract
There are different designs of prosthesis for use in the repair of incisional hernia, and it is often difficult to choose the most appropriate. The biological behaviour of the material must be a key part in the selection, although this behaviour will vary depending on what materials are available. A proper understanding of the relationship of the material with the abdominal wall dynamics is another important factor in this selection. Finally we need a stable repair without long term side effects. This paper analyses the prostheses more commonly available for incisional hernia surgery in the non-emergency situation.
Keywords:
Incisional hernia
Prosthesis
Abdominal wall
Elective surgery
Resumen
Diferentes y numerosas prótesis han sido diseñadas para facilitar la reparación de las eventraciones y es de esperar que se diseñen más en el futuro. En este contexto es difícil escoger la más adecuada. El comportamiento biológico del material debe ser una parte fundamental en la selección, aunque este comportamiento variará en función de las características de las diferentes prótesis de que se dispone. Un adecuado conocimiento de la relación del material con la dinámica de la pared abdominal es otro elemento importante a la hora de seleccionar. Finalmente, se ha de tener una idea de lo que se puede esperar de las prótesis para una reparación estable y sin efectos secundarios a largo plazo. En este trabajo se analiza el panorama protésico más comúnmente disponible para la cirugía de las eventraciones en situación no urgente.
Palabras clave:
Eventración
Prótesis
Pared abdominal
Cirugía electiva
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