Influência de diferentes técnicas de reparo na recorrência de hérnias umbilicais: uma revisão sistemática / Influence of different repair techniques on the recurrence of umbilical hernias: a systematic review
DOI:
https://doi.org/10.34119/bjhrv5n4-096Keywords:
umbilical, hérnia, recurrence.Abstract
Introdução: Hérnia umbilical é uma protuberância anormal na região do umbigo devido a um defeito no fechamento da cicatriz umbilical ou por fatores adquiridos durante a vida. O tratamento cirúrgico da hérnia umbilical envolve uma vasta gama de opções existentes. Revisão da literatura: Os números relatados foram encontrados nos 30 artigos lidos nas plataformas PubMed, Medline e Lilacs dos últimos 6 anos. No total, 1785 pacientes foram submetidos ao reparo com malha, ocorrendo recidiva em 72 casos (4,03%). Já o reparo primário simples foi realizado em um total de 2739 pacientes analisados, sendo a recidiva presente em 196 casos (7,16%). O uso laparoscópico no reparo de hérnias umbilicais compreendeu um total de 337 cirurgias e 10 recorrências (2,97%). A prótese de duas camadas foi realizada em 1720 pacientes com 62 recorrências (3,6%). Discussão: A técnica mais indicada é o reparo com malha em controvérsia com o de sutura que apresentou maior número de recidivas, a posição da malha não apresentou diferença nesse quesito. Em cirróticos, a Button Hole se mostrou bastante eficaz. Conclusão: Portanto, o reparo com malha é a técnica mais recomendada e com baixo índice de recorrências.
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