Prevalencia de rechazo de malla protésica de polipropileno en pacientes mayores de 18 años con hernioplastia de la pared abdominal del Hospital IESS Ceibos durante el periodo de 2018 a 2022.

Abstract

Abdominal hernias are a common condition where an organ or a part of it protrudes through the abdominal wall. The integrity of this wall, composed of muscles and connective tissues, is crucial for protecting organs and allowing proper function. Hernias occur when internal pressure surpasses the wall's resistance, resulting in a bulge at its weakest point. The aim of the study was to determine the prevalence of rejection of polypropylene prosthetic mesh in patients undergoing hernioplasty at IESS Ceibos Hospital between 2018 and 2022. The type of research was observational, descriptive, retrospective, and cross-sectional. Males predominated in the sample (59.5%), and the average age was 53.45 years. Inguinal hernias were the most common (45%), and a significant association between gender and hernia type was observed. Risk factors included obesity and infected surgical site. 97.3% of patients with mesh rejection received anti-inflammatory drugs, while 73% received antibiotics, and in 70.3% of cases, the mesh was extracted. Further investigation into differences in mesh rejection prevalence by hernia type is recommended, along with a better understanding of the relationship between risk factors and mesh rejection and exploring the long-term impact of mesh extraction on recovery. Additionally, ongoing research is suggested to enhance management strategies and outcomes for patients.