The intraabdominal pressure A real indicator of the tension free principle during anterior wall repair procedure after incisional XXXX .

@entity1 @entity1353 @entity282 @entity547
AIM: Incisional @entity547 represent a late onset complication of any type of laparotomy, with a relatively high incidence, and reported in 2% to 11% of all laparotomies. MATERIAL AND METHODS: We performed a prospective longitudinal study that included a total number of 102 @entity1 . The following parameters were monitored: @entity1 history clinical findings, time of hospitalization, laboratory test results, types of surgery. Intra-abdominal pressure variations were measured using a specialized kit. RESULTS: Obesity was present in 69 of the @entity1 (67.64%). Mesh plasty was most frequently used (80.39%). The inset of the mesh was performed in onlay position (40.19%), retromuscular (29.98%) or complete defect substitution (11.76%). The correlation between the type of abdominal wall plasty, variations on the Borg @entity1353 scal and likewise the correlation between the VAS (visual analogue scale) pain scale and the abdominal wall plasty procedures proved to be highly statistically significant: p< 0.001. Furthermore, the intra-abdominal pressure varied with the type of abdominoplasty carried out, reviewing the tension free principle. The most important parameter was the intra-abdominal pressure recorded at the end of the abdominoplasty, which showed significant correlations with the tension free plasties (retromuscular mesh and substitution mesh). CONCLUSIONS: The tension free methods, reflected by the intra-abdominal pressure variation, were associated with a lower degree of @entity1353 , @entity282 and less hospitalization time. KEY WORDS: Borg scale, Incisional @entity547 , Intra-abdominal pressure, Onlay, Visual analogue scale.
