Resumen

AGUERO, Oscar. Eventraciones poscesárea. Rev Obstet Ginecol Venez [online]. 2005, vol.65, n.3, pp.119-122. ISSN 0048-7732.

Objective: To determine the frequency of ventral hernia after cesarean section. Method: Retrospective study of 752 women submitted to 1069 cesarean section between 1946 and 1999 (1046 which were performed by the author -97.84%-). The following data were registered: number of gestation, type of skin and fascial incisions, number of cesarean in each woman, wound complications and eventration characteristics. Setting: Private Hospitals Instituto Simón Rodríguez, Policlínica Caracas and Centro Médico, Caracas. Results: 14 incisional hernias were diagnosed, (1.86% in 752 women, 1.33% in 1069 cesarean sections) in lapses from 6 days to 10 years. Gestations numbers were comprised between one and five. Frecuency of eventrations increased, highly significantly, with the number of previous cesarean operations, from 0.36% after the first one to 6.25% in the sixth. There was one (1.07%) eventration in 93 skin-fascia transverse incision and 13 (1.33%) in 976 vertical approach, without statistical significance. Conclusion: In the present serie, apparently, the more important factor in the production of ventral hernia after cesarean section is the repetition of the operation.

Palabras clave : Eventration; Cesarean section.