Inguinal hernioplasty with the Prolene Hernia System

被引:22
作者
Mayagoitia J.C. [1 ,2 ]
机构
[1] Ctro. Espec. en Tratamiento Hernias, Hospital Medica Campestre, Leon Gto.
[2] 37160 Leon Gto.
关键词
Hernioplasty; Inguinal hernia; Lichtenstein; Mesh; Prolene Hernia System;
D O I
10.1007/s10029-003-0180-7
中图分类号
学科分类号
摘要
Most tension-free hernia repair techniques achieve 0.1%-0.4% recurrence rates in patients with primary hernias. Currently, the Lichtenstein technique is considered to be the criterion standard. The Prolene Hernia System (PHS) is a recently introduced hernia-repair device that combines three proven mechanisms of action. We retrospectively reviewed early and late complications in 250 patients who underwent inguinal hernioplasties - 125 performed with the Lichtenstein technique and 125 performed with the PHS - from March 1998-October 2002. Patients who underwent Lichtenstein hernia repair had nine complications, and those who underwent PHS surgery had only two; none of the complications were serious. Older male patients who underwent Lichtenstein hernia repair were more likely to have complications (P = 0.04). One patient in the Lichtenstein group had a recurrence of his hernia, but there were no recurrences in the PHS group. In conclusion, the results of inguinal hernioplasties performed with the PHS are comparable to those achieved with Lichtenstein hernia repair, the criterion standard technique. © Springer-Verlag 2003.
引用
收藏
页码:64 / 66
页数:2
相关论文
共 12 条
[1]  
Amid P.K., Lichtenstein I.L., Long-term result and current status of the Lichtenstein open tension-free hernioplasty, Hernia, 2, pp. 89-94, (1998)
[2]  
Rutkow I.M., Robbins A.W., Mesh plug hernia repair: A follow-up report, Surgery, 117, pp. 597-598, (1995)
[3]  
Rutkow I.M., Robbins A.W., The mesh plug technique for recurrent groin herniorrhaphy: A 9-year experience of 407 repairs, Surgery, 124, pp. 844-847, (1998)
[4]  
Lichtenstein I.L., Shulman A.G., Ambulatory outpatient hernia surgery: Including a new concept, introducing tension-free repair, Int. Surg., 71, pp. 1-4, (1986)
[5]  
Lichtenstein I.L., Shulman A.G., Amid P.K., The tension free hernioplasty, Am. J. Surg., 157, pp. 188-193, (1989)
[6]  
Gilbert A.I., Graham M.F., Voigt W.J., A bilayer patch device for inguinal hernia repair, Hernia, 3, pp. 161-166, (1999)
[7]  
Kingsnorth A.N., Wright D., Porter C.S., Robertson G., Prolene Hernia System compared with Lichtenstein patch: A randomized double blind study of short-term and medium-term outcomes in primary hernia repair, Hernia, 6, pp. 113-119, (2002)
[8]  
Amid P.K., Classification of biomaterials and their related complications in abdominal wall hernia surgery, Hernia, 1, pp. 15-21, (1997)
[9]  
Paajanen H., Do absorbable mesh sutures cause less chronic pain than nonabsorbable sutures alter Lichtenstein inguinal herniorrhaphy?, Hernia, 6, pp. 26-28, (2000)
[10]  
Lawrence K., McWhinnie D., Goodwin A., Randomised controlled trial of laparoscopic versus open repair of inguinal hernia: Early results, BMJ, 311, pp. 981-985, (1995)