J Korean Surg Soc.  2009 Feb;76(2):109-114. 10.4174/jkss.2009.76.2.109.

Comparison of Three Types of Hernioplasty Using Meshes for Adult Inguinal Hernia: Lichtenstein, Mesh-plug, Prolene Hernia System

Affiliations
  • 1Department of Surgery, Dong-A University College of Medicine, Busan, Korea. ksheun@dau.ac.kr

Abstract

PURPOSE
The aim of this study was to compare three types of hernioplasty using a mesh: Lichtenstein, Mesh-plug and Prolene Hernia System.
METHODS
From February 2002 to April 2007, we retrospectively studied the clinical outcome of 138 cases of adult inguinal hernia patients who had operations performed with the use of mesh. Three types of mesh operations were composed of Lichtenstein repair group (LR group; N=18), Mesh plug repair group (MR group; N=38) and Prolene hernia system group (PHS group; N=82). The Clinical features and outcomes of the three groups were compared by age, sex, operation time, lengths of hospital stay, numbers of post-operative intravenous analgesics, complications, and recurrence.
RESULTS
Mean age of three groups was 50.2+/-20.7, 51.0+/-18.4 and 61.5+/-15.9 years for LR. MR, PHS groups, respectively. The PHS group was significantly older than other two groups (P=0.002). The sex, operation time and lengths of hospital stay were not significantly different among the three groups. Numbers of intravenous analgesics used after the operations were 1.7+/-1.2, 2.7+/-2.2, 3.3+/-2.0 in the LR, MR, PHS groups, respectively. A lesser amount of IV analgesics was injected into the LR group than the PHS group. Although some complications occurred such as wound infection, hematoma, dehiscence, testicular edema in the three groups, there were no significant differences among the three groups. There were no recurrences in all three groups.
CONCLUSION
We could not find any better outcome among the LR, MR and PHS groups.

Keyword

Inguinal hernia; Lichtenstein repair; Mesh-plug repair; Prolene Hernia Sy

MeSH Terms

Adult
Analgesics
Edema
Hematoma
Hernia
Hernia, Inguinal
Herniorrhaphy
Humans
Hydrogen-Ion Concentration
Length of Stay
Polypropylenes
Recurrence
Retrospective Studies
Wound Infection
Analgesics
Polypropylenes
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