J Korean Surg Soc.  2009 Feb;76(2):115-118. 10.4174/jkss.2009.76.2.115.

Comparing of Complications of Inguinal Hernia Repair Using Prolene Hernia System

• Lee Y
• Chung M

• KMID: 2211269
• DOI: http://doi.org/10.4174/jkss.2009.76.2.115

Abstract

PURPOSE
A tension-free hernia repair using mesh is considered the standard method. A prolene hernia system (PHS) is a more recently introduced hernia-repair device in Korea. We compared complications of beginners' PHS operation with those of experts in our department.
METHODS
We retrospectively analysed 448 cases of herniorrhaphy using PHS from December 2002 to August 2007. We compared complication of 150 early cases and 150 late cases.
RESULTS
There were 394 male and 54 female patients with ages 19 to 82: 321 indirect, 83 direct, 7 femoral, 4 pantaloon hernias. The most frequent complication of PHS repair was hematoma and wound swelling. The 150 early cases' complications included 7 hematoma and 9 wound swelling. The 150 late cases' complications included 7 hematoma and 8 wound swelling. There was no difference between early and late complications.
CONCLUSION
In comparing complications of 150 early and late cases, there was no difference.

Keyword

Tension-free herniorrhaphy; Prolene Hernia System; Complications of inguinal hernia repair

MeSH Terms

Female
Hematoma
Hernia
Hernia, Inguinal
Herniorrhaphy
Humans
Hydrogen-Ion Concentration
Korea
Male
Polypropylenes
Retrospective Studies
Polypropylenes

Figure

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  Fig. 1 Age distribution of inguinal hernia patients.

Reference

1. Awad SS, Fagan SP. Current approaches to inguinal hernia repair. Am J Surg. 2004. 188:9S–16S.

2. Lichtenstein IL, Shulman AG, Amid PK, Montllor MM. The tension-free hernioplasty. Am J Surg. 1989. 157:188–193.

3. Awad SS, Yallampalli S, Srour AM, Bellows CF, Albo D, Berger DH. Improved outcomes with the Prolene Hernia System mesh compared with the time-honored Lichtenstein onlay mesh repair for inguinal hernia repair. Am J Surg. 2007. 193:697–701.

4. Gilbert AI, Graham MF, Young J, Patel BG, Shaw K. Closer to an ideal solution for inguinal hernia repair: comparison between general surgeons and hernia specialists. Hernia. 2006. 10:162–168.

5. Perez AR, Roxas MF, Hilvano SS. A randomized, double-blind, placebo-controlled trial to determine effectiveness of antibiotic prophylaxis for tension-free mesh herniorrhaphy. J Am Coll Surg. 2005. 200:393–397.

6. Petersen S, Henke G, Freitag M, Faulhaber A, Ludwig K. Deep prosthesis infection in incisional hernia repair: predictive factors and clinical outcome. Eur J Surg. 2001. 167:453–457.

7. Abrahamson J. Maingot's Abdominal Operation. 1990. 9th ed. East Norwalk: CT: Appleton & Lange;251.

8. Gilbert AI, Graham MF, Voigt WJ. A bilayer patch device for inguinal hernia repair. Hernia. 1999. 3:161–166.