J Korean Surg Soc.  2010 Aug;79(2):137-142. 10.4174/jkss.2010.79.2.137.

Clinical Analysis of Inguinal Hernia in Adult Using Prolene Hernia System

Affiliations
  • 1Department of Surgery, Hallym University College of Medicine, Chuncheon, Korea. biogra@hallym.or.kr
  • 2Department of Pathology, Hallym University College of Medicine, Chuncheon, Korea.
  • 3Department of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea.
  • 4Department of Emergency Medicine, Hallym University College of Medicine, Chuncheon, Korea.

Abstract

PURPOSE
The aim of this study was to detail clinical experiences with a type of tension-free herniorrhaphy using the prolene hernia system (PHS) and analyze the system's usefulness.
METHODS
We retrospectively reviewed the medical records of 122 patients who underwent an inguinal hernia repair using PHS between March 2004 and August 2008.
RESULTS
There were 116 male and 6 female patients ages 14 to 99; 79 indirect, 33 direct, 10 pantaloon hernias. The right inguinal hernias were more frequent (64.7%). The mean operative time for inguinal hernia repair using PHS was 45.2+/-1.5 minutes and the mean postoperative hospital stay was 3.5+/-1.5 days (101+/-82.9 hours). The most frequent combined disease was hypertension. The most frequent complication of PHS repair was hematoma. The mean number of used analgesics was 3.1+/-3.3. There were no postoperative recurrences.
CONCLUSION
Tension-free herniorrhaphy using PHS is thought to be a useful method of inguinal hernia repair in adults because it offers lower postoperative pain, shorter operation time and shorter postoperative hospital stay.

Keyword

Inguinal hernia; Tension-free; Prolene hernia system

MeSH Terms

Adult
Analgesics
Female
Hematoma
Hernia
Hernia, Inguinal
Herniorrhaphy
Humans
Hydrogen-Ion Concentration
Hypertension
Length of Stay
Male
Medical Records
Operative Time
Pain, Postoperative
Polypropylenes
Recurrence
Retrospective Studies
Analgesics
Polypropylenes
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