Institutional experience with Prolene Hernia System in hernia surgery

Daniel Suárez-Flores; José Carlos Mayagoitia-González; Luis Manuel Oropeza-Navarrete

2007, Number 3

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Cir Cir 2007; 75 (3)

Institutional experience with Prolene Hernia System in hernia surgery

Suárez-Flores D, Mayagoitia-González JC, Oropeza-Navarrete LM

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Language: Spanish
References: 17
Page: 169-174
PDF size: 141.64 Kb.

ABSTRACT

Background: The use of tension-free techniques has demonstrated the effectiveness in inguinal hernias. The most common are mesh plug and Lichtenstein patch. Recently, the Prolene Hernia System (PHS) has been introduced, with the advantage of a low rate of recurrence, prompt recovery to daily activities, and a short learning curve in the technique, making this procedure easy to perform in any hospital. We undertook this study to analyze the effectiveness of the Prolene Hernia System in patients with inguinal hernia in our Institution.
Methods: A prospective, observational and transverse study including 158 patients was carried out in our Institution in patients with inguinal hernia, using the Prolene Hernia System, between March 1998 and June 2003. Variables were sex, age, type of hernia, additional pathologies, time of evolution, anesthetic procedure, size of hernia sac, and complications, with a 4-year follow-up for final evaluation.
Results: Mean age of patients was 41 years, with a predominance of males. Primary hernia represented 93.7 % of cases. According to the Gilbert classification, type II was the most frequent (46.8 %), regional anesthesia was used, 75.3 % of surgeries were ambulatory and complications were seroma (1.1 %), hematoma (3.2 %), wound infection (1.1 %) and 6.3 % of the cases had additional pathologies. There were no recurrences.
Conclusions: This is an easy and useful technique in our Ins-titution. It is an ambulatory procedure with low morbidity and without recurrences.

REFERENCES

Amid PK, Shulman AG, Lichtenstein IL. Local anesthesia for inguinal hernia repair: step-by-step procedure. Ann Surg 1994;220:735-737.
2. Robbins AW, Rutkow IM. The mesh-plug hernioplasty. Surg Clin North Am 1993:3:535-547.
3. Mayagoitia GJC, Suárez FD, Cisneros MHA. Elección de la técnica ideal para herniorrafia inguinal. Cir Gen 2002;24:40-43.
4. Cisneros MHA, Mayagoitia GJC, Suárez FD. Hernioplastia inguinal híbrida libre de tensión “De Cisneros”. ¿La mejor opción para evitar las recurrencias? Cir Gen 2003;2:163-168.
5. Reyes-Devesa HE, Martínez-De Jesús FR, Viñas-Dosal JC. Hernioplastia inguinofemoral libre de tensión: técnica de Herd reporte preliminar. Experiencia personal con 126 pacientes. Cir Ciruj 2002;70:422-427.
6. Bendavid R. The Shouldice repair. In: Nyhus LM, Condom RE, eds. Hernia, 4th ed. Philadelphia: Lippincott; 1995. pp. 129-138.
7. Irvin L, Alex GS, Parvis KA. Causas, prevención y tratamiento de la hernia inguinal recurrente. Surg Clin North Am 1993;3:567-583.
8. Suárez SD, Mayagoitia GJC, Cisneros MHA, Miranda R. Incapacidad post operatoria en plastias inguinales sin tensión. Cir Gen 2004;26:275-280.
9. Miyauchi T, Ishikawa M, Tagami Y. Repair of incisional hernia with Prolene Hernia System. J Med Invest 2003;50:108-111.
10. Ray NK, Sreeraumlu PN, Krishnaprasad K. Spigelion hernia: fascia lata repair is an alternative option in absence of prolene mesh. J Med Indian Assoc 2002;100:370-384.
11. Kingsnorth UN, Wright D, Porter CS, Robertson G. Prolene Hernia System compared with Lichtenstein patch. A short-term randomised double blind study of short-term and medium-term outcomes in primary inguinal hernia repair. Hernia 2002;6:113-119.
12. Yelped J. Inguinal hernia repair. What next. Ann J Surg 2002;72:573-579.
13. Edelman DS. Laparoscopic herniorrhaphy with porcine small intestinal submucosa: a preliminary study. JSLS 2002;6:203-205.
14. Varga L, Leindler L, Hodi Z, Petri A, Balogh A. A new method of tension-free inguinal hernia repair: “PROLENE hernia system” (PHS). Pilot study. Magy Seb 2000;53:67-68.
15. Murphy JW. Use of the prolene hernia system for inguinal hernia repair: retrospective, comparative time analysis versus other inguinal hernia repair systems. Am Surg 2001;67:919-923.
16. Melita P, Cucinotta A, Gorgone S, Lorenzini C, Lazzara S, Melita G. Ambulatory treatment of inguinal hernia. Chir Ital 1996;48:39-41.
17. Mayagoitia GJC. Inguinal herniorrhaphy with the prolene hernia system. Hernia 2004;64-66.