Document Detail


Prolene hernia system compared with mesh plug technique: a prospective study of short- to mid-term outcomes in primary groin hernia repair.
MedLine Citation:
PMID:  15703858     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Two types of anterior tension-free hernioplasty, prolene hernia system (PHS) repair and mesh plug technique (MPT), were introduced to Taiwan in 2001. This study compared the short- to mid-term outcomes following primary groin hernia repair with PHS and MPT. From January 2001 to December 2003, 393 patients with 426 primary groin hernias were operated on by a single surgeon using MPT (n=192) and PHS (n=234). Baseline perioperative details and follow-up information were compared. Demographic characteristics of both groups were similar. The laterality, types of anesthesia, postoperative stay, postoperative wound pain scores, wound complications and days to return to activities of daily life were equally distributed between the two groups. However, the distribution of Gilbert types in the PHS group was shifted a little to the right compared with that of the MPT group. PHS repair had longer operative time (34+/-17 vs 25+/-9 minutes, p<0.01). No recurrence was noted in both groups during the follow-up from 5 to 41 months. Chronic non-disabling groin pains were noted in 2.8% (6/218) of patients in the PHS group and 8.9% (14/175) in the MPT group (p=0.01). Our results show that both PHS and MPT repairs can be performed with short operation time, minor wound pain and quick return to activities of daily life without short- to mid-term recurrences, but postoperatively the MPT group had higher incidence of chronic non-disabling groin pain. Although the MPT is less invasive, the additional protective patch in the preperitoneal space of the PHS may provide a further safeguard against recurrences, especially for those patients with attenuated inguinal floor. Long-term follow-up is needed.
Authors:
C S Huang; C C Huang; H H Lien
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2005-02-10
Journal Detail:
Title:  Hernia : the journal of hernias and abdominal wall surgery     Volume:  9     ISSN:  1265-4906     ISO Abbreviation:  Hernia     Publication Date:  2005 May 
Date Detail:
Created Date:  2005-05-04     Completed Date:  2005-08-30     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9715168     Medline TA:  Hernia     Country:  France    
Other Details:
Languages:  eng     Pagination:  167-71     Citation Subset:  IM    
Affiliation:
Department of Surgery, Cathay Medical Center, 280 Section 4, Jen-Ai Road, Taipei, Taiwan. cshuang@cgh.org.tw
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Child
Evaluation Studies as Topic
Female
Follow-Up Studies
Hernia, Inguinal / diagnosis,  surgery*
Humans
Laparotomy / methods*
Male
Middle Aged
Patient Satisfaction
Polypropylenes*
Postoperative Complications / epidemiology
Probability
Prospective Studies
Recurrence
Risk Assessment
Severity of Illness Index
Surgical Mesh*
Taiwan
Tensile Strength
Treatment Outcome
Chemical
Reg. No./Substance:
0/Polypropylenes

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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