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Inguinal hernia repair in the new millennium: plug and patch repair with local anesthesia
J Zieren1, B Hoksch, F A Wenger
1Department of General, Visceral, Vascular, and Thoracic Surgery, Humboldt University of Berlin, Campus Charité Mitte, Schumannstreet 20/21, D-10117 Berlin, Germany. surgery@charite.de
Abstract:
Plug and patch repair is a safe, economic method for repairing inguinal hernias, with patient comfort comparable to that with laparoscopic hernia repair. The technique is simple to perform under local anesthesia and easily learned without a learning curve. Complications are rare, and recovery and return to work are rapid. After performing plug and patch repair on 400 patients with a follow-up examination rate of 93% and a median postoperative observation time of 42 months, we have recorded a recurrence rate of only 0.25%.