[PHS--a double-leaved mesh in the open surgery of inguinal hernias]

The double-leaved mesh (Prolene Hernia System) represents a combination of tension-free meshes: the ovoid onlay component lies in position like the patch used in the Lichtenstein - procedure and the circular underlay component in position of techniques with posterior approach. The leaves of the mesh are joined by a central pin (connector), which completely closes the dilated internal ring and the hernial ring, respectively like a plug used in the Rutkow procedure. In a prospective study we investigated the duration of operations, complications, postoperative consumption of analgetics, hospitalisation time, return to normal activity, return to work and patients satisfaction. Between October, 1999 and June, 2001 105 patients with 110 inguinal hernias were treated with a double-leaved mesh in an open technique in local or general anesthesia. There were no intraoperative complications. Postoperative complications included 2.7 % seromas, 1.8 % haematomas, 1.8 % infections, 2.7 % neuralgias and 1.8 % testicular atrophies. Follow up examinations over an average time period of 13 months (follow-up-rate 70 %) did not show any recurrences. We conclude that groin hernia repair with this double-leaved mesh is easy to learn and to perform. The procedure is safe and efficient and can be carried out under local anesthesia.