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Rutkow PerFix-plug repair for primary and recurrent inguinal hernias--a prospective study.
F E Isemer1, V Dathe, B Peschka
1Department of Surgery, St. Josefs Hospital, Wiesbaden, Germany.
Surgical Technology International
|September 30, 2004
Summary
The Rutkow plug-and-patch technique offers a quick and secure tension-free repair for groin hernias, simplifying surgery with a low recurrence rate and minimal patient pain. This effective method ensures fast recovery and short work leave, making it suitable for standard outpatient procedures.
Area of Science:
- General Surgery
- Surgical Techniques
Background:
- Tension-free mesh techniques are standard for groin hernia repair.
- Limited data exists on the open tension-free plug-and-patch technique.
Purpose of the Study:
- Evaluate the safety and efficacy of the Rutkow plug-and-patch technique for open tension-free groin hernia repair.
- Assess complications, recurrence rates, and patient outcomes.
Main Methods:
- Prospective follow-up of 766 hernia repairs using the plug-and-patch technique from January 2001 to October 2003.
- Data collection included hospital stay, 4-week, and minimum 12-month follow-ups.
- Key variables: complications, recurrence, and pain.
Main Results:
- Mean operative time was 37.8 minutes; 19.3% had ilioinguinal nerve resection.
- Overall recurrence rate was 1.8% (primary 1.5%, recurrent 3.3%).
- Common complications included hematoma (2.9%) and seroma (3.5%); reoperations were required in 2.2% intraoperatively and 1.8% postoperatively.
Conclusions:
- The plug-and-patch technique is a quick, secure, and effective method for tension-free inguinal hernia repair.
- It simplifies surgery while maintaining high standards for low recurrence and pain.
- The procedure facilitates rapid patient recovery, short work leave, and is suitable for outpatient settings.