Ambulatory inguinal hernia repair with prolene hernia system (PHS)

Area of Science:

• Surgery
• Hernia Repair
• Ambulatory Surgery

Background:

• Inguinal hernias are common surgical conditions.
• Day surgery offers potential benefits in terms of cost and patient recovery.
• The Prolene Hernia System (PHS) is a mesh used for hernia repair.

Purpose of the Study:

• To evaluate the feasibility and benefits of inguinal hernia repair using the Prolene Hernia System (PHS) mesh.
• To assess the safety and efficacy of PHS mesh repair under local anesthesia as a day surgery procedure.
• To determine outcomes in a multinational population within the United Arab Emirates.

Main Methods:

• A prospective study involving 172 adult patients undergoing inguinal hernia repair.
• Utilized the Prolene Hernia System (PHS) mesh under local anesthesia.
• Data collected on operative time, anesthesia conversion, hospital stay, and recurrence.

Main Results:

• 154 out of 172 patients (89.5%) met criteria for day-case surgery.
• Only 5 patients (2.8%) required conversion to general anesthesia.
• Mean operative time was 65 minutes; mean hospital stay was 1.01 days for ambulatory cases.

Conclusions:

• Inguinal hernia repair with PHS mesh under local anesthesia is a feasible and beneficial day surgery option.
• The procedure can be mastered by surgeons, leading to minimal morbidity and short hospital stays.
• This technique shows potential for reducing hernia recurrence rates.