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Updated: Jul 18, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
Long-term outcome after hernia repair with the prolene hernia system
Shinichi Hasegawa1, Takaki Yoshikawa, Yuji Yamamoto
1Department of General Surgery, Yokohama City General Medical Center, 4-57 Urafune-cho, Minami-ku, Yokohama, Kanagawa 232-0024, Japan.
Purpose:
We evaluated the long-term outcome and symptoms after inguinal hernia repair using the Prolene Hernia System (PHS).
Methods:
We reviewed the medical records of all patients who underwent PHS surgery at our hospital to assess the postoperative complications and recurrence rates. Late symptoms were evaluated by a standardized interview using a questionnaire.
Results:
A total of 395 hernias in 367 patients were studied. Postoperative complications developed after 20 repairs (5.1%), including a severe mesh infection in one patient. Seven (1.8%) patients suffered recurrence. Of 395 cases, 363 (91.9%) responded to the interview. After a median follow-up interval of 19.3 months (range 1.0-55.8), moderate pain and moderate discomfort were reported by only 1.9% and 0.8% of patients, respectively.
Conclusions:
Prolene Hernia System surgery is a safe and feasible procedure with low rates of complication, recurrence, and late symptoms.