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Using the Prolene Hernia System (PHS) for inguinal hernia repair
Cláudio Corá Mottin1, Rafael Jacques Ramos, Maurício Jacques Ramos
1Department of General and Digestive System Surgery of the Hospital São Lucas, PUCRS, Porto Alegre-Rio Grande do Sul, Brazil.
Insights
The Gilbert technique using Prolene Hernia System (PHS) mesh for inguinal hernia repair shows low complication and recurrence rates. This safe and effective method demonstrates good long-term outcomes for patients.
Area of Science:
- Surgical Innovation
- Hernia Repair Techniques
- Medical Device Efficacy
Background:
- Inguinal hernias are common surgical conditions requiring effective repair methods.
- The Prolene Hernia System (PHS) is a mesh used in hernia repair.
- The Gilbert technique is a surgical approach for inguinal hernia correction.
Purpose of the Study:
- To evaluate immediate and late complications of inguinal hernia repair using the Gilbert technique with PHS.
- To assess the safety and efficacy of the PHS mesh in this surgical context.
Main Methods:
- Retrospective study of 96 patients undergoing inguinal hernia repair with PHS mesh between January 2001 and October 2006.
- Data collected via telephone surveys and chart reviews, including epidemiological data and complication assessment.
- Follow-up averaged 49.25 months.
Main Results:
- Six complications (6.25%) were observed in total, with no fatalities.
- Specific complications included seroma (2.08%), hematoma (1.04%), wound infection (1.04%), and scrotal edema (2.08%).
- Late complications included chronic pain in two patients (2.08%) and one hernia recurrence (1.04%) at 26 months.
Conclusions:
- Inguinal hernia repair with PHS mesh via the Gilbert technique is safe and effective.
- The method demonstrates low rates of complications and long-term symptoms.
- This technique is reproducible with favorable outcomes.
Objective:
To assess immediate postoperative and late complications in patients with inguinal hernia undergoing surgical correction by Gilbert technique, using the Prolene Hernia System (HPS).
Methods:
We surveyed all patients undergoing inguinal hernia repair with PHS mesh at The Sao Lucas Hospital--PUCRS, from January 2001 to october 2006. Information was retrospectively collected through telephone calls and chart review. The protocol for data collection included epidemiological aspects, as well as immediate and late complications.
Results:
ninety-six patients were enrolled. We identified six (6.25%) complications in different patients, none of which resulting in death. Two patients (2.08%) had seroma; hematoma was identified in one patient (1.04%); one patient (1.04%) had wound infection. Two patients (2.08%) had scrotal edema. After a mean follow up of 49.25 months (range 16 to 86.12) two patients (2.08%) had chronic pain and one patient (1.04%) had hernia recurrence twenty-six months after surgery.
Conclusion:
The repair of inguinal hernia with PHS is a safe, effective and reproducible method, with low complication and recurrence rates or long term symptoms.
