[Mesh-plug operation: a simple, rapid and complication-free technique for managing inguinal hernia]

Area of Science:

• Surgical Innovation
• Hernia Repair Techniques
• Minimally Invasive Surgery

Context:

• Inguinal hernia repair techniques are debated, with the Shouldice operation traditionally considered the gold standard.
• Open anterior mesh repair, popularized by Rutkow/Robbins, offers a tension-free approach.
• Laparoscopic surgery provides benefits like reduced morbidity and faster return to work, driving interest in mesh-based repairs.

Purpose:

• To prospectively evaluate the outcomes of the open mesh plug repair technique described by Rutkow/Robbins.
• To assess the safety, efficacy, and patient recovery associated with this specific open mesh repair method.

Summary:

• A prospective study evaluated 110 patients undergoing open mesh plug repair (Rutkow/Robbins technique).
• No major complications were observed; two patients required reoperation for hematoma drainage.
• Postoperative recovery was favorable, with 82% returning to normal activity within 4 weeks and an average return to work of 10 days for sedentary workers.

Impact:

• The open mesh plug repair demonstrates simplicity, low cost, and reduced postoperative disability.
• Early return to work is a significant advantage, enhancing patient quality of life.
• While initial results are promising, long-term recurrence data are still pending for this series.