Mesh plug repair:: a simple, rapid and uncomplicated technique for inguinal hernia management

被引:0
|
作者
Metzger, J
Krüss, C
Kocher, T
Ghisletta, N
Zuber, M
von Flüe, M
Harder, F
机构
[1] Univ Basel, Kantonsspital, Dept Chirurg, CH-4031 Basel, Switzerland
[2] Osped Reg Lugano, Dipartimento Chirurg, Lugano, Switzerland
[3] Kantonsspital, Chirurg Klin A, Luzern, Switzerland
关键词
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction: The optimal inguinal hernia repair technique is a matter of debate. The Shouldice operation has long been regarded as the gold standard. While specialized hernia clinics have reproduced good results, a recurrence rate for trainees and non-specialized surgeons of between 10% and 15% seems to be more common. Laparoscopic hernia surgery has brought decreasing postoperative morbidity, low postoperative disability and early return to work. These advantages of a tension-free technique are due to the use of a prosthetic mesh. It is largely the efforts of Gilbert, Lichtenstein and Rutkow/Robbins which have popularized the use of prosthetic mesh by an open anterior approach in the USA. Methods: Since January 1997 we have prospectively evaluated the open mesh plug repair described by Rutkow/Robbins in Basel and Lugano. We have operated on 110 patients (103 male, 7 female). All patients were interviewed 4 weeks postoperatively at our clinic. Results: There were no major complications. Two patients underwent reoperation for drainage of a haematoma. There was no early recurrence or infection. After 4 weeks 82% of all patients were back to normal activity. An early return to work has been noted (10 days on average for sedentary workers). Conclusion: The main advantages of this technique are simplicity, low cost, reduced postoperative disability and early return to work. It is much too early to say anything concerning recurrence in this series.
引用
收藏
页码:1401 / 1407
页数:9
相关论文
共 50 条
  • [21] Comparison of Bassini Repair and Mesh-Plug Repair for Primary Inguinal Hernia: A Retrospective Study
    Kyosuke Miyazaki
    Fumitaka Nakamura
    Yoshiaki Narita
    Mitsuru Dohke
    Nobuichi Kashimura
    Osamu Matsunami
    Hiroyuki Katoh
    Surgery Today, 2001, 31 : 610 - 614
  • [22] Inguinal Hernia: Mesh or No Mesh in Open Repair?
    Jaenigen, B. M.
    Hopt, U. T.
    Obermaier, R.
    ZENTRALBLATT FUR CHIRURGIE, 2008, 133 (05): : 440 - 445
  • [23] Double mesh technique (mesh plug and onlay) in repair of lumbar incisional hernia: a novel technique
    Osman, Gamal
    Habib, Fady M.
    Sallam, Ahmed M.
    Gertallah, Loay M.
    EGYPTIAN JOURNAL OF SURGERY, 2018, 37 (04): : 562 - 568
  • [24] The Management of Mesh Infection After Laparoscopic Inguinal Hernia Repair
    Yang, Huiqi
    Liu, Yiting
    Chen, Jie
    Shen, Yingmo
    SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES, 2019, 29 (01): : 40 - 42
  • [25] Non-mesh repair of adult inguinal hernia: a simple solution
    Sheikh, Shaukat Ali
    Iqbal, Mohammad
    Mustafa, Nauman
    Muhammad, Ihtasham
    Farooq, Ch. Umer
    Mehmood, Yasir
    RAWAL MEDICAL JOURNAL, 2011, 36 (01): : 10 - U27
  • [26] STUDY OF PROLENE HERNIA MESH SYSTEM IN MANAGEMENT OF PRIMARY INGUINAL HERNIA REPAIR
    Nandagawali, Vishal
    Bellurkar, Amit
    JOURNAL OF EVOLUTION OF MEDICAL AND DENTAL SCIENCES-JEMDS, 2015, 4 (36): : 6232 - 6240
  • [27] Randomized clinical trial comparing lightweight or heavyweight mesh for mesh plug repair of primary inguinal hernia
    T. Hirose
    Y. Takayama
    S. Komatsu
    Y. Shingu
    E. Sakamoto
    S. Norimizu
    H. Hasegawa
    Hernia, 2014, 18 : 213 - 219
  • [28] Mesh plug repair for paraumbilical hernia
    Sinha, S
    Keith, T
    SURGEON-JOURNAL OF THE ROYAL COLLEGES OF SURGEONS OF EDINBURGH AND IRELAND, 2004, 2 (02): : 99 - 102
  • [29] A simple technique of trans-fascial suture fixation of the mesh in laparoscopic TAPP repair of inguinal hernia
    Golash, V.
    BRITISH JOURNAL OF SURGERY, 2013, 100 : 188 - 189
  • [30] Randomized clinical trial comparing lightweight or heavyweight mesh for mesh plug repair of primary inguinal hernia
    Hirose, T.
    Takayama, Y.
    Komatsu, S.
    Shingu, Y.
    Sakamoto, E.
    Norimizu, S.
    Hasegawa, H.
    HERNIA, 2014, 18 (02) : 213 - 219