Experience of Open Herniorrhaphy Using the PerFix(R) Plug for Patients with Recurrent Groin Hernias.
- Author:
Sung Bae JI
1
;
Yu Hee NAM
;
Young Tack SONG
Author Information
1. Department of Surgery, St. Mary Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. ytsong@cathoic.ac.kr
- Publication Type:Original Article
- Keywords:
PerFix(R) plug;
herniorrhaphy;
recurrent groin hernia
- MeSH:
Follow-Up Studies;
Groin;
Hernia;
Herniorrhaphy;
Humans;
Length of Stay;
Recurrence;
Urinary Retention
- From:Journal of the Korean Surgical Society
2008;74(4):282-285
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The recurrence of a groin hernia presents few surgical options for repair. We investigated the safety and efficacy of herniorrhaphy using PerFix(R) plug for patients with recurrent groin hernias. METHODS: Between October 2000 and December 2004, 30 herniorrhaphies for recurrent groin hernia were performed and followed-up. The operation time, length of hospital stay, time of analgesic use, complication rates, and recurrence were investigated. RESULTS: Surgery had been initially performed in 26 patients with the non-mesh method, and with mesh in 4 patients; 12 patients had a direct recurrence at the medial side of the inguinal area near the pubic tubercle, 7 patients had a direct recurrence at other sites, and 11 patients had an indirect recurrence. Eight patients had urinary retention and 2 patients had minor wound complications. Hospital stays and analgesic use were comparable to non-recurrent groin hernia operations, although operation time was significantly longer in recurrent group, and there were no recurrences during the 70 months of followup. CONCLUSION: Comparing open or laparoscopic preperitoneal approach, the PerFix(R) plug method is simple and effective for recurrent groin hernia repair.
