Kugel procedure through the primary incision in treatment of recurrent inguinal hernia with chronic pain after anterior repair of transversalis fascia

VernacularTitle:原切口Kugel术治疗腹横筋膜前腹股沟疝修补术后伴慢性疼痛复发疝的疗效观察
Author: Haibo CHEN ¹ ; Zhun CAI ; Chengfei SHI
Author Information

1. 浙江省温岭市第一人民医院普外科　317500
Keywords: Hernia, inguinal,recurrence; Herniorrhaphy; Pain, chronic; Transversalis fascia
From: Chinese Journal of General Practitioners 2021;20(12):1300-1302
CountryChina
Language:Chinese
Abstract: Clinical data of 67 patients with recurrent inguinal hernia and chronic pain after anterior repair of transversalis fascia who underwent Kugel procedure through the primary incision in Wenling First People′s Hospital between June 2015 and January 2019 were retrospectively reviewed. During the operation the surrounding scar tissue and previous mesh or plug were removed, the transversalis fascia was separated and the patch was placed to overlay myopectineal orifice. The mean operative time was 57 min (51-85 min).The peritoneum rupture occurred during the operation in 6 cases (8.9%), and seroma was developed in 5 patients(7.5%). After a mean 18 months of follow-up, no recurrence occurred in all patients. Three months after operation, the mild, moderate or severe pain in all 67 patients were all improved remarkably with a total pain relief rate of 92.5%. The results show that Kugel procedure through the primary incision is safe and effective in treatment of recurrent inguinal hernia with chronic pain after anterior repair of transversalis fascia.