Abstract
Plug insertion for primary femoral hernia repair may cause p.o. discomfort. The Kugel technique may avoid this problem. Patients’ satisfaction to the Kugel and the plug techniques is compared in the present study. Demographics, surgical, outcome and analgesic consumption data of 26 patients treated for with the plug technique (P group) are compared with 24 operated with the Kugel patch (K group). Patients’ p.o. discomfort to the two procedures was measured with quantitative (VAS score) and a qualitative (the short form of McGill pain questionnaire, SF-MPQ) methods, and compared. P group presented higher early p.o. pain (P<0.001), higher analgesic consumption and a significative delay in the return to physical activity (P<0.001). SF-MPQ scores at p.o. day 8, day 30 and month 6 were significantly lower for K group (P<0.001, P<0.001, P<0.005). The Kugel technique for femoral hernia treatment seems to cause less p.o. discomfort to patients than the plug technique.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Chamary VL (1993) Femoral hernia: intestinal obstruction is an unrecognized source of morbidity and mortality. Br J Surg 80:230–232
Dattola P, Alberti A, Dattola A, Giannetto G, Basile G, Basile M (2002) Inguino-crural hernia: preoperative diagnosis and post-operative follow up by high resolution ultrasonography. A personal experience. Ann Ital Chir 73:65–68
Kemler M, Oostvogel JM (1997) Femoral hernia: is a conservative policy justified? Eur J Surg 163:187–190
Lichtenstein IL, Shore JM (1974) Simplified repair of femoral and recurrent inguinal hernias by a “plug” technique. Am J Surg 128:439–444
Gilbert AI (1992) Sutureless repair of inguinal hernia. Am J surg 163:331–335
Robbins AW, Rutkow IM (1998) Repair of femoral hernias with “plug” technique. Hernia 2:73
Kugel RD (2003) The Kugel repair for groin hernias. Surg Clin North Am 83:1119–1139
Ceriani V, Faleschini E, Bignami P, Lodi T, Roncaglia O, Osio C1, Sarli D (2005) Kugel hernia repair: open “mini-invasive” technique. Personal experience on 620 patients. Hernia (in press)
Bendavid R (1987) A femoral umbrella for femoral hernia repair. Surg Gynecol Obstet 165:153–156
Burney RE, Jones KR, Blewitt DK, Hern A, Peterson M (1997) Core outcomes measures for inguinal hernia repair. J Am Coll Surg 185:509–515
Kingsnorth AN, Hyland ME, Porter C, Sodergren S (2001) Perfix plug and patch versus Lichtenstein patch in inguinal hernia: prospective double-blind randomized controlled trial of short-term outcome. Surgery 127:276–283
Katz J, Melzack R (1999) Measurement of pain. Surg Clin North Am 79:231–252
De Benedittis G, Massei R, Nobili R, Pieri A (1988) The Italian pain questionnaire. Pain 33:53–62
Swarnkar K, Hopper N, Nelson M, Feroz A, Stephenson BM (2003) Autureless mesh-plug femoral hernioplasty. Am J Surg 186:201–202
Sanchez-Bustos F, Ramia JM, Fernandez-Ferrero F (1998) Prosthetic repair of femoral hernia: audit of long term follow up. Eur J Surg 164:191–193
Hachisuka T (2003) Femoral hernia repair. Surg Clin North Am 83:1189–1205
Avisse C, Delattre JF, Flament JB (2000) The inguinofemoral area from a laparoscopic standpoint. Surg Clin North Am 80:35–48
Hernandez-Richter T, Schardey HM, Rau HG, Schildberg FW, Meyer G (2000) The femoral hernia. An ideal approach for the transabdominal preperitoneal technique (TAPP). Surg Endosc 14:736–740
Scott NW, McCormack K, Graham P, Go PMNYH, Ross SJ, Grant AM (2005) Open mesh versus non mesh for groin hernia repair (review). The Cochrane Library Issue 2, pp 21–23, 182–230
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Ceriani, V., Faleschini, E., Sarli, D. et al. Femoral hernia repair . Hernia 10, 169–174 (2006). https://doi.org/10.1007/s10029-005-0059-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10029-005-0059-x