Open Access, Peer-reviewed
pISSN 2288-6575
eISSN 2288-6796
    J Korean Surg Soc. 2010 Aug;79(2):137-142. Korean.
    Published online Aug 02, 2010.
    https://doi.org/10.4174/jkss.2010.79.2.137
    Copyright © 2010 The Korean Surgical Society
    Original Article

    Clinical Analysis of Inguinal Hernia in Adult Using Prolene Hernia System

    Won Il Lee, M.D., Hae Sung Kim, M.D., Byoung Yoon Ryu, M.D., Hong Ki Kim, M.D., Jin Won Lee, M.D., Young Hee Choi, M.D.,1 Jin Bong Kim, M.D.,2 and Jae Sung Lee, M.D.3
      • Department of Surgery, Hallym University College of Medicine, Chuncheon, Korea.
      • 1Department of Pathology, Hallym University College of Medicine, Chuncheon, Korea.
      • 2Department of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea.
      • 3Department of Emergency Medicine, Hallym University College of Medicine, Chuncheon, Korea.
    • Corresponding author (Email: biogra@hallym.or.kr )
    Received January 05, 2010; Accepted April 19, 2010.

    Abstract

    Purpose

    The aim of this study was to detail clinical experiences with a type of tension-free herniorrhaphy using the prolene hernia system (PHS) and analyze the system's usefulness.

    Methods

    We retrospectively reviewed the medical records of 122 patients who underwent an inguinal hernia repair using PHS between March 2004 and August 2008.

    Results

    There were 116 male and 6 female patients ages 14 to 99; 79 indirect, 33 direct, 10 pantaloon hernias. The right inguinal hernias were more frequent (64.7%). The mean operative time for inguinal hernia repair using PHS was 45.2±1.5 minutes and the mean postoperative hospital stay was 3.5±1.5 days (101±82.9 hours). The most frequent combined disease was hypertension. The most frequent complication of PHS repair was hematoma. The mean number of used analgesics was 3.1±3.3. There were no postoperative recurrences.

    Conclusion

    Tension-free herniorrhaphy using PHS is thought to be a useful method of inguinal hernia repair in adults because it offers lower postoperative pain, shorter operation time and shorter postoperative hospital stay.

    Keywords
    Inguinal hernia; Tension-free; Prolene hernia system

    Figures

    Fig. 1
    Hernia types and age distribution.

    Tables

    Table 1
    Clinical characteristics of patients who received an inguinal hernia repair using prolene hernia system

    Table 2
    Location and type of hernias

    Table 3
    Combined disease

    Table 4
    Postoperative complications

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    MeSH Terms
    Adult
    Analgesics
    Female
    Hematoma
    Hernia
    Hernia, Inguinal
    Herniorrhaphy
    Humans
    Hydrogen-Ion Concentration
    Hypertension
    Length of Stay
    Male
    Medical Records
    Operative Time
    Pain, Postoperative
    Polypropylenes
    Recurrence
    Retrospective Studies
    Metrics
    Share
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    Tables
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