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Open, preperitoneal hernia repair with the Kugel patch: a prospective, multicentre study of 450 repairs

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Abstract

Background

The Kugel patch inguinal hernia repair is a relatively new, open, minimally invasive procedure using a preperitoneal approach.

Method

Prospective multicentre case series of 450 consecutive Kugel patch repairs. Recurrence rates and persistent inguinal pain after at least 1 year as well as short-term outcomes were studied.

Results

After a follow-up of 18 months, eight recurrences (1.9%) were found, and persisting inguinal pain was reported in 15 patients (3.5%). The mean operation time and hospital stay were 20 ± 9 min and 19 ± 1.3 h respectively. Less than 1% of patients planned for an ambulatory treatment needed prolonged hospitalisation. Analgesics were used for 3 ± 2 days. Paracetamol was the only painkiller used in 69% of patients, and 13% did not take any painkiller at all. Half of all patients returned to their daily activities after 9 days and half of the employed patients returned to work after 14 days.

Conclusion

The Kugel patch repair is a quick technique with a low recurrence rate and good patient comfort. It offers the advantages of a preperitoneal inguinal hernia repair without the need for general anaesthesia or expensive laparoscopic equipment.

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Acknowledgements

The authors thank Roel Hompes, Elke Van Daele and Bert Van Den Bossche for their assistance.

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Authors and Affiliations

  1. Department of Surgery, Academisch Ziekenhuis-Vrije Universiteit Brussel, Laarbeeklaan 101, 1090, Brussels, Belgium

    Y. Van Nieuwenhove & K. Coenye

  2. Department of Surgery, Groeninge Ziekenhuis, Kortrijk, Belgium

    F. Vansteenkiste

  3. Department of Surgery, Aalsters Stedelijk Ziekenhuis, Aalst, Belgium

    T. Vierendeels

Authors
  1. Y. Van Nieuwenhove
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  2. F. Vansteenkiste
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  3. T. Vierendeels
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  4. K. Coenye
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Corresponding author

Correspondence to Y. Van Nieuwenhove.

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Van Nieuwenhove, Y., Vansteenkiste, F., Vierendeels, T. et al. Open, preperitoneal hernia repair with the Kugel patch: a prospective, multicentre study of 450 repairs. Hernia 11, 9–13 (2007). https://doi.org/10.1007/s10029-006-0137-8

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  • DOI: https://doi.org/10.1007/s10029-006-0137-8

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