‘plug free’ connector placement modification of a bilayer patch device in male indirect inguinal hernioplasty.
‘PLUG FREE’ CONNECTOR PLACEMENT MODIFICATION OF A BILAYER PATCH DEVICE
IN MALE INDIRECT INGUINAL HERNIOPLASTY.
Acta Clin Croat. 2016 12;55(4):644-9
Authors: Ilić MD, Putnik SS
Abstract
The bilayer patch device (Ethicon, Prolen Hernia System®) for inguinal hernia
repair has a connector that acts as a ‚plug‘ in the internal inguinal ring. The position of this ‚plug‘ component
may be responsible for higher incidence of chronic pain and intestinal damage. We assumed
that changing the position of the connector of a bilayer patch device (PHS®) and placing it medially
in Hesselbach triangle would contribute to lower incidence of chronic pain and would not result in
intestinal damage, with good clinical outcome following indirect inguinal hernioplasty. This retrospective
study included 73 patients with 76 indirect inguinal hernias, who underwent the procedure of
modifying the position of the bilayer patch device in the 2005-2015 period. The mean age of the patients
was 57 years. Three patients had early postoperative complications (3.95%), two of which had
postoperative seroma and one had postoperative pain. Three patients (3.95%) had late postoperative
complications. One patient (1.32%) had chronic pain. There was one recurrence (1.32%) and one patient
(1.32%) needed the mesh removed due to discomfort. The ‘plug free’ position of the connector of
a bilayer patch device in patients with indirect inguinal hernioplasty is a ...
Source: Acta Clinica Croatica - Category: General Medicine Tags: Acta Clin Croat Source Type: research
More News: Chronic Pain | Croatia Health | Gastroschisis Repair | General Medicine | Hernia | Hernia Repair | Medical Ethics | Pain | Study