A study of short and long term complications of prolene hernia system

Narayan Hebsur; Ravi Shankar J. C.

doi:10.18203/2349-2902.isj20170999

Authors

Narayan Hebsur Department of General Surgery, Karnataka Institute of Medical Sciences, Hubli, Karnataka, India
Ravi Shankar J. C. Department of General Surgery, Karnataka Institute of Medical Sciences, Hubli, Karnataka, India

DOI:

https://doi.org/10.18203/2349-2902.isj20170999

Keywords:

Chronic groin pain, Inguinal hernia, Prolene hernia system

Abstract

Background: Prolene hernia system was introduced in 1999, and was thought to be a revolutionary type of mesh in preventing recurrence. But studies regarding long term results and complications were sparse. Our study is one such type which sheds light into the complications of prolene hernia system and its significance in Indian scenario.

Methods: 30 patients with inguinal hernia in Karnataka institute of medical sciences, Hubli, were included in the study. All of them were operated with prolene hernia system. Patients were assessed in the post-operative period and during follow-up for any complications. Appropriate statistical tests were applied.

Results: 1 (3.3%) patient each had seroma and superficial surgical site infection in the post-operative period. 2 (6.7%) patients had chronic groin pain symptoms and none of them had recurrence till date.

Conclusions: Based on the observations, we conclude that PHS is an effective method for open inguinal hernia repair with minimal complications. It has comparable results with lichenstein repair and other types of repairs available.

Metrics

Metrics Loading ...

Author Biographies

Narayan Hebsur, Department of General Surgery, Karnataka Institute of Medical Sciences, Hubli, Karnataka, India

associate professor, dept of general surgery

Ravi Shankar J. C., Department of General Surgery, Karnataka Institute of Medical Sciences, Hubli, Karnataka, India

junor resident, dept of general surgery

References

Nixon SJ, Tulloh B. Abdominal wall, hernia and umbilicus, Chapter 60, Short Practice of surgery Bailey and Love’s, Norman S. Williams, Christopher J. K. Bulstrode, P. Ronan O’Connell, 26th Edition, CRC Press, Taylor and Francis Group. 2013:948-69.

Tehemton UE. Inguinal hernia repair: The total picture. J Min Access Surg. 2006(2):144-6.

Pickett LC. Prosthetic Choice in Open Inguinal Hernia Repair. The SAGES Manual of Hernia Repair, B.P. Jacob and B. Ramshaw (eds.), Springer Media New York. 2013:19-26.

Badkur M, Garg N. Comparative Study of Prolene Hernia System and Lichtenstein Method for Open Inguinal Hernia Repair. J Clinical and Diagnostic Research. 2015;9(6):PC04-7.

Bhattacharjee PK. Surgical options in inguinal hernia: Which is the best. Indian J Surg. 2006;68:191-200.

Mottin CC, Ramos RJ, Ramos MJ. Using the Prolene Hernia System (PHS) for inguinal hernia repair. Rev. Col. Bras. Cir. 2011;38(1):024-7.

Lal P. The evolution of surgery for inguinal hernia. Chapter 9, Recent advances in surgery-10, Gupta LR, Jaypee brothers medical publishers (P) Ltd., Delhi. 2006;162-74.

Kulacoglu H. Current options in inguinal hernia repair in adult patients. Hippokratia. 2011;15(3):223-31.

Amid PK. Lichtenstein tension-free hernioplasty: Its inception, evolution,and principles. Pioneers in hernia surgery. Hernia. 2004;8:1-7.

Pélissier EP, Blum D, Elhaimer A, Marre P, Damas JM. Groin hernias: features of recurrences. Hernia. 2000;4:89-93.

Mikkelsen T. Risk of femoral hernia after inguinal herniorrhaphy. Br J Surg. 2002;89(4):486-8.

Chandiramani VA, Katara AN, Pandya SM, Nair NS. Prolene hernia system in the tension free repair of primary inguinal hernias. Indian J Surg. 2003;65:488-91.

Faraj D, Ruurda JP, Olsman JG, van Geffen HJAA. Five-year results of inguinal hernia treatment with the Prolene Hernia System in a regional training hospital. Hernia. 2010;14(2):155-8.

Yener O, Aksoy F, Güzel P, Bölük S, Dag E, Atak T. Long-term quality of life after hernioplasty using a Prolene hernia system in adult inguinal hernia. Hernia. 2012;16(1):29-32.

Shankar JCR, Hiregoudar AD. Comparative Study between Lichenstein Mesh Repair and Prolene Hernia System in the Management of Uncomplicated Inguinal Hernia. IJSS. 2016;2(5):5-11.

Karaca AS, Ersoy OF, Ozkan N, Yerdel MA. Comparison of inguinal hernia repairs performed with Lichenstein, Rutkow-Robbins and Gilbert double layer graft methods. Indian J of Surgery. 2015;77(1):28-33.

Matyja A, Kibil W, Pach R, Solecki R, Kulig J, Kamtoh G et al. Assessment of inguinal hernia treatment results in patients operated on with mesh using Lichenstein, PHS and Robbins-Rutkow techniques. Videosurgery and other miniinvasive techniques. 2010;5(1):27-34.

Gohel J, Patel U. Prolene hernia system in the tension-free repair of primary inguinal hernias. Nat J Med res. 2015;2(3):302-5.

Sanjay P, Watt DG, Ogston SA, Alijani A, Windsor JA. Meta-analysis of Prolene Hernia System mesh versus Lichenstein mesh in open inguinal hernia repair. Surgeon. 2012;10(5):283-9.

Pierides G, Vironen J. A prospective randomized clinical trial comparing the Prolene Hernia System and the Lichenstein patch technique for inguinal hernia repair in long term: 2 and 5 year results. American J of Surgery. 2011;202(2):188-93.