Five-year results of inguinal hernia treatment with the Prolene Hernia System in a regional training hospital

Abstract

In a regional training hospital, the recurrence rate and long-term complications of patients treated for inguinal hernia with the PHS are acceptable after a follow-up of 5.5 years. The number of patients experiencing persistent pain seems to decrease over time.

Chronic postsurgical pain in patients 5 years after cardiac surgery: A prospective cohort study

“…The prevalence varies substantially depending on the definition used, the population under study and the method and timing of assessment. The literature shows that the prevalence of CPSP decreases over time after surgical procedures, such as hernia repair (Eklund et al, 2010;Faraj et al, 2010), breast augmentation (Kaasa et al, 2010), mastectomy (Macdonald et al, 2005) and thoracic surgery (Maguire et al, 2006). The literature shows that the prevalence of CPSP decreases over time after surgical procedures, such as hernia repair (Eklund et al, 2010;Faraj et al, 2010), breast augmentation (Kaasa et al, 2010), mastectomy (Macdonald et al, 2005) and thoracic surgery (Maguire et al, 2006).…”

“…Typically, the highest prevalence has been reported in retrospective studies, while prospective studies report lower prevalence (Lahtinen et al, 2006;Choini ere et al, 2014). The literature shows that the prevalence of CPSP decreases over time after surgical procedures, such as hernia repair (Eklund et al, 2010;Faraj et al, 2010), breast augmentation (Kaasa et al, 2010), mastectomy (Macdonald et al, 2005) and thoracic surgery (Maguire et al, 2006). Although the literature for cardiac surgery is limited, Choini ere et al (2014) have shown that post cardiac surgical pain continues to decrease during the first 2 years after surgery.…”

‘Plug Free’ Connector Placement Modification of a Bilayer Patch Device in Male Indirect Inguinal Hernioplasty

“…On the other hand, underlay patch is quite suffi cient to overlay the entire region and all the weak points to prevent recurrence. In our series, we had only one (1.32%) recurrence, while other studies with PHS hernioplasty report recurrence rate from 0 to 2.3% 10,18,19 . In one patient with recurrent inguinal hernia after 'plug free' PHS hernioplasty, in reoperation we found enlargement of internal inguinal ring, which was not covered by onlay patch.…”

“…In 4801 repairs, they reported only "two patients with chronic neuralgia", accounting for 0.04% in their paper 9 . Later, other researchers found higher incidence of chronic neuralgia or chronic pain after PHS hernioplasty: 0.7%, 1.6%, 1.8% to up to 3.2% and even more in a smaller number of patients 3,[10][11][12] . 'Plug in' PHS hernioplasty is not the only procedure that results in chronic pain, since other plug and patch techniques also result in chronic pain in approximately 3% 13 .…”

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

“…4 Various studies in the past have evaluated the efficacy of PHS mesh for inguinal hernia. 6,[12][13][14] Present study shed light into the complications which had hindered the widespread usage of PHS. It may help in alleviating some of the apprehensions associated with PHS mesh repair.…”