Groin symptoms 5–7 years after a ‘modified’ plug and patch inguinal hernioplasty

Abstract

Significant restricting groin symptoms were uncommon. None of our patients would decline similar surgery on a contralateral hernia, suggesting a negligible impact of symptoms on their daily lives. A well dissected 'modified' mesh plug inguinal hernioplasty is associated with minimal chronic groin symptoms 5-7 years later.

Avoiding migration at open mesh plug inguinal hernioplasty

“…This renders the MP less rigid and also allows a greater part of the posterior wall to be augmented by the prosthesis ( Figure 3 ). When correctly positioned in this plane intra-abdominal pressure maintains this location [ 2 ]. The inner petals of the MP ( Figure 4 ) are then carefully sutured circumferentially to the edges of the well-defined defect so as to firmly anchor the MP.…”

“…This is most unlikely given the litigious society that we are all in but we concur that patients are indeed likely to seek the help of another surgeon as is apparent from the published literature. Indeed this might be considered a limitation here, as we do not have complete long-term follow-up for all our MP repairs [ 2 ]. Nevertheless it is clear that such cases do occur although most infrequently given that since 1993 over 5 million Perfix MPs have been implanted worldwide (BD; New Jersey, USA.…”