Analysis of prolene hernia system in the management of uncomplicated inguinal hernia in comparison to lichtenstein mesh repair
Keywords:
Inguinal hernia, Prolene hernia system, Lichtenstein mesh repair
Abstract
Introduction: Worldwide, inguinal hernia repair is probably the most commonly performed general surgical procedure. Hence, a slight refinement of surgical repair of inguinal hernia would mean a substantial benefit to the patient.
Aim: The study aims to compare the prolene hernia system (PHS) and Lichtenstein mesh repair (LMR) in the management of uncomplicated inguinal hernia.
Materials and Methods: This was a prospective, comparative study done at a tertiary care hospital over a period of 18 months.
Results: Mean age of the patients in the study was 45.43 years. 98.2 % of patients were male and 69.2 % of hernia was right sided. The duration of surgery (36.48 minutes vs. 47.26 minutes) and duration of hospital stay (6.68 days vs. 7.61 days) was considerably lesser in PHS group when compared to LMR group and was statistically significant. Post-operative pain in PHS group was also lesser, though not of statistical significance. There was no difference between two groups in the rates of seroma formation, wound infection, scrotal pain/swelling, chronic groin pain, presence of foreign body sensation and recurrence.
Conclusion: Prolene hernia system is comparable to Lichtenstein mesh repair in the management of uncomplicated inguinal hernia but not good enough to replace it.
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References
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13. Gilbert AI. A bilayer patch device for inguinal hernia repair. Hernia. 1999;3(3):161-66.
14. 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: the journal of hernias and abdominal wall surgery.2009; 14. 155-8. DOI 10.1007/s10029-009-0576-0.
15. Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res (Hoboken). 2011 Nov;63 Suppl 11:S240-52. doi: 10.1002/acr.20543. [PubMed]
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19. Matyja A, et al. Assessment of inguinal hernia treatment results in patients operated on with mesh using Lichenstein, PHS and Robbins- Rutkow techniques. Videosurg Miniinvasive Tech. 2010;5:27-34.
20. Karaca AS, Ersoy OF, Ozkan N, Yerdel MA. Comparison of inguinal hernia repairs performed with Lichtenstein, Rutkow-Robbins, and gilbert double layer graft methods. Indian J Surg. 2015;77(1):28-33.DOI:10.1007/s12262-013-0809-4.
21. Badkur M, Garg N. Comparative Study of Prolene Hernia System and Lichtenstein Method for Open Inguinal Hernia Repair. J Clin Diagn Res 2015;9(6):PC04-7. DOI:10.7860/JCDR/2015/12177.6009.
22. Shankar JCR, Hiregoudar AD. Comparative Study between Lichenstein Mesh Repair and Prolene Hernia System in the Management of Uncomplicated Inguinal Hernia. IJSS Journal of Surgery 2016;2(5):5-11.DOI: 10.17354/SUR/2016/38.
23. Gohel J, Patel U. Prolene hernia system in the tension-free repair of primary inguinal hernias. Natl J Med Res 2012;2(3):302-5.
24. Mottin CC, Ramos RJ, Ramos MJ. Using the Prolene Hernia System (PHS) for inguinal hernia repair. Rev Col Bras Cir. 2011 Jan-Feb;38(1):24-7. [PubMed]
25. Fitzgibbons RJ, Richards AT, Quinn TH. Open hernia repair. In: Wilmor DW, Fink MP, Jurkovich GJ, Kaiser LR, Pearce WH, Pemberton JH, et al., editors. ACS Surgery: Principles and Practice. 2nd ed. Ch. 21. New York: Webmed Inc.; 2003. p. 668-93.
26. 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.DOI:https://doi.org/10.1007/s10029-011-0855-4.
27. 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. Am J Surg 2011;202(2):188-93. DOI: http://dx.doi.org/10.1016/j.amjsurg.2010.06.027.
2. Pancholi, M., Sharma, P., & Patel, G. R. Retrospective Study of Repair of Inguinal Hernia by Various Methods of Surgery, Comparing their Results and rate of Complications in the Teaching Institute of South Gujarat. Gujarat medical journal.2012;67(2):22-24.
3. Thomas AD, Rogers A. Edoardo Bassini and the Wound That Inspires. World J. Surg. 2004;28:1060–1062. DOI: https://doi.org/10.1007/s00268-004-7466-5. [PubMed]
4. Read RC. A review: the role of protease-antiprotease imbalance in the pathogenesis of herniation and abdominal aortic aneurism in certain smokers. Postgrad Gen Surg.1992; 4:161-5.
5. Rosch R, Klinge U, Si Z, Junge K, Klosterhalfen B, Schumpelick V. A role for the collagen I/III and MMP-1/-13 genes in primary inguinal hernia? BMC Med Genet. 2002;3:2. Epub 2002 Feb 19. [PubMed]
6. Wantz GE. Experience with the tension-free hernioplasty for primary inguinal hernias in men. J Am Coll Surg. 1996 Oct;183(4):351-6. [PubMed]
7. Fitzgibbons R.Management of an inguinal hernia: Conventional? Tension-free? Laparoscopic? or maybe no treatment at all. General Sessions of the American College of Surgeons. 86th Annual Clinical Congress.2000. [PubMed]
8. Shulman AG, Amid PK, Lichtenstein IL. A survey of non-expert surgeons using the open tension-free mesh repair for primary inguinal hernias. Int Surg.1995; 80:35–36. [PubMed]
9. Kingsnorth AN, Bowley DMG, Porter C.A prospective study of 1000 hernias: results of the Plymouth Hernia Service. Ann R Coll Surg Engl.2003; 85(1):18–22. [PubMed]
10. Ger R, Monroe K, Duvivier R, Mishrick A. Management of indirect inguinal hernias by laparoscopic closure of the neck of the sac. Am J Surg 1990;159(4): 370-373. DOI: http://dx.doi.org/10.1016/S0002-9610(05)81273-5. [PubMed]
11. Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J, de Lange D, Fortelny R, Heikkinen T, Kingsnorth A, Kukleta J, Morales-Conde S, Nordin P, Schumpelick V, Smedberg S, Smietanski M, Weber G, Miserez M. European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia. 2009 Aug;13(4):343-403. doi: 10.1007/s10029-009-0529-7. Epub 2009 Jul 28.
12. Bittner, R. et al. Update of Guidelines on Laparoscopic (TAPP) and Endoscopic (TEP) Treatment of Inguinal Hernia (International Endohernia Society).Surgical Endoscopy.2015;29(2):289-321. DOI:10.1007/s00464-014-3917-8.
13. Gilbert AI. A bilayer patch device for inguinal hernia repair. Hernia. 1999;3(3):161-66.
14. 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: the journal of hernias and abdominal wall surgery.2009; 14. 155-8. DOI 10.1007/s10029-009-0576-0.
15. Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res (Hoboken). 2011 Nov;63 Suppl 11:S240-52. doi: 10.1002/acr.20543. [PubMed]
16. Bernard Rosner. Fundamentals of Biostatistics, 5th Edition, Duxbury.2000; page 80-240.
17. M. Venkataswamy Reddy. Statistics for Mental Health Care Research, NIMHANSpublication, INDIA.2002; page 108-144.
18. Sunder Rao P S S , Richard J. An Introduction to Biostatistics, A manual forstudents in health sciences , New Delhi: Prentice hall of India.2006; 86-160.
19. Matyja A, et al. Assessment of inguinal hernia treatment results in patients operated on with mesh using Lichenstein, PHS and Robbins- Rutkow techniques. Videosurg Miniinvasive Tech. 2010;5:27-34.
20. Karaca AS, Ersoy OF, Ozkan N, Yerdel MA. Comparison of inguinal hernia repairs performed with Lichtenstein, Rutkow-Robbins, and gilbert double layer graft methods. Indian J Surg. 2015;77(1):28-33.DOI:10.1007/s12262-013-0809-4.
21. Badkur M, Garg N. Comparative Study of Prolene Hernia System and Lichtenstein Method for Open Inguinal Hernia Repair. J Clin Diagn Res 2015;9(6):PC04-7. DOI:10.7860/JCDR/2015/12177.6009.
22. Shankar JCR, Hiregoudar AD. Comparative Study between Lichenstein Mesh Repair and Prolene Hernia System in the Management of Uncomplicated Inguinal Hernia. IJSS Journal of Surgery 2016;2(5):5-11.DOI: 10.17354/SUR/2016/38.
23. Gohel J, Patel U. Prolene hernia system in the tension-free repair of primary inguinal hernias. Natl J Med Res 2012;2(3):302-5.
24. Mottin CC, Ramos RJ, Ramos MJ. Using the Prolene Hernia System (PHS) for inguinal hernia repair. Rev Col Bras Cir. 2011 Jan-Feb;38(1):24-7. [PubMed]
25. Fitzgibbons RJ, Richards AT, Quinn TH. Open hernia repair. In: Wilmor DW, Fink MP, Jurkovich GJ, Kaiser LR, Pearce WH, Pemberton JH, et al., editors. ACS Surgery: Principles and Practice. 2nd ed. Ch. 21. New York: Webmed Inc.; 2003. p. 668-93.
26. 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.DOI:https://doi.org/10.1007/s10029-011-0855-4.
27. 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. Am J Surg 2011;202(2):188-93. DOI: http://dx.doi.org/10.1016/j.amjsurg.2010.06.027.
CITATION
DOI: 10.17511/ijoso.2017.i04.02
Published: 2017-12-31
How to Cite
M. P, S., & Mohamed S, N. (2017). Analysis of prolene hernia system in the management of uncomplicated inguinal hernia in comparison to lichtenstein mesh repair. Surgical Review: International Journal of Surgery, Trauma and Orthopedics, 3(4), 99-106. https://doi.org/10.17511/ijoso.2017.i04.02
Section
Original Article
OAI - Open Archives Initiative
Therapoid
