ABSTRACT
ObjectiveInvestigate the shape of plug mesh and patch after plug-mesh hernia repair and discuss the necessity of improving the operative procedures. MethodsUse B ultrasound to investigate the shape of plug-mesh and patch after mesh plug hernia repair and review the patients medical record,evaluate how operative procedures affect the shape of patch and the results. ResultsIn 4 of the 16 cases,the distant end of patches overlapped the pubic margin,in the remaining 12cases the distant end of patches didn't reach the pubic margin. When changing the cut-in direction of B ultrasound probe,a wide and dense shadow was discovered in 8 cases whose patches didn't reach the pubic margin. Between the pubic margin and dense shadow there was a space showing low dense shadow. These photocopies showed that the patches had folded up or crimped. In 11 of 12 cases,the patches didn't fix on pubic margin or cut shorter during operation. Conclusion It is suggested to fix the distant end of patch on the aponeurosis tissue of pubic in the procedure of mesh plug hernia repair,and combine the plug-mesh repair with Lichtenstein repair.