120 Cases of Hernia Repair with Bilayer Patch (Prolene Hernia System)

ABSTRACT

PURPOSE: A tension-free hernia repair using a mesh is considered to be the standard method. The Prolene Hernia system (PHS) is a more recently introduced hernia-repair device in Korea. We report the results of hernia repair using the PHS in 120 cases at our department. METHODS: We retrospectively analyzed 120 cased of herniorrhaphy using PHS. between December 2002 and September 2004. RESULTS: There were 104 male and 16 female patients with a mean age of 54 years 85 indirect, 32 direct, 2 femoral, and 2 pantaloon hernias. There were 20 cases postoperative complications including 6 hematoma, 3 seroma, 3 wound swelling, 2 dysuria, 2 testicular swelling, 1 scrotal swelling and 1 peritoneal irritation. There were no postoperative infection and recurrence. The median operative time was 54.6 min (range 23~165min). We thought that lesser than 30 cases need to be performed to become skillful in the hernia repair with PHS. CONCLUSION: Hernia repair with PHS is easy to learn and to perform. And this procedure has lesser postoperative complications.