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A Journal on Surgery
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Chirurgia 2002 December;15(6):173-6
Postoperative discomfort in prosthetic hernia repair: PHS® vs ''Mesh Plug''
Vasquez G., Zandi G., Buonanno A.
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Background. The aim of the study was to evaluate if postoperative discomfort could be related to the surgical technique or to the prosthetic device between two unselected groups of patients operated for hernia repair with PHS® and Mesh Plug implants.
Methods. Prospective analysis of postoperative comfort and complications between a first group of 377 Mesh and Plug implants performed in 368 unselected patients (310 male and 58 female) with a mean age of 66 years (range 18-84) with a mean follow-up of 18 months (from 3 to 66) and a second group of 91 PHS® device repairs (77 inguinal and 14 femoral representing 87.5% of all the implants) performed on 83 unselected patients (70 male and 13 female), with a mean age of 64.4 years (range 27-94) with a mean follow-up of 11 months (from 30 days to 41 months).
Results. Our preliminary results report postoperative discomfort in only 4.8% of the PHS® repairs while there is an almost two times worse postoperative comfort level with the Mesh and Plug technique (a cumulative 9% of discomfort with permanent neuralgia more than one year after prosthetic implant in 1.4% of the patients).
Conclusions. The two times worse comfort level of the Mesh and Plug technique could be due to the greater amount of prosthetic material implanted and to its anchorage with stitches. Actually, we reserve the Mesh and Plug technique to small wall defects repair (Gilbert I and V) while we prefer to implant the PHS® device in wide parietal or femoral channel defects (Gilbert III, VI and VII).