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A Journal on Surgery
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Chirurgia 2003 June;16(3):85-6
PHS® repair in femoral hernia surgery
Zandi G., Vasquez G., Mazza P., Buonanno A.
Aim. Since December 2000 we began to treat femoral hernias, for the 1st time in emergency setting, placing the underlay mesh of a PHS® device in the properitoneal space, using the same anterior way well known in plug technique repair. The technical description and short term effectiveness, safeness and comfort of our new femoral prosthetic repair are reported.
Methods. Prospective analysis of 18 unselected consecutive patients (16 females and 2 males), who underwent 18 PHS® device femoral hernia repairs (10 in emergency with 4 intestinal resections and 8 in elective settings), performed from December 2000 to December 2002 at the Institute of General Surgery, University of Ferrara. Mean age was 68.2 (range 25-94) and mean follow-up was 14 months (from 1 to 23).
Results. Mean hospital stay was 2.9 days (from 1 to 6). No recurrences or complications occurred. We report one (5.5%) 25-year-old woman with moderate cruralgia which required analgesics assumption for more than 24 hours and one (5.5%) 70-year-old man who underwent an emergency surgical treatment for the disruption of a femoroiliac aneurysm which was not apparently correlated with the recent previous PHS® femoral hernia repair.
Conclusion. Although our report is not yet statistically significant (recent introduction of this new technique for a low incidence rate pathology), we perform PHS® device femoral hernia repair systematically, both in elective and emergency surgery. Our new procedure seems to be a simple, safe, effectiveness and comfortable, anterior properitoneal ''tension-free'' repair of the myopectineal region (direct inguinal hernias prophylaxis).