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A Journal on Surgery
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Chirurgia 2007 February;20(1):9-12
PHS® repair in femoral hernia surgery
Arcispedale S. Anna Azienda Ospedaliera-Universitaria di Ferrara Sezione di Chirurgia Generale Ferrara, Italy
Aim. Since December 2000 we began to treat femoral hernias placing the underlay of a PHS® mesh device in the properitoneal space using the same well known anterior low approach early described by Bassini in 1885, and than revitalized by Lichtenstein & Shore in 1974, describing their personal “plug tecnique” repair. The technical procedure and a mid-term follow-up is reported.
Methods. Retrospective analysis of 44 unselected consecutive patients (30 females and 14 males), which underwent 44 PHS® device femoral hernia repairs (21 in emergency setting with 8 bowel resections), performed from December 2000 to April 2005 at the Institute of General Surgery - University of Ferrara, Italy, is presented. Mean age was 67 years (range 25-96) and mean follow-up was 14 months (from 1 to 54).
Results. Mean hospital stay was 3.2 days (from 1 to 8). No recurrences or complications directly related to the surgical procedure occurred. We report one 25 year old woman with moderate cruralgia which required medications for more then 48 hours and one 70 year old man which underwent an emergency surgical treatment a femoroiliac aneurism disruption 48 hours after PHS® femoral hernia repair.
Conclusion. Although our results are collected retrospectively, the data indicates the technique as simple, safe and effective, with a very low rate of complications. Actually we perform PHS® femoral hernia repair systematically, both in elective and emergency surgery. The procedure appears moreover much more comfortable than a traditional plug repair, and more easy and less expensive than laparoscopic thechniques.