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A Journal on Surgery

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Minerva Chirurgica 2003 December;58(6):797-800

language: Italian

PHS® Repair in femoral hernia surgery

Zandi G., Vasquez G., Buonanno A., Mazza P.


Background. Since December 2000 we began to treat femoral hernias, for the first time in emergency, 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 12 unselected consecutive female patients who underwent 12 PHS® device femoral hernia repairs (6 in emergency with 2 intestinal resections and 6 in elective settings), performed from December 2000 to December 2001 at the Institute of General Surgery, University of Ferrara. Mean age was 61,7 (range 25-94) and mean follow-up was 6 months (from 1 to 11).
Results. Mean hospital stay was 2.1 days (from 1 to 5). No recurrences or complications occurred. We report one (8.3%) 25 year old woman with moderate cruralgia which required analgesics assumption form more then 24 hours.
Conclusions. Although our report is not statistical significant (recent introduction of this new technique for a low incidence rate pathology) actually we perform PHS® device femoral hernia repair systematically, both in elective and emergency surgery. This new procedure appears as a simple, safe, effectiveness and comfortable, anterior properitoneal ''tension-free'' repair of the myopectineal region (direct inguinal hernias prophylaxis).

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