Chinese Journal of Tissue Engineering Research ›› 2014, Vol. 18 ›› Issue (34): 5535-5539.doi: 10.3969/j.issn.2095-4344.2014.34.022

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Prolene hernia system versus polypropylene mesh plug in tension-free hernia repair

Fan Zhong-bao, Rong Da-qing, Liu Qing-feng   

  1. First Department of General Surgery, the People’s Hospital of Liaoning Province, Shenyang 110001, Liaoning Province, China
  • Revised:2014-08-04 Online:2014-08-20 Published:2014-08-20
  • Contact: Rong Da-qing, Chief physician, First Department of General Surgery, the People’s Hospital of Liaoning Province, Shenyang 110001, Liaoning Province, China
  • About author:Fan Zhong-bao, Master, Attending physician, First Department of General Surgery, the People’s Hospital of Liaoning Province, Shenyang 110001, Liaoning Province, China

Abstract:

BACKGROUND: Patch for tension-free inguinal hernia repair has been generally accepted by the majority of surgeons, but it is difficult for surgeons to select the proper patch type.

OBJECTIVE: To compare the clinical efficacy of prolene hernia system versus polypropylene mesh plug in tension-free hernia repair.
METHODS: A retrospective analysis was conducted in 150 patients with inguinal hernia, including 133 males and 17 females, aged 21-80 years old. Among them, 81 patients were operated with prolene hernia system, and 69 patients were subjected to polypropylene mesh plug. It was the first surgery for all patients. We concluded indications, and recorded operation time, out of bed time, the average hospitalization time, postoperative pain, foreign body sensation and discomfort situation, as well as relapse during the 2-year follow-up.

RESULTS AND CONCLUSION: The prolene hernia system patch was suitable for large-bore hernial annulus, the weak transversalis fascia, inguinal canal with posterior wall defect. There were no significant differences between the two groups in operation time, out of bed time and the average hospitalization time, but the postoperative pain, foreign body sensation, discomfort situation and recurrence within 2-year follow-up were significantly lower in patients undergoing prolene hernia system than polypropylene mesh plug (P < 0.05). The results show that the prolene hernia system is a more ideal choice than the polypropylene mesh plug because of its wide indication, good tissue compatibility, slight local discomfort and foreign body sensation, low incidence of pain, and low relapse rate.


中国组织工程研究杂志出版内容重点:生物材料;骨生物材料; 口腔生物材料; 纳米材料; 缓释材料; 材料相容性;组织工程


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Key words: biocompatible materials, hernia, inguinal, polypropylenes

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