Marlex Mesh Prefix Plug Hernioplasty Retrospective Analysis of 865 Operations

Abstract

For 5 years (January 1998 to November 2002) our department has applied the Marlex Mesh Perfix Plug hernioplasty. This article demonstrates the experience gained in operative and postoperative aspects, costs, and outcome along with the results of a follow-up analysis. Altogether, 801 patients (749 males, 52 females) were operated on Sixty-four males had bilateral groin hernias, so the total number of hernioplasties amounted to 865. A total of 19 hernias were recurrent, 297 were direct, 545 were indirect or scrotal (or both) 21 were femoral, and 2 were Spigelian. Fifty-three operations were performed on an emergency basis. Preoperative routine use of antibiotics was minimized throughout the years. Operating time fluctuated from 20 to 25 min (30-40 minutes for recurrent hernias), and the postoperative hospital stay was 28 hours (6-72) hours. The complication rate was 5% and the recurrence rate less than 1%. Early patient mobilization and return to everyday activities (1-2 weeks) was encouraged. The follow-up of 95% of the patient population lasted 12 to 60 months and was performed at 1 week, 1 month, 1 year, and yearly thereafter. The technique demonstrates less overall postoperative pain, discomfort, and complications combined with a remarkably low recurrence rate. The rapid rehabilitation with great patient comfort and decreased operating room time, resulting in lower financial costs, have led us nowadays to repair all types of inguinal hernias, femoral and recurrent ones, using this technique.

Comparison of the open tension-free mesh-plug, transabdominal preperitoneal (TAPP), and totally extraperitoneal (TEP) laparoscopic techniques for primary unilateral inguinal hernia repair: a prospective randomized controlled trial

“…The current study had a number of limitations (e.g., the general belief that follow-up evaluation after hernia surgery must approximate 5 years) [11]. Pavlids [1] recently reported that the recurrence rate varies from 0% to 8% for laparoscopic repair and from 0% to 3.6% for open repair.…”

Is the Lichtenstein Operation of Strangulated Groin Hernia a Safe Procedure?

“…21 Many surgeons routinely use antibiotic prophylaxis during elective operations in order to reduce the risk of mesh infection. [22][23][24][25] Recently, however, the use of this pharmacological adjunct has been criticized. 26,27 The incidence of strangulated hernia varies significantly in different parts of the world.…”

Computed Tomographic Appearance of Prolene Hernia System and Polypropylene Mesh Plug Inguinal Hernia Repair

“…1A, B; right) is used in approximately 80% of inguinal hernioplasties. 5,6 The Prolene (polypropylene) Hernia System (Ethicon, Inc) (Figs. 1A, B; left) is a newer 1-piece closure device that is made of a flat mesh connected by a 2-cm hollow mesh protrusion melded to a second flat mesh.…”