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KMID : 0371320080740040282
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Journal of the Korean Surgical Society
2008 Volume.74 No. 4 p.282 ~ p.285
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Experience of Open Herniorrhaphy Using the PerFix® Plug for Patients with Recurrent Groin Hernias
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Jee Sung-Bae
Nam Yu-Hee
Song Young-Tack
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Abstract
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Purpose: The recurrence of a groin hernia presents few surgical options for repair. We investigated the safety and efficacy of herniorrhaphy using PerFix® plug for patients with recurrent groin hernias.
Methods: Between October 2000 and December 2004, 30 herniorrhaphies for recurrent groin hernia were performed and followed-up. The operation time, length of hospital stay, time of analgesic use, complication rates, and recurrence were investigated.
Results: Surgery had been initially performed in 26 patients with the non-mesh method, and with mesh in 4 patients; 12 patients had a direct recurrence at the medial side of the inguinal area near the pubic tubercle, 7 patients had a direct recurrence at other sites, and 11 patients had an indirect recurrence. Eight patients had urinary retention and 2 patients had minor wound complications. Hospital stays and analgesic use were comparable to non-recurrent groin hernia operations, although operation time was significantly longer in recurrent group, and there were no recurrences during the 70 months of followup.
Conclusion: Comparing open or laparoscopic preperitoneal approach, the PerFix? plug method is simple and effective for recurrent groin hernia repair. (J Korean Surg Soc 2008;74:282-285)
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KEYWORD
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PerFix® plug, herniorrhaphy, recurrent groin hernia
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