Initial experience with application of single layer modified Kugel mesh for inguinal hernia repair: Case series of 72 consecutive patients

Pao Hwa Chen, Heng Chieh Chiang, Yao Li Chen, Jesen Lin, Bai Fu Wang, Meng Yi Yan, Chun Chi Chen, Hung Jen Shih, Jian Ting Chen

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective This is an initial review of the safety and efficacy of anterior preperitoneal modified Kugel (MK) mesh herniorrhaphy application without using optional onlay mesh. Methods We retrospectively reviewed patients who underwent herniorrhaphy by a single surgeon from July 1st, 2009 to December 31st, 2010. During these 18 months, a total of 72 patients underwent single-layer MK mesh herniorrhaphy. Anterior preperitoneal approach was used to place the mesh. If the patient's inguinal hernia defect did not exceed the memory ring of MK mesh, the onlay mesh was omitted. Postoperative results (wound infection, recurrence, and chronic pain/discomfort) were recorded and analyzed. Results A total of 72 patients underwent anterior preperitoneal single layer MK mesh herniorrhaphy. One patient had recurrent hernia after 1 year and was treated with a laparoscopic transabdominal preperitoneal operation. The most common postoperative complaint was mild soreness which was self-resolving after 1 month. Mean total operative time (skin to skin) was 73 minutes. The average hospital stay was 2 days. Most of the postoperative complications including soreness (14%), pain for > 3 months (1.4%), and scrotal hematoma (1.4%) were self-resolving. One patient experienced wound infection, which was treated with oral antibiotics. One patient had recurrence 1 year after the operation. Conclusion The postoperative complication and recurrence rates of single-layer MK mesh herniorrhaphy was comparable with previously reported tension-free repair. Single-layer application is safe and feasible. A longer follow-up period and larger study group with a control group are needed to verify our method.

Original languageEnglish
Pages (from-to)152-157
Number of pages6
JournalAsian Journal of Surgery
Volume40
Issue number2
DOIs
Publication statusPublished - Apr 1 2017
Externally publishedYes

Fingerprint

Inguinal Hernia
Herniorrhaphy
Inlays
Recurrence
Surgical Wound Infection
Skin
Wound Infection
Operative Time
Hernia
Chronic Pain
Hematoma
Length of Stay
Anti-Bacterial Agents
Safety
Pain
Control Groups

Keywords

  • herniorrhaphy
  • inguinal
  • Kugel
  • preperitoneal
  • transinguinal

ASJC Scopus subject areas

  • Surgery

Cite this

Initial experience with application of single layer modified Kugel mesh for inguinal hernia repair : Case series of 72 consecutive patients. / Chen, Pao Hwa; Chiang, Heng Chieh; Chen, Yao Li; Lin, Jesen; Wang, Bai Fu; Yan, Meng Yi; Chen, Chun Chi; Shih, Hung Jen; Chen, Jian Ting.

In: Asian Journal of Surgery, Vol. 40, No. 2, 01.04.2017, p. 152-157.

Research output: Contribution to journalArticle

Chen, Pao Hwa ; Chiang, Heng Chieh ; Chen, Yao Li ; Lin, Jesen ; Wang, Bai Fu ; Yan, Meng Yi ; Chen, Chun Chi ; Shih, Hung Jen ; Chen, Jian Ting. / Initial experience with application of single layer modified Kugel mesh for inguinal hernia repair : Case series of 72 consecutive patients. In: Asian Journal of Surgery. 2017 ; Vol. 40, No. 2. pp. 152-157.
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abstract = "Objective This is an initial review of the safety and efficacy of anterior preperitoneal modified Kugel (MK) mesh herniorrhaphy application without using optional onlay mesh. Methods We retrospectively reviewed patients who underwent herniorrhaphy by a single surgeon from July 1st, 2009 to December 31st, 2010. During these 18 months, a total of 72 patients underwent single-layer MK mesh herniorrhaphy. Anterior preperitoneal approach was used to place the mesh. If the patient's inguinal hernia defect did not exceed the memory ring of MK mesh, the onlay mesh was omitted. Postoperative results (wound infection, recurrence, and chronic pain/discomfort) were recorded and analyzed. Results A total of 72 patients underwent anterior preperitoneal single layer MK mesh herniorrhaphy. One patient had recurrent hernia after 1 year and was treated with a laparoscopic transabdominal preperitoneal operation. The most common postoperative complaint was mild soreness which was self-resolving after 1 month. Mean total operative time (skin to skin) was 73 minutes. The average hospital stay was 2 days. Most of the postoperative complications including soreness (14{\%}), pain for > 3 months (1.4{\%}), and scrotal hematoma (1.4{\%}) were self-resolving. One patient experienced wound infection, which was treated with oral antibiotics. One patient had recurrence 1 year after the operation. Conclusion The postoperative complication and recurrence rates of single-layer MK mesh herniorrhaphy was comparable with previously reported tension-free repair. Single-layer application is safe and feasible. A longer follow-up period and larger study group with a control group are needed to verify our method.",
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T1 - Initial experience with application of single layer modified Kugel mesh for inguinal hernia repair

T2 - Case series of 72 consecutive patients

AU - Chen, Pao Hwa

AU - Chiang, Heng Chieh

AU - Chen, Yao Li

AU - Lin, Jesen

AU - Wang, Bai Fu

AU - Yan, Meng Yi

AU - Chen, Chun Chi

AU - Shih, Hung Jen

AU - Chen, Jian Ting

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N2 - Objective This is an initial review of the safety and efficacy of anterior preperitoneal modified Kugel (MK) mesh herniorrhaphy application without using optional onlay mesh. Methods We retrospectively reviewed patients who underwent herniorrhaphy by a single surgeon from July 1st, 2009 to December 31st, 2010. During these 18 months, a total of 72 patients underwent single-layer MK mesh herniorrhaphy. Anterior preperitoneal approach was used to place the mesh. If the patient's inguinal hernia defect did not exceed the memory ring of MK mesh, the onlay mesh was omitted. Postoperative results (wound infection, recurrence, and chronic pain/discomfort) were recorded and analyzed. Results A total of 72 patients underwent anterior preperitoneal single layer MK mesh herniorrhaphy. One patient had recurrent hernia after 1 year and was treated with a laparoscopic transabdominal preperitoneal operation. The most common postoperative complaint was mild soreness which was self-resolving after 1 month. Mean total operative time (skin to skin) was 73 minutes. The average hospital stay was 2 days. Most of the postoperative complications including soreness (14%), pain for > 3 months (1.4%), and scrotal hematoma (1.4%) were self-resolving. One patient experienced wound infection, which was treated with oral antibiotics. One patient had recurrence 1 year after the operation. Conclusion The postoperative complication and recurrence rates of single-layer MK mesh herniorrhaphy was comparable with previously reported tension-free repair. Single-layer application is safe and feasible. A longer follow-up period and larger study group with a control group are needed to verify our method.

AB - Objective This is an initial review of the safety and efficacy of anterior preperitoneal modified Kugel (MK) mesh herniorrhaphy application without using optional onlay mesh. Methods We retrospectively reviewed patients who underwent herniorrhaphy by a single surgeon from July 1st, 2009 to December 31st, 2010. During these 18 months, a total of 72 patients underwent single-layer MK mesh herniorrhaphy. Anterior preperitoneal approach was used to place the mesh. If the patient's inguinal hernia defect did not exceed the memory ring of MK mesh, the onlay mesh was omitted. Postoperative results (wound infection, recurrence, and chronic pain/discomfort) were recorded and analyzed. Results A total of 72 patients underwent anterior preperitoneal single layer MK mesh herniorrhaphy. One patient had recurrent hernia after 1 year and was treated with a laparoscopic transabdominal preperitoneal operation. The most common postoperative complaint was mild soreness which was self-resolving after 1 month. Mean total operative time (skin to skin) was 73 minutes. The average hospital stay was 2 days. Most of the postoperative complications including soreness (14%), pain for > 3 months (1.4%), and scrotal hematoma (1.4%) were self-resolving. One patient experienced wound infection, which was treated with oral antibiotics. One patient had recurrence 1 year after the operation. Conclusion The postoperative complication and recurrence rates of single-layer MK mesh herniorrhaphy was comparable with previously reported tension-free repair. Single-layer application is safe and feasible. A longer follow-up period and larger study group with a control group are needed to verify our method.

KW - herniorrhaphy

KW - inguinal

KW - Kugel

KW - preperitoneal

KW - transinguinal

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