, Volume 10, Issue 3, pp 223–228 | Cite as

Is there a need for a mesh plug in inguinal hernia repair? Randomized, prospective study of the use of Hertra 1 mesh compared to PerFix Plug

  • W. Adamonis
  • P. Witkowski
  • M. Śmietański
  • J. Bigda
  • Z. Śledziński
Original Article


Although the mesh plug procedure is an effective operation, sutureless implantation of a single onlay mesh, if successful, would avoid the risks of plug-related complications. One hundred patients with primary inguinal hernias were randomized to undergo PerFix Plug or Hertra 1 implantation. Mean duration of the operation was similar, 38 versus 35 min for plug and onlay mesh implantation, respectively (nonsignificant, NS). The level of postoperative pain and early complication rate was similarly low in both groups (NS). Recurrence rate was the same—2 patients in each group (4%)—all following large hernia repair. The level of long-term discomfort was low after each type of operation (NS). Implantation of the onlay mesh—Hertra 1 as compared to the use of PerFix Plug is simple, safe, and equally effective in small and medium inguinal hernia repair, suggesting that a plug device is not necessary for successful hernia surgery.


Mesh plug Inguinal hernia Randomized study Sutureless repair Trabucco Tension-free 



We would like to express our appreciation to Professor Mark A. Hardy, M.D., Ermanno E. Trabucco, M.D. and Eric Liu, M.D. for their review of the manuscript and suggestions.


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Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • W. Adamonis
    • 1
  • P. Witkowski
    • 1
    • 2
  • M. Śmietański
    • 1
  • J. Bigda
    • 1
  • Z. Śledziński
    • 1
  1. 1.Department of General Surgery and TransplantationMedical University of GdanskGdańskPoland
  2. 2.Department of Surgery, College of Physicians and SurgeonsColumbia UniversityNew YorkUSA

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