Skip to main content
SpringerLink
Log in

Five-year results of inguinal hernia treatment with the Prolene Hernia System in a regional training hospital

  • Original Article
  • Published:
Hernia Aims and scope Submit manuscript

Abstract

Purpose

Long-term results of inguinal hernia repair with the Prolene Hernia System (PHS) in our regional training hospital were retrospectively analysed. Research was conducted in an identical cohort of patients previously investigated for short-term results.

Methods

One-hundred and fifty-eight patients (217 inguinal hernias) treated with the PHS were traced and included. Patients were invited to visit the outpatient clinic for a brief history, physical examination and ultrasound. A quality of life questionnaire was completed by all patients. The primary endpoint was recurrence rate. Testis atrophy, chronic pain and hypaesthesia were secondary endpoints.

Results

The mean age of the population (n = 187) was 62.2 years (range 28–92), with a male:female ratio of 15:1 (175:12). The median follow-up was 5.5 years (range 3.9–6.8). One-hundred and forty-five patients visited the outpatient clinic, while 13 patients were included by telephone interview. Twenty-one patients died during follow-up and eight others were lost to follow-up. The resulting follow-up rate was 85% (158/187). In our initial study, we found four recurrences (1.8%) and seven patients with persisting pain (3.2%) after 32 months. During current follow-up, five patients were diagnosed with recurrent herniation (2.3%, 5/217) and only four patients (1.8%) suffered from persisting pain. Three patients (1.4%) were diagnosed with testicular atrophy, while ten patients (4.4%) experienced hypaesthesia.

Conclusion

In a regional training hospital, the recurrence rate and long-term complications of patients treated for inguinal hernia with the PHS are acceptable after a follow-up of 5.5 years. The number of patients experiencing persistent pain seems to decrease over time.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Vironen J, Nieminen J, Eklund A, Paavolainen P (2006) Randomized clinical trial of Lichtenstein patch or Prolene Hernia System for inguinal hernia repair. Br J Surg 93(1):33–39

    Article  CAS  PubMed  Google Scholar 

  2. Condon RE, Nyhus LM (1995) Complication of groin hernia. In: Nyhus LM, Condon RE (eds) Hernia, 4th edn. JB Lippincott, Philadelphia, pp 269–282

    Google Scholar 

  3. Amid PK, Shulman AG, Lichtenstein IL (1996) Open “tension-free” repair of inguinal hernias: the Lichtenstein technique. Eur J Surg 162:447–453

    CAS  PubMed  Google Scholar 

  4. Scott NW, McCormack K, Graham P, Go PMNYH, Ross SJ, Grant AM (2002) Open mesh versus non-mesh for repair of femoral and inguinal hernia. Cochrane Database Syst Rev 4:CD002197

    PubMed  Google Scholar 

  5. Berende CA, Ruurda JP, Hazenberg CE, Olsman JG, van Geffen HJ (2007) Inguinal hernia treatment with the Prolene Hernia System in a Dutch regional training hospital. Hernia 11(4):303–306

    Article  CAS  PubMed  Google Scholar 

  6. Association of Surgeons of the Netherlands (2003) Dutch guidelines for inguinal hernia. Van Zuiden Communications BV, Alphen

    Google Scholar 

  7. Kehlet H, Bay-Nielsen M, Kingsnorth A (2002) Chronic postherniorrhaphy pain—a call for uniform assessment. Hernia 6:178–181

    Article  CAS  PubMed  Google Scholar 

  8. Callesen T, Bech K, Nielsen R, Andersen J, Hesselfeldt P, Roikjaer O, Kehlet H (1998) Pain after groin hernia repair. Br J Surg 85:1412–1414

    Article  CAS  PubMed  Google Scholar 

  9. Callesen T, Bech K, Kehlet H (1999) Prospective study of chronic pain after groin hernia repair. Br J Surg 86:1528–1531

    Article  CAS  PubMed  Google Scholar 

  10. O’Dwyer PJ, Kingsnorth AN, Molloy RG, Small PK, Lammers B, Horeyseck G (2005) Randomized clinical trial assessing impact of a lightweight or heavyweight mesh on chronic pain after inguinal hernia repair. Br J Surg 92:166–170

    Article  PubMed  Google Scholar 

  11. Bringman S, Wollert S, Osterberg J, Smedberg S, Granlund H, Heikkinen T-J (2006) Three-year results of a randomized clinical trial of lightweight or standard polypropylene mesh in Lichtenstein repair of primary inguinal hernia. Br J Surg 93:1056–1059

    Article  CAS  PubMed  Google Scholar 

  12. Smietański M, Bigda J, Zaborowski K, Worek M, Sledziński Z (2009) Three-year follow-up of modified Lichtenstein inguinal hernioplasty using lightweight poliglecaprone/polypropylene mesh. Hernia 13:239–242

    Article  PubMed  Google Scholar 

  13. Gilbert AI, Young J, Graham MF, Divilio LT, Patel B (2004) Combined anterior and posterior inguinal hernia repair: intermediate recurrence rates with three groups of surgeons. Hernia 8(3):203–207

    Article  CAS  PubMed  Google Scholar 

  14. Gilbert AI, Graham MF, Voigt WJ (1999) A bilayer patch device for inguinal hernia repair. Hernia 3(3):161–166

    Article  Google Scholar 

  15. Kingsnorth AN, Wright D, Porter CS, Robertson G (2002) Prolene Hernia System compared with Lichtenstein patch: a randomised double blind study of short-term and medium-term outcomes in primary inguinal hernia repair. Hernia 6(3):113–119

    Article  CAS  PubMed  Google Scholar 

  16. American Society of Anesthesiologists (ASA) (1963) New classification of physical status. Anesthesiology 24:111

    Google Scholar 

  17. Ware JE Jr, Sherbourne CD (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30:473–483

    Article  PubMed  Google Scholar 

  18. Hoeymans N, van Lindert H, Westert GP (2005) The health status of the Dutch population as assessed by the EQ-6D. Qual Life Res 14:655–663

    Article  CAS  PubMed  Google Scholar 

  19. Awad SS, Yallampalli S, Srour AM, Bellows CF, Albo D, Berger DH (2007) Improved outcomes with the Prolene Hernia System mesh compared with the time-honored Lichtenstein onlay mesh repair for inguinal hernia repair. Am J Sur 193(6):697–701

    Article  Google Scholar 

  20. Nienhuijs SW, van Oort I, Keemers-Gels ME, Strobbe LJ, Rosman C (2005) Randomized trial comparing the Prolene Hernia System, mesh plug repair and Lichtenstein method for open inguinal hernia repair. Br J Surg 92(1):33–38

    Article  CAS  PubMed  Google Scholar 

  21. Hasegawa S, Yoshikawa T, Yamamoto Y, Ishiwa N, Morinaga S, Noguchi Y, Ito H, Wada N, Inui K, Imada T, Rino Y, Takanashi Y (2006) Long-term outcome after hernia repair with the prolene hernia system. Surg Today 36(12):1058–1062

    Article  PubMed  Google Scholar 

  22. Dalenbäck J, Andersson C, Anesten B, Björck S, Eklund S, Magnusson O, Rimbäck G, Stenquist B, Wedel N (2009) Prolene Hernia System, Lichtenstein mesh and plug-and-patch for primary inguinal hernia repair: 3-year outcome of a prospective randomised controlled trial. The BOOP study: Bi-layer and connector, On-lay, and On-lay with Plug for inguinal hernia repair. Hernia 13:121–119

    Article  PubMed  Google Scholar 

  23. Sanjay P, Harris D, Jones P, Woodward A (2006) Randomized controlled trial comparing prolene hernia system and lichtenstein method for inguinal hernia repair. ANZ J Surg 76(7):548–552

    Article  PubMed  Google Scholar 

  24. Aufenacker TJ, de Lange DH, Burg MD, Kuiken BW, Hensen EF, Schoots IG, Gouma DJ, Simons MP (2005) Hernia surgery changes in the Amsterdam region 1994–2001: decrease in operations for recurrent hernia. Hernia 9(1):46–50

    Article  CAS  PubMed  Google Scholar 

  25. Pélissier EP (2001) Inguinal hernia: the size of the mesh. Hernia 5(4):169–171

    Article  PubMed  Google Scholar 

Download references

Conflict of interest statement

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

  1. Department of Surgery, Jeroen Bosch Hospital, P.O. Box 90153, 5200 ME, ’s-Hertogenbosch, The Netherlands

    D. Faraj, J. P. Ruurda, J. G. Olsman & H. J. A. A. van Geffen

Authors
  1. D. Faraj
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. J. P. Ruurda
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. J. G. Olsman
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. H. J. A. A. van Geffen
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to H. J. A. A. van Geffen.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Faraj, D., Ruurda, J.P., Olsman, J.G. et al. Five-year results of inguinal hernia treatment with the Prolene Hernia System in a regional training hospital. Hernia 14, 155–158 (2010). https://doi.org/10.1007/s10029-009-0576-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10029-009-0576-0

Keywords

Search

Navigation