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Inguinal hernia repair outcomes that utilized the modified Kugel patch without the optional onlay patch: a case series of 163 consecutive patients

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Abstract

Purpose

The purpose of this study was to evaluate the efficacy and safety of the anterior Kugel herniorrhaphy approach when the onlay patch is omitted.

Methods

The study population comprised patients who underwent anterior Kugel herniorrhaphy without the onlay patch from 1 May 2009, to 31 June 2012. The onlay patch was omitted if the posterior wall defect did not exceed the inner Posiflex® ring diameter. After reviewing the clinical follow-up records and conducting telephone interviews, the postoperative results were recorded and analyzed.

Results

A total of 163 patients underwent 175 hernia repairs. One patient developed recurrence after undergoing our herniorrhaphy method. The most common postoperative complaints were mild soreness, indescribable discomfort, and foreign body sensations (11 patients). The mean operative time and hospital stay were 67 min and 2 days, respectively. More serious complications included one scrotal hematoma, one hydrocele, and one wound infection that resulted in epididymitis.

Conclusions

The onlay patch can be omitted with low recurrence and complication rates if the posterior wall defects do not exceed the inner Posiflex® ring diameter.

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Conflict of interest

HCC, PHC, YLC, MYY, CCC, JL, PFW, and HJS declare that they have no conflicts of interest.

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Authors and Affiliations

  1. Division of Urology, Department of Surgery, Changhua Christian Hospital, 135, Nanxiao St, Changhua, Taiwan

    H.-C. Chiang, P.-H. Chen, M.-Y. Yan, C.-C. Chen, J. Lin, P.-F. Wang & H.-J. Shih

  2. Transplant Medicine and Surgery Research Centre, Changhua Christian Hospital, Changhua, Taiwan

    Y.-L. Chen

Authors
  1. H.-C. Chiang
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  2. P.-H. Chen
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  3. Y.-L. Chen
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  4. M.-Y. Yan
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  5. C.-C. Chen
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  6. J. Lin
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  7. P.-F. Wang
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  8. H.-J. Shih
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Corresponding author

Correspondence to H.-J. Shih.

Additional information

H.-C. Chiang and P.-H. Chen contributed equally to this work.

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Chiang, HC., Chen, PH., Chen, YL. et al. Inguinal hernia repair outcomes that utilized the modified Kugel patch without the optional onlay patch: a case series of 163 consecutive patients. Hernia 19, 437–442 (2015). https://doi.org/10.1007/s10029-014-1297-6

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  • DOI: https://doi.org/10.1007/s10029-014-1297-6

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