Berende C A S, Ruurda J P, Hazenberg C E V B, Olsman J G, van Geffen H J A A
Department of Surgery, Jeroen Bosch Hospital, Nieuwstraat 34, 5211 's-Hertogenbosch, The Netherlands.
Hernia. 2007 Aug;11(4):303-6. doi: 10.1007/s10029-007-0218-3. Epub 2007 Apr 4.
In this retrospective study results from inguinal hernia repair with the Prolene Hernia System (PHS) in a regional training hospital were analysed.
One-hundred and seventy-eight primary inguinal hernias and thirty-nine recurrent hernias (initial non-mesh repair) were treated with the PHS. The primary endpoint was the recurrence rate. Secondary endpoints were short-term and long-term complications. Pain was evaluated by use of a visual analog scale (VAS, 0-100), and a short-form 36-item questionnaire was used to assess postoperation quality of life. All patients visited the outpatient clinic for a physical examination (100% follow-up).
After a median follow-up of 32 months four patients were diagnosed with recurrent herniation (1.8%), three after primary hernia repair (1.6%) and one after recurrent hernia repair (2.6%). Three superficial wound infections (1.3%), three haematomas needing surgical evacuation (1.3%), and two lesions of the spermatic cord (0.9%) were diagnosed. Seven patients (3.2%) suffered from persistent pain (VAS > 40). Average VAS score was 13 (0-80) >24 months after surgery.
In a regional training hospital, primary and recurrent inguinal hernias were treated with low recurrence and few complications by use of the PHS.
在这项回顾性研究中，分析了一家地区培训医院使用普理灵疝修补系统（PHS）进行腹股沟疝修补术的结果。
178例原发性腹股沟疝和39例复发性疝（初始无网片修补）采用PHS治疗。主要终点是复发率。次要终点是短期和长期并发症。使用视觉模拟量表（VAS，0 - 100）评估疼痛，并使用36项简短问卷评估术后生活质量。所有患者均到门诊进行体格检查（随访率100%）。
中位随访32个月后，4例患者被诊断为疝复发（1.8%），3例在原发性疝修补术后（1.6%），1例在复发性疝修补术后（2.6%）。诊断出3例浅表伤口感染（1.3%）、3例需要手术引流的血肿（1.3%）和2例精索损伤（0.9%）。7例患者（3.2%）存在持续性疼痛（VAS > 40）。术后>24个月时平均VAS评分为13（0 - 80）。
在一家地区培训医院，使用PHS治疗原发性和复发性腹股沟疝，复发率低且并发症少。
