Department of Surgery, Göztepe Training and Research Hospital, Plaj yolu yıldız sok, Kaya apt. No: 16 D: 10 caddebostan, Istanbul, Turkey.
Hernia. 2012 Feb;16(1):29-32. doi: 10.1007/s10029-011-0855-4. Epub 2011 Jul 26.
Most surgeons favour the use of a mesh for open inguinal hernia repair as it has a low recurrence rate. Procedures used most frequently are the Lichtenstein method, mesh plug repair and the Prolene hernia system (PHS). The choice of technique may be influenced by effects on postoperative pain and quality of life. In this retrospective study, results from inguinal hernia repair with the PHS in a regional training hospital were analysed.
Thirty primary inguinal hernias were treated with 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 8 years, one patient was diagnosed with recurrent herniation (3.3%). Three self-limited wound discharge (10%), and one haematoma needing surgical evacuation (3.3%) were diagnosed. Two patients (6.6%) suffered from persistent pain (VAS > 40). Average VAS score was 21 (0-80) 8 years after surgery.
In a regional training hospital, primary inguinal hernias were treated with low recurrence and few complications by use of the PHS.
大多数外科医生倾向于使用网片进行开放式腹股沟疝修补术，因为它的复发率较低。最常使用的手术方法是 Lichtenstein 法、网塞修补术和 Prolene 疝修补系统（PHS）。技术的选择可能会受到术后疼痛和生活质量的影响。在这项回顾性研究中，分析了在一家地区培训医院使用 PHS 进行腹股沟疝修补的结果。
30 例原发性腹股沟疝采用 PHS 治疗。主要终点是复发率。次要终点是短期和长期并发症。疼痛通过视觉模拟评分（VAS，0-100）进行评估，术后生活质量采用简短 36 项调查问卷进行评估。所有患者均在门诊进行体格检查（100%随访）。
中位随访 8 年后，1 例患者诊断为复发疝（3.3%）。诊断出 3 例自限性伤口渗液（10%）和 1 例需要手术清除的血肿（3.3%）。2 名患者（6.6%）持续疼痛（VAS>40）。术后 8 年平均 VAS 评分为 21（0-80）。
在一家地区培训医院，使用 PHS 治疗原发性腹股沟疝，复发率低，并发症少。
