Plug repair of groin hernias: a 10-year experience.
From April 1990 to July 2000 we performed 4,024 hernia operations and implanted 3,332 plugs in groin hernias. This technique was performed on a continuous, progressive basis. Between 1990 and 1994, the percentage of plugs was 67%, with the proportion rising to 92% since 1995. Although we initially used them only for indirect inguinal hernias (1990-1994), in 1995 we began inserting plugs in direct defects [Marlex Perfix Plug, (Bard Company, 78196 Trappes, France) January 1995-July 1997]. On the basis of our own cases of recurrence, we reoperated and modified plugs using a new prosthesis (Obtura Mesh, Cousin Company, Wervicq Sud 559558, France). Maximum follow-up was 10 years, with 84% of the patients followed for more than 1 year. Postoperative mortality was zero, local infection occurred in 20 patients (0.6%) and testicular atrophy was observed with 27 patients (0.8%). The recurrence rate was 1.4%.
Dieudonné
G
G
Institut Aznault Tzanck, Saint-Laurent-du-Var, France. gabriel.dieudonne@online.fr
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006550:Hernia, Femoral / Q000601:surgery*; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013526:Surgical Mesh; D013514:Surgical Procedures, Operative / Q000379:methods*; D016896:Treatment Outcome