title: Long-term outcome after hernia repair with the prolene hernia system.
abstract: OBJECTIVE
  We evaluated the long-term outcome and symptoms after inguinal hernia repair using the Prolene Hernia System (PHS).
  
  
  METHODS
  We reviewed the medical records of all patients who underwent PHS surgery at our hospital to assess the postoperative complications and recurrence rates. Late symptoms were evaluated by a standardized interview using a questionnaire.
  
  
  RESULTS
  A total of 395 hernias in 367 patients were studied. Postoperative complications developed after 20 repairs (5.1%), including a severe mesh infection in one patient. Seven (1.8%) patients suffered recurrence. Of 395 cases, 363 (91.9%) responded to the interview. After a median follow-up interval of 19.3 months (range 1.0-55.8), moderate pain and moderate discomfort were reported by only 1.9% and 0.8% of patients, respectively.
  
  
  CONCLUSIONS
  Prolene Hernia System surgery is a safe and feasible procedure with low rates of complication, recurrence, and late symptoms.
authors.affiliation: Department of General Surgery, Yokohama City General Medical Center, 4-57 Urafune-cho, Minami-ku, Yokohama, Kanagawa 232-0024, Japan.
authors.forename: Shinichi
authors.initials: S
authors.lastname: Hasegawa
authors.forename: Takaki
authors.initials: T
authors.lastname: Yoshikawa
authors.forename: Yuji
authors.initials: Y
authors.lastname: Yamamoto
authors.forename: Naoki
authors.initials: N
authors.lastname: Ishiwa
authors.forename: Souichirou
authors.initials: S
authors.lastname: Morinaga
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Noguchi
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Ito
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Wada
authors.forename: Kenji
authors.initials: K
authors.lastname: Inui
authors.forename: Toshio
authors.initials: T
authors.lastname: Imada
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Rino
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Takanashi
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011126:Polypropylenes; D011183:Postoperative Complications; D011474:Prosthesis Design; D019919:Prosthesis Implantation / Q000295:instrumentation*; D012008:Recurrence; D012189:Retrospective Studies; D013526:Surgical Mesh; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D011126:Polypropylenes