[Institutional experience with Prolene Hernia System in hernia surgery].
BACKGROUND
The use of tension-free techniques has demonstrated the effectiveness in inguinal hernias. The most common are mesh plug and Lichtenstein patch. Recently, the Prolene Hernia System (PHS) has been introduced, with the advantage of a low rate of recurrence, prompt recovery to daily activities, and a short learning curve in the technique, making this procedure easy to perform in any hospital. We undertook this study to analyze the effectiveness of the PHS in patients with inguinal hernia in our Institution.


METHODS
A prospective, observational and transverse study including 158 patients was carried out in our Institution in patients with inguinal hernia, using the PHS, between March 1998 and June 2003. Variables were sex, age, type of hernia, additional pathologies, time of evolution, anesthetic procedure, size of hernia sac, and complications, with a 4-year follow-up for final evaluation.


RESULTS
Mean age of patients was 41 years, with a predominance of males. Primary hernia represented 93.7% of cases. According to the Gilbert classification, type II was the most frequent (46.8%), regional anesthesia was used, 75.3% of surgeries were ambulatory and complications were seroma (1.1%), hematoma (3.2%), wound infection (1.1%) and 6.3% of the cases had additional pathologies. There were no recurrences.


CONCLUSIONS
This is an easy and useful technique in our institution. It is an ambulatory procedure with low morbidity and without recurrences.
Hospital de Especialidades, Unidad Médica de Alta Especialidad 1 Bajío, Centro Médico Nacional León, Lunik 104, Col. Villas del Moral, 37160 León, Guanajuato. danielhernias@hotmail.com
Daniel
D
Suárez-Flores
José Carlos
JC
Mayagoitia-González
Luis Manuel
LM
Oropeza-Navarrete
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D003430:Cross-Sectional Studies; D004867:Equipment Design; D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011126:Polypropylenes; D011446:Prospective Studies; D013526:Surgical Mesh
D011126:Polypropylenes