title: Long-term results of femoral hernia repair with ULTRAPRO Plug.
abstract: BACKGROUND
  The infrainguinal plug technique for femoral hernia (FH) has gained popularity for its feasibility, simplicity, and encouraging rate of success, but materials and structures of traditional mesh plugs may cause postoperative discomfort, plug migration, and even recurrence. The new hernia repair device ULTRAPRO Plug (UPP) may avoid those problems.
  
  
  METHODS
  In 121 of patients, a total of 125 elective FH repairs with UPP were performed between March 2009 and March 2013. Demographics, surgical information, and outcome were assessed.
  
  
  RESULTS
  Out of 121 patients, 105 were female. The mean age was 57.6 y. FHs occurred more often on the right (72) than the left (45), and in 4 patients the hernias were bilateral. Mean duration of a hernia surgery was 14.7 min, and 91% patients were discharged within 24 h. Mean time to complete return to daily activities was 7.4 d. No mortality or major complications occurred during the perioperative period. Median follow-up was 26 mo, and the total follow-up rate was 91%. No recurrence or chronic mesh infection was noted. Postoperative chronic pain in two patients, sensory loss in one patient, and foreign body sensation in three patients were found in the follow-up.
  
  
  CONCLUSIONS
  Repair of FHs with UPP through an infrainguinal approach is a simple and effective procedure without major postoperative events.
authors.affiliation: Hernia Center of Department of Gastrointestinal Surgery, West China Hospital of Sichuan University, Chengdu, China.
authors.forename: Yinghan
authors.initials: Y
authors.lastname: Song
authors.affiliation: Hernia Center of Department of Gastrointestinal Surgery, West China Hospital of Sichuan University, Chengdu, China.
authors.forename: Anqing
authors.initials: A
authors.lastname: Lu
authors.affiliation: Hernia Center of Department of Gastrointestinal Surgery, West China Hospital of Sichuan University, Chengdu, China.
authors.forename: Dongyang
authors.initials: D
authors.lastname: Ma
authors.affiliation: Hernia Center of Department of Gastrointestinal Surgery, West China Hospital of Sichuan University, Chengdu, China.
authors.forename: Yong
authors.initials: Y
authors.lastname: Wang
authors.affiliation: Hernia Center of Department of Gastrointestinal Surgery, West China Hospital of Sichuan University, Chengdu, China.
authors.forename: Xiaoting
authors.initials: X
authors.lastname: Wu
authors.affiliation: Hernia Center of Department of Gastrointestinal Surgery, West China Hospital of Sichuan University, Chengdu, China. Electronic address: leiwz9@163.com.
authors.forename: Wenzhang
authors.initials: W
authors.lastname: Lei
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006550:Hernia, Femoral / Q000601:surgery*; D059685:Herniorrhaphy / Q000295:instrumentation* / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013526:Surgical Mesh; D055815:Young Adult
keywords: Femoral hernia; Plug; Postoperative complications; Recurrence; Surgical