| Objective To compare polypropylene-Prolene Hernia System (PHS) or Bard Composix Kugel Patch and Mesh Plug for tensing-free Inguinal herniorrhaphy under local anesthesia and find a ideal method for Inguinal herniorrhaphy. Methods 100 patients with inguinal henia were randomized to receive respectively PHS or Kugel patch and Mesh Plug (Bard ? Mesh Perfix? Plug or Premilene? Mesh Self-Forming Plug) tension-free herniorrhaphy under local anesthesia. Results In PHS group , operative time of every case was 18~65 minutes (average 28min),the hospital stay was 2~6 days;1 case was occurred scrotal hydrocele and treated with hydrocele subvolution 3 months after operation; 1 cases were suffered from superficial wound infection and were cured through change dressings 2 months after operation. In Plug group, operative time of every case was 25~65 minutes (average 33min), the hospital stay was 3~6 days; 1 case was occurred scrotal hydrocele and treated with hydrocele subvolution after operation; 2 cases were suffered from superficial wound infection and were cured through change dressings 1~5 months after operation. During a follow-up, no recurrence occurred. The painful degree of 8 hours and 24 hours after operation had significant difference between two groups. And the operation time, retention of urine, scrotal edema rate and recurrence rate were no obvious difference between two groups. Conclusions Both PHS and Mesh Plug are ideal materials for herniorrhaphy.Tension-free herniorrhaphy by PHS with local anesthesia has possessing wide indications. PHS herniorrhaphy is consonant with the anatomy and physiology of inguinal duct and is a total inguinal repair. It is a safely, minimally invasive, chronic non-disabling groin pains, prompts restoration after operation,is satisfactory with the curative effect and low relapse rate; specially suited for aged patients with weak posterior wall of inguinal duct, large defect and general complications. |
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