ISSN:
1248-9204
Keywords:
Hernia
;
Inguinal surgery
;
Surgical mesh
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Summary Inguinal hernia has been successfully treated using prostheses. However, doubts still remain with regard to tension-free and sutureless techniques, about tension and torsion, wrinkling, prosthesis dislocation and complications in the post-operative phase. We are therefore proposing a new technique, involving the use of a polypropylene prosthesis (Prolene®), known as P.A.D. (Protesi Autoregolantesi Dinamica) which is designed to eliminate these complications. P.A.D. consists of two superimposed layers of surgical mesh. The lower and upper layers of this dynamic prosthesis can move independently from each other, since each is fixed only to one side facing the side of the other layer, allowing for the movement of the aponeurotic and muscular structures. P.A.D. may be used to treat all forms of inguinal hernia in adult males. This study is based on 500 randomly selected male patients with primary inguinal hernias. Excellent results, improved post-operative comfort and recurrence-free follow-up have been observed in all patients treated using this method. There was a significant fall in the consumption of analgesics in the post-operative period, as a result of greater post-operative comfort. P.A.D application is a simple procedure, and is easily replicated.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF01576731
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