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  • Mayo repair  (1)
  • Plug  (1)
  • Umbilical hernia  (1)
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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Hernia 4 (2000), S. 195-196 
    ISSN: 1248-9204
    Keywords: Umbilical hernia ; Mayo repair ; Mesh ; Recurrence
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Unlike inguinal herniorraphy, the results of surgery for umbilical hernia have been poorly audited. The extent to which the popular sutured repair of Mayo has given way to mesh-based repairs in recent years is also unknown. To investigate these deficiencies, a review was undertaken of 651 umbilical hernia repairs performed between April 1994 and March 1999 at a single institution by 10 general surgeons. Excluding children and umbilical hernias repaired at laparotomy, a total of 473 primary adult hernias and 18 recurrent hernias were repaired. The proportion repaired for recurrence was 3.8%. Follow up ranges between 12 and 60 months (mean 27 months, median 25 months). Of the 18 recurrences, there were 16 sutured repairs and 11 of the patients had predisposing factors for recurrence such as wound infection, obesity, chronic renal failure or ascites. Sutured repair of primary umbilical hernias in this large series was successful in 96% of cases; in the remainder underlying co-morbidity was an important predisposing factor for recurrence. This study does not support the routine use of mesh in primary adult umbilical hernia repair.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1248-9204
    Keywords: Inguinal hernia ; Plug ; Mesh ; Groin pain
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Background The 14 day results of this study reported elsewhere demonstrated that the Perfix® plug-and-patch was as effective as the Lichtenstein patch but not as cost-effective. The present analysis looks at the results at one year to measure quality of life between the two groups. Patients and Methods 141 patients were randomly allocated in a doubleblind manner to receive either a Lichtenstein patch (patch) or a Perfix® plug- and-patch (plug-and-patch) for primary inguinal hernia. Quality of life at 6 months and one year was assessed by the short-form 36 (SF36). On a 3 point scale patients were asked at one year to rate groin, wound and testicular discomfort. Results Physical function by SF36 was similar in the 2 groups at 6 months, but at one year in the patch group (95.11 +/-20.07) was significantly better (p 〈 0.05) than physical function in the plug-and-patch group (82.5 ± 20.98). At one year the number of patients with wound discomfort limiting work or social activities was significantly greater in patients receiving the plug-and-patch (n = 12) compared with patients receiving the patch (n = 4), p 〈 0.031. At one year, 4 of 70 patients receiving the plug-and-patch had required reoperation to remove the preformed plug-and-patch device and replace it with a flat Lichtenstein patch, because of wound pain which was limiting activity. Conclusion A significant proportion of patients suffer chronic pain after placement of a Perfix® plug-and-patch for primary inguinal hernia repair. Removal of the Perfix® device is required in approximately i in 20 patients (5.6% in this series).
    Type of Medium: Electronic Resource
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