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Hernia
Published in: Hernia 2/2014

01-04-2014 | Original Article

Modified fixation free plug technique using a new 3D multilamellar implant for inguinal hernia repair

A retrospective study of a single operator case series

Authors: G. Amato, A. Agrusa, G. Romano, G. Cocorullo, G. Di Buono, S. Mularo, G. Gulotta

Published in: Hernia | Issue 2/2014

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Abstract

Aim

Implant fixation, mesh shrinkage and poor quality of tissue ingrowth are unresolved issues in modern hernia repair. Many complications reported in the literature such as bleeding, nerve entrapment, hematoma, pain, discomfort, and testicular complications, are considered to be a direct results of implant fixation. This article describes the outcomes of a procedure carried out using a handcrafted implant that addresses the issues consequent to point fixation.

Methods

This was a retrospective study on the short, medium and long-term results of placing a-modified, fixation free three-dimensional polypropylene implant in 61 patients who underwent inguinal hernia repair using a novel delivery technique. The follow up length was at least 36 months postop.

Results

Only minor adverse events and a low complication rate of the procedure were observed in this patient sample. There were no long- term complications. Postoperative pain was very low in both the short and long term. No chronic pain was reported. No recurrences occurred.

Conclusion

The results of this retrospective study on a new method of inguinal hernia repair using a three dimensional handcrafted multilamellar implant delivered with a modified placement technique are promising. The short-, medium- and long-term complications were notably low. No recurrences were noticed but, more importantly, no chronic pain and extremely low discomfort rates were observed even in the long term.
Appendix
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Metadata
Title
Modified fixation free plug technique using a new 3D multilamellar implant for inguinal hernia repair
A retrospective study of a single operator case series
Authors
G. Amato
A. Agrusa
G. Romano
G. Cocorullo
G. Di Buono
S. Mularo
G. Gulotta
Publication date
01-04-2014
Publisher
Springer Paris
Published in
Hernia / Issue 2/2014
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-013-1102-y

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