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Hernia
Published in: Hernia 1/2007

01-02-2007 | Original Article

Open, preperitoneal hernia repair with the Kugel patch: a prospective, multicentre study of 450 repairs

Authors: Y. Van Nieuwenhove, F. Vansteenkiste, T. Vierendeels, K. Coenye

Published in: Hernia | Issue 1/2007

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Abstract

Background

The Kugel patch inguinal hernia repair is a relatively new, open, minimally invasive procedure using a preperitoneal approach.

Method

Prospective multicentre case series of 450 consecutive Kugel patch repairs. Recurrence rates and persistent inguinal pain after at least 1 year as well as short-term outcomes were studied.

Results

After a follow-up of 18 months, eight recurrences (1.9%) were found, and persisting inguinal pain was reported in 15 patients (3.5%). The mean operation time and hospital stay were 20 ± 9 min and 19 ± 1.3 h respectively. Less than 1% of patients planned for an ambulatory treatment needed prolonged hospitalisation. Analgesics were used for 3 ± 2 days. Paracetamol was the only painkiller used in 69% of patients, and 13% did not take any painkiller at all. Half of all patients returned to their daily activities after 9 days and half of the employed patients returned to work after 14 days.

Conclusion

The Kugel patch repair is a quick technique with a low recurrence rate and good patient comfort. It offers the advantages of a preperitoneal inguinal hernia repair without the need for general anaesthesia or expensive laparoscopic equipment.
Literature
1.
McCormack K, Wake B, Perez J, Fraser C, Cook J, McIntosh E, Vale L, Grant A (2005) Laparoscopic surgery for inguinal hernia repair: systematic review of effectiveness and economic evaluation. Health Technol Assess 9:1–203, iii–iv
2.
Memon MA, Cooper NJ, Memon B, Memon MI, Abrams KR (2003) Meta-analysis of randomized clinical trials comparing open and laparoscopic inguinal hernia repair. Br J Surg 90:1479–1492PubMedCrossRef
3.
Neumayer L, Giobbie-Hurder A, Jonasson O, Fitzgibbons R Jr, Dunlop D, Gibbs J, Reda D, Henderson W (2004) Open mesh versus laparoscopic mesh repair of inguinal hernia. N Engl J Med 350:1819–1827PubMedCrossRef
4.
Kugel RD (1999) Minimally invasive, nonlaparoscopic, preperitoneal, and sutureless, inguinal herniorrhaphy. Am J Surg 178:298–302PubMedCrossRef
5.
Ugahary F, Simmermacher RKJ (1998) Groin hernia repair via a grid-iron incision: an alternative technique for preperitoneal mesh insertion. Hernia 2:123–125CrossRef
6.
Stylopoulos N, Gazelle GS, Rattner DW (2003) A cost–utility analysis of treatment options for inguinal hernia in 1,513,008 adult patients. Surg Endosc 17:180–189PubMedCrossRef
7.
Nordin P, Zetterstrom H, Gunnarsson U, Nilsson E (2003) Local, regional, or general anaesthesia in groin hernia repair: multicentre randomised trial. Lancet 362:853–858PubMedCrossRef
8.
Schroder DM, Lloyd LR, Boccaccio JE, Wesen CA (2004) Inguinal hernia recurrence following preperitoneal Kugel patch repair. Am Surg 70:132–136, discussion 136
9.
Ceriani V, Faleschini E, Bignami P, Lodi T, Roncaglia O, Osio C, Sarli D (2005) Kugel hernia repair: open “mini-invasive” technique. Personal experience on 620 patients. Hernia 9:344–347PubMedCrossRef
10.
Misawa T, Sakurai M, Kanai H, Matsushima M, Yamazaki Y, Yanaga K (2005) Kugel herniorrhaphy: clinical results of 124 consecutive operations. Surg Today 35:639–644PubMedCrossRef
11.
Reddy KM, Humphreys W, Chew A, Toouli J (2005) Inguinal hernia repair with the Kugel patch. ANZ J Surg 75:43–47PubMedCrossRef
12.
O’Dwyer PJ, Kingsnorth AN, Molloy RG, Small PK, Lammers B, Horeyseck G (2005) Randomized clinical trial assessing impact of a lightweight or heavyweight mesh on chronic pain after inguinal hernia repair. Br J Surg 92:166–170PubMedCrossRef
13.
Fenoglio ME, Bermas HR, Haun WE, Moore JT (2005) Inguinal hernia repair: results using an open preperitoneal approach. Hernia 9:160–161PubMedCrossRef
Metadata
Title
Open, preperitoneal hernia repair with the Kugel patch: a prospective, multicentre study of 450 repairs
Authors
Y. Van Nieuwenhove
F. Vansteenkiste
T. Vierendeels
K. Coenye
Publication date
01-02-2007
Publisher
Springer-Verlag
Published in
Hernia / Issue 1/2007
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-006-0137-8

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