Femoral Hernia Repair. Kugel Retroparietal Approach Versus Plug Alloplasty: a Prospective Study

Overview

Journal Hernia

Publisher Springer

Date 2006 Feb 17

PMID 16482402

Citations 6

Authors

V Ceriani

E Faleschini

D Sarli

T Lodi

O Roncaglia

P Bignami

C Osio

F Somalvico

Affiliations

Soon will be listed here.

Abstract

Plug insertion for primary femoral hernia repair may cause p.o. discomfort. The Kugel technique may avoid this problem. Patients' satisfaction to the Kugel and the plug techniques is compared in the present study. Demographics, surgical, outcome and analgesic consumption data of 26 patients treated for with the plug technique (P group) are compared with 24 operated with the Kugel patch (K group). Patients' p.o. discomfort to the two procedures was measured with quantitative (VAS score) and a qualitative (the short form of McGill pain questionnaire, SF-MPQ) methods, and compared. P group presented higher early p.o. pain (P<0.001), higher analgesic consumption and a significative delay in the return to physical activity (P<0.001). SF-MPQ scores at p.o. day 8, day 30 and month 6 were significantly lower for K group (P<0.001, P<0.001, P<0.005). The Kugel technique for femoral hernia treatment seems to cause less p.o. discomfort to patients than the plug technique.

Citing Articles

Posterior mesh inguinal hernia repairs: a propensity score matched analysis of laparoscopic and robotic versus open approaches.

Reinhorn M, Fullington N, Agarwal D, Olson M, Ott L, Canavan A Hernia. 2022; 27(1):93-104.

PMID: 36125632 PMC: 9931785. DOI: 10.1007/s10029-022-02680-0.

Mini-mesh and Lichtenstein repair compared with a modified Kugel technique for femoral hernia: a randomised controlled trial.

Wang D, Shen Y, Wang F, Chen J, Chen Y, Zhang Y Ann R Coll Surg Engl. 2020; 102(4):284-289.

PMID: 31918557 PMC: 7099148. DOI: 10.1308/rcsann.2019.0181.

Groin Hernias in Women-A Review of the Literature.

Kockerling F, Koch A, Lorenz R Front Surg. 2019; 6:4.

PMID: 30805345 PMC: 6378890. DOI: 10.3389/fsurg.2019.00004.

International guidelines for groin hernia management.

Hernia. 2018; 22(1):1-165.

PMID: 29330835 PMC: 5809582. DOI: 10.1007/s10029-017-1668-x.

Kugel patch method prevents the development of a femoral hernia after inguinal herniorrhaphy.

Nishiwada S, Ishikawa H, Tsuji Y, Nakamura K, Mukogawa T, Matsusaka M Surg Today. 2014; 45(1):57-62.

PMID: 24633897 DOI: 10.1007/s00595-014-0880-x.

References

Swarnkar K, Hopper N, Nelson M, Feroz A, Stephenson B . Sutureless mesh-plug femoral hernioplasty. Am J Surg. 2003; 186(2):201-2. DOI: 10.1016/s0002-9610(03)00178-8. View

Hernandez-Richter T, Schardey H, Rau H, Schildberg F, Meyer G . The femoral hernia: an ideal approach for the transabdominal preperitoneal technique (TAPP). Surg Endosc. 2000; 14(8):736-40. DOI: 10.1007/s004640000108. View

Kugel R . The Kugel repair for groin hernias. Surg Clin North Am. 2003; 83(5):1119-39. DOI: 10.1016/S0039-6109(03)00123-3. View

Bendavid R . A femoral "umbrella" for femoral hernia repair. Surg Gynecol Obstet. 1987; 165(2):153-6. View

Ceriani V, Faleschini E, Bignami P, Lodi T, Roncaglia O, Osio C . Kugel hernia repair: open "mini-invasive" technique. Personal experience on 620 patients. Hernia. 2005; 9(4):344-7. DOI: 10.1007/s10029-005-0015-9. View

Avisse C, Delattre J, Flament J . The inguinofemoral area from a laparoscopic standpoint. History, anatomy, and surgical applications. Surg Clin North Am. 2000; 80(1):35-48. DOI: 10.1016/s0039-6109(05)70396-0. View

Hachisuka T . Femoral hernia repair. Surg Clin North Am. 2003; 83(5):1189-205. DOI: 10.1016/S0039-6109(03)00120-8. View

Dattola P, Alberti A, Dattola A, Giannetto G, Basile G, Basile M . Inguino-crural hernias: preoperative diagnosis and post-operative follow-up by high-resolution ultrasonography. A personal experience. Ann Ital Chir. 2002; 73(1):65-8. View

Chamary V . Femoral hernia: intestinal obstruction is an unrecognized source of morbidity and mortality. Br J Surg. 1993; 80(2):230-2. DOI: 10.1002/bjs.1800800237. View

10.

Katz J, Melzack R . Measurement of pain. Surg Clin North Am. 1999; 79(2):231-52. DOI: 10.1016/s0039-6109(05)70381-9. View

11.

Gilbert A . Sutureless repair of inguinal hernia. Am J Surg. 1992; 163(3):331-5. DOI: 10.1016/0002-9610(92)90015-j. View

12.

Burney R, Jones K, Coon J, Blewitt D, Herm A, Peterson M . Core outcomes measures for inguinal hernia repair. J Am Coll Surg. 1997; 185(6):509-15. DOI: 10.1016/s1072-7515(97)00108-7. View

13.

LICHTENSTEIN I, SHORE J . Simplified repair of femoral and recurrent inguinal hernias by a "plug" technic. Am J Surg. 1974; 128(3):439-44. DOI: 10.1016/0002-9610(74)90189-5. View

14.

Ramia J, Fernandez Ferrero F . Prosthetic repair of femoral hernia: audit of long term follow-up. Eur J Surg. 1998; 164(3):191-3. DOI: 10.1080/110241598750004634. View

15.

Kemler M, Oostvogel H . Femoral hernia: is a conservative policy justified?. Eur J Surg. 1997; 163(3):187-90. View

16.

De Benedittis G, Massel R, Nobili R, Pieri A . The Italian Pain Questionnaire. Pain. 1988; 33(1):53-62. DOI: 10.1016/0304-3959(88)90203-5. View

17.

Kingsnorth A, Porter C, Bennett D, Walker A, Hyland M, Sodergren S . Lichtenstein patch or Perfix plug-and-patch in inguinal hernia: a prospective double-blind randomized controlled trial of short-term outcome. Surgery. 2000; 127(3):276-83. DOI: 10.1067/msy.2000.104124. View