Comparison of the Posterior Approach and Anterior Approach for a Kugel Repair of Treatment of Inguinal Hernias

Overview

Journal Surg Today

Specialty General Surgery

Date 2012 Jul 14

PMID 22790709

Citations 2

Authors

Xuelu Zhou

Affiliations

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Abstract

Purpose: The purpose of this study was to compare the outcomes following the posterior or anterior approach of Kugel repair for the surgical treatment of inguinal hernias.

Methods: Patients with inguinal hernias who were treated using the original posterior approach (P group, n: 1262) and the anterior approach (A group, n: 1119) in China between 2003 and 2008 were evaluated retrospectively. The operation time, hospital stay, postoperative complications and recurrence after surgery were assessed and compared statistically in both groups.

Results: The age, gender, types of hernia, operation time, hospital stay and the follow-up were comparable in the two groups. The operation time was 44.16 ± 12.66 min in the P group and 49.45 ± 14.34 min in the A group (P > 0.05). There were no significant differences in the incidence of hematoma, seroma and urinary retention, but the rate of incisional infection and severe pain in the A group were significantly lower than that in the P group (P < 0.05). The rate of recurrence differed significantly between the two groups with eleven in the P group (0.87 %) and one in the A group (0.09 %) (P < 0.05).

Conclusion: The lower rate of incisional infection, severe pain after surgery and much lower recurrence show the superiority of the anterior approach in comparison to the posterior approach for a Kugel repair of inguinal hernias.

Citing Articles

Transabdominal Preperitoneal Repair for a Recurrent Inguinal Hernia After Kugel Hernioplasty Using the Pseudosac of Direct Inguinal Hernia: A Case Report.

Deguchi T, Fujimoto G, Shirai J, Saito K Cureus. 2024; 16(7):e64610.

PMID: 39144908 PMC: 11324354. DOI: 10.7759/cureus.64610.

Inguinal hernia repair outcomes that utilized the modified Kugel patch without the optional onlay patch: a case series of 163 consecutive patients.

Chiang H, Chen P, Chen Y, Yan M, Chen C, Lin J Hernia. 2014; 19(3):437-42.

PMID: 25103129 DOI: 10.1007/s10029-014-1297-6.

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