Incisional, epigastric and umbilical hernia repair using the Prolene Hernia System: describing a novel technique |
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Authors: | Goldie Khera David A Berstock |
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Affiliation: | (1) Secretary, D.A. Berstock, Arrowe Park Hospital, Wirral Hospital NHS Trust, Arrowe Park Road, Upton, Wirral, CH49 5PE, UK |
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Abstract: | The Prolene Hernia System (PHS) is already widely in use in the United Kingdom for inguinal hernias. We describe the novel
technique of using the three-in-one design of the PHS (Ethicon Endo-Surgery, Bracknell, UK) for repairing incisional, epigastric
and umbilical herniae. This is a three-dimensional device and consists of an onlay patch, a tubular connector and an underlay
patch. We recommend a four ‘corner’ suturing of the underlay patch under vision (and then) through the full thickness of abdominal
wall layers to ensure a flat underlay mesh. These four sutures flatten out the underlay patch and can be tied or removed with
equal effect. The sutures are placed at 3, 6, 9 and 12 o’clock, which simplifies the procedure and ensures that the underlay
lays correctly and is corrugation-free and tension-free, thereby providing a two-layer repair for those herniae with a high
rate of recurrence.
Both authors are independent surgeons who have no conflicts of interest with Ethicon Endo-Surgery.
This report has not been published elsewhere; the information contained in it has recently been presented as a poster at the
National Hernia Symposium in Birmingham, UK, 8 February 2006. |
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Keywords: | Hernia Prolene Surgical mesh |
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