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Link to original content: https://doi.org/10.1007/s10029-006-0067-5
Is there a need for a mesh plug in inguinal hernia repair? Randomized, prospective study of the use of Hertra 1 mesh compared to PerFix Plug | Hernia Skip to main content
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Is there a need for a mesh plug in inguinal hernia repair? Randomized, prospective study of the use of Hertra 1 mesh compared to PerFix Plug

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Abstract

Although the mesh plug procedure is an effective operation, sutureless implantation of a single onlay mesh, if successful, would avoid the risks of plug-related complications. One hundred patients with primary inguinal hernias were randomized to undergo PerFix Plug or Hertra 1 implantation. Mean duration of the operation was similar, 38 versus 35 min for plug and onlay mesh implantation, respectively (nonsignificant, NS). The level of postoperative pain and early complication rate was similarly low in both groups (NS). Recurrence rate was the same—2 patients in each group (4%)—all following large hernia repair. The level of long-term discomfort was low after each type of operation (NS). Implantation of the onlay mesh—Hertra 1 as compared to the use of PerFix Plug is simple, safe, and equally effective in small and medium inguinal hernia repair, suggesting that a plug device is not necessary for successful hernia surgery.

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Acknowledgment

We would like to express our appreciation to Professor Mark A. Hardy, M.D., Ermanno E. Trabucco, M.D. and Eric Liu, M.D. for their review of the manuscript and suggestions.

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Authors and Affiliations

  1. Department of General Surgery and Transplantation, Medical University of Gdansk, Curie-Skłodowskiej 3a, 80-212, Gdańsk, Poland

    W. Adamonis, P. Witkowski, M. Śmietański, J. Bigda & Z. Śledziński

  2. Department of Surgery, College of Physicians and Surgeons, Columbia University, 630 West 168th Street, PS 17-514, New York, NY, 10032, USA

    P. Witkowski

Authors
  1. W. Adamonis
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  2. P. Witkowski
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  3. M. Śmietański
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  4. J. Bigda
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  5. Z. Śledziński
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Corresponding author

Correspondence to P. Witkowski.

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Adamonis, W., Witkowski, P., Śmietański, M. et al. Is there a need for a mesh plug in inguinal hernia repair? Randomized, prospective study of the use of Hertra 1 mesh compared to PerFix Plug. Hernia 10, 223–228 (2006). https://doi.org/10.1007/s10029-006-0067-5

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  • DOI: https://doi.org/10.1007/s10029-006-0067-5

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