Inguinal hernia treatment with the Prolene Hernia System in a Dutch regional training hospital

C A S Berende, J P Ruurda, C E V B Hazenberg, J G Olsman, H J A A van Geffen

Research output: Contribution to journalArticleAcademicpeer-review


INTRODUCTION: In this retrospective study results from inguinal hernia repair with the Prolene Hernia System (PHS) in a regional training hospital were analysed.

PATIENTS AND METHODS: One-hundred and seventy-eight primary inguinal hernias and thirty-nine recurrent hernias (initial non-mesh repair) were treated with the PHS. The primary endpoint was the recurrence rate. Secondary endpoints were short-term and long-term complications. Pain was evaluated by use of a visual analog scale (VAS, 0-100), and a short-form 36-item questionnaire was used to assess postoperation quality of life. All patients visited the outpatient clinic for a physical examination (100% follow-up).

RESULTS: After a median follow-up of 32 months four patients were diagnosed with recurrent herniation (1.8%), three after primary hernia repair (1.6%) and one after recurrent hernia repair (2.6%). Three superficial wound infections (1.3%), three haematomas needing surgical evacuation (1.3%), and two lesions of the spermatic cord (0.9%) were diagnosed. Seven patients (3.2%) suffered from persistent pain (VAS > 40). Average VAS score was 13 (0-80) >24 months after surgery.

CONCLUSION: In a regional training hospital, primary and recurrent inguinal hernias were treated with low recurrence and few complications by use of the PHS.

Original languageEnglish
Pages (from-to)303-6
Number of pages4
Issue number4
Publication statusPublished - Aug 2007


  • Adult
  • Aged
  • Aged, 80 and over
  • Biocompatible Materials
  • Female
  • Follow-Up Studies
  • Hernia, Inguinal
  • Hospitals, Teaching
  • Humans
  • Male
  • Middle Aged
  • Netherlands
  • Patient Satisfaction
  • Polypropylenes
  • Prosthesis Design
  • Prosthesis Implantation
  • Retrospective Studies
  • Secondary Prevention
  • Surgical Mesh
  • Surveys and Questionnaires
  • Treatment Outcome


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