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Incisional, epigastric and umbilical hernia repair using the Prolene Hernia System: describing a novel technique.

Authors
  • Khera, Goldie
  • Berstock, David A
Type
Published Article
Journal
Hernia : the journal of hernias and abdominal wall surgery
Publication Date
Aug 01, 2006
Volume
10
Issue
4
Pages
367–369
Identifiers
PMID: 16862382
Source
Medline
License
Unknown

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.

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