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kugel inguinal hernia

Xue-Lu Zhou, Shang-Jun Zhou, Ji-Feng Zhang, Hao Hu, Jian-Feng Zhang, Wei-Bin Cai, Ping Zhan
BACKGROUND: Despite many advantages of original Kugel hernia repair over other procedures, there exist certain disadvantages of technical difficulty, long learning curve, and high early recurrence. The aim of this study was to explore the outcomes of long-term follow-up using anterior approach preperitoneal hernia repair with the Kugel patch and determine its safety and efficacy. METHODS: Five hundred eighty-one inguinal hernias were performed in 560 patients, using anterior approach preperitoneal repair...
May 11, 2016: American Journal of Surgery
Pao-Hwa Chen, Heng-Chieh Chiang, Yao-Li Chen, Jesen Lin, Bai-Fu Wang, Meng-Yi Yan, Chun-Chi Chen, Hung-Jen Shih, Jian-Ting Chen
OBJECTIVE: This is an initial review of the safety and efficacy of anterior preperitoneal modified Kugel (MK) mesh herniorrhaphy application without using optional onlay mesh. METHODS: We retrospectively reviewed patients who underwent herniorrhaphy by a single surgeon from July 1(st), 2009 to December 31(st), 2010. During these 18 months, a total of 72 patients underwent single-layer MK mesh herniorrhaphy. Anterior preperitoneal approach was used to place the mesh...
March 10, 2016: Asian Journal of Surgery
Kota Okinaga, Takashi Hori, Tsuyoshi Inaba, Kazue Yamaoka
PURPOSE: The transinguinal preperitoneal approach is a relatively new technique for inguinal hernia repair. Two types of memory-ring mesh are available in Japan: the modified Kugel patch (MK) and the Polysoft patch (PP). We tested the hypothesis that the PP is noninferior to the MK with respect to chronic postoperative pain. METHODS: An unblinded randomized controlled trial was conducted to assess the noninferiority of PP compared to MK with a 5 % noninferiority margin...
June 2016: Surgery Today
Zhe Fan, Xiaofeng Tian, Yingyi Zhang, Huirong Jing, Jiyong Pan, Shuang Wang
Tension-free hernia repairing techniques is a popular herniorrhaphy for open inguinal hernioplasty and the modified Kugel herniorrhaphy (MKH) is a kind of tension-free hernia repairing technique. The modified Kugel herniorrhaphy (MKH) is a minimally invasive, non-laparoscopic, conventional anterior approach, preperitoneal and sutureless technique. It is well accepted by most people because of few complications and low recurrence rate. A case of an 82-year-old man underwent MKH. After the third day of postoperation, a strange symptom of Grey-Turner's sign appeared and maintained for 10 days...
2014: International Journal of Clinical and Experimental Medicine
Naoya Yamada, Atsushi Akai, Akihiko Seo, Yukihiro Nomura, Nobutaka Tanaka
BACKGROUND: Reduction en masse of inguinal hernia is a rare condition following manual reduction of an unrecognized incarcerated inguinal hernia. The preoperative diagnosis and surgical treatment via an inguinal approach has been considered difficult. CASE PRESENTATION: A 59-year-old man with lower abdominal pain was presented to our hospital. He was diagnosed reduction en masse of an inguinal hernia based on his CT findings which showed the presence a pre-peritoneal hernia sac containing the small bowel...
2015: BMC Surgery
K Arslan, B Erenoglu, E Turan, H Koksal, O Dogru
PURPOSE: To compare a minimally invasive preperitoneal (MIP) single-layer mesh repair with the standard Lichtenstein hernia repair (LHR) for inguinal hernia in terms of operative characteristics, recovery, complications, recurrence and chronic pain. METHOD: Two hundred and twenty male patients diagnosed with primary inguinal hernia were randomized to either MIP or LHR methods. MIP repair consisted of a single-layer polypropylene mesh developed by our group placed preperitoneally using the Kugel technique...
June 2015: Hernia: the Journal of Hernias and Abdominal Wall Surgery
H-C Chiang, P-H Chen, Y-L Chen, M-Y Yan, C-C Chen, J Lin, P-F Wang, H-J Shih
PURPOSE: The purpose of this study was to evaluate the efficacy and safety of the anterior Kugel herniorrhaphy approach when the onlay patch is omitted. METHODS: The study population comprised patients who underwent anterior Kugel herniorrhaphy without the onlay patch from 1 May 2009, to 31 June 2012. The onlay patch was omitted if the posterior wall defect did not exceed the inner Posiflex(®) ring diameter. After reviewing the clinical follow-up records and conducting telephone interviews, the postoperative results were recorded and analyzed...
June 2015: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Satoshi Nishiwada, Hirofumi Ishikawa, Yasuko Tsuji, Kota Nakamura, Tomohide Mukogawa, Masanori Matsusaka, Saiho Ko, Akihiko Watanabe
PURPOSE: A femoral hernia is a relatively rare condition, and no standard surgical methods have so far been established. In this study, we investigated the development of a femoral hernia after inguinal herniorrhaphy. METHODS: A total of 1,969 patients who underwent surgery for an inguinal hernia from April 1992 to March 2012 were enrolled in this study. The patients were composed of 1,934 (98.2 %) inguinal hernia and 35 (1.8 %) femoral hernia patients. Of these, we retrospectively studied the femoral hernia cases with reference to the use of inguinal herniorrhaphy...
January 2015: Surgery Today
Jianwen Li, Xin Wang, Xueyi Feng, Yan Gu, Rui Tang
BACKGROUND: Compared with laparoscopic groin herniorrhaphy, the open procedure used in most former studies was Lichtenstein repair. However, unlike the totally extraperitoneal (TEP) or transabdominal preperitoneal (TAPP) laparoscopic techniques, Lichtenstein procedure is a premuscular but not preperitoneal repair. This retrospective study compared the outcomes between laparoscopic preperitoneal and open preperitoneal procedure-modified Kugel (MK) herniorrhaphy. METHODS: Groin hernia patients older than 18 years who underwent open MK or laparoscopic preperitoneal herniorrhaphy in our hospitals between January 2008 and December 2010 were enrolled...
December 2013: Surgical Endoscopy
K Suwa, S Nakajima, K Hanyu, T Suzuki, T Okamoto, K Yanaga
PURPOSE: The aim of this study was to evaluate the outcome, with a special reference to recurrence and postoperative chronic pain, of the modified Kugel herniorrhaphy (MKH) using standardized dissection of the preperitoneal space. PATIENTS AND METHODS: Operative results were examined based on medical records and questionnaire surveys in 340 consecutive cases of MKH performed at a single institution. The operation was performed with an original 3-stage dissection of the preperitoneal space only via the internal inguinal ring...
December 2013: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Xuelu Zhou
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...
April 2013: Surgery Today
Takahide Yokoyama, Akira Kobayashi, Toshiki Kikuchi, Ken Hayashi, Shinichi Miyagawa
BACKGROUND: A laparoscopic surgical approach for obturator hernia (OH) repair is uncommon. The aim of the present study was to assess the effectiveness of laparoscopic transabdominal preperitoneal (TAPP) repair for OH. METHODS: From 2001 to May 2010, 659 patients with inguinal hernia underwent TAPP repair at in our institutes. Among these, the eight patients with OH were the subjects of this study. RESULTS: Three of the eight patients were diagnosed as having occult OH, and the other five were diagnosed preoperatively, by ultrasonography and/or computed tomography, as having strangulated OH...
October 2011: World Journal of Surgery
R C Read
Preperitoneal approaches to the repair of primary, bilateral, recurrent, inguinal, and femoral herniae, the most common abdominal protrusions, now dominate techniques of repair. The purpose of this review is to outline crucial steps which have led to this result. Abernethy (Surgical cases and remarks. Of the operation for the aneurysm. Cadell and Davies (Strand), London, pp. 149-176, 1797) introduced an operation to treat aneurysms of the external iliac artery, which was endorsed by Cooper (The anatomy and surgical treatment of abdominal hernia...
February 2011: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Satoru Takayama, Masaki Sakamoto, Hiromitsu Takeyama
Laparoscopic placement of the Kugel patch using a preperitoneal approach is the ideal method for hernioplasty repair because it is less invasive than the conventional open method. We first used a laparoscopic total extraperitoneal approach to place the Kugel patch, which is similar to the open approach; however, we encountered technical difficulty. We then used a laparoscopic intraperitoneal onlay approach. We performed laparoscopic hernioplasty using the Composix Kugel Patch in 5 patients. All 5 had a monolateral hernia; 1 case was recurrent...
January 2010: International Surgery
Satoru Takayama, Hiroyuki Imafuji, Hitoshi Funahashi, Hiromitsu Takeyama
PURPOSE: Spigelian hernia is a ventral abdominal hernia that only rarely causes incarceration or strangulation of the bowel. Few reports of laparoscopic treatment for Spigelian hernia have been published. Here we report a case of laparoscopic Spigelian and inguinal hernia repair using the Kugel Patch-a shape memory prosthesis. METHODS: The patient experienced severe intermittent lower abdominal pain, which was difficult to diagnose until repeated computed tomography scans were performed...
April 2010: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Bobby Dasari, Lorraine Grant, Terry Irwin
AIM: The aim of this retrospective study is to compare the immediate and long-term postoperative outcomes of Lichtenstein and Kugel repair of inguinal hernia. METHODS: From 1996 to 2006, 219 consecutive patients underwent inguinal hernia repair - 92 using a standard Lichtenstein repair and 127 with a Kugel patch. Patient characteristics, length of postoperative hospital stay and complication rates were assessed by retrospective review of the notes. Recurrence and chronic groin pain were assessed by postal questionnaire (with a follow up by telephone interview for non-responders)...
May 2009: Ulster Medical Journal
Omer Bender, Fatih Levent Balcı, Enis Yüney, Fazıl Sağlam, Yaşar Ozdenkaya, Yavuz Selim Sarı
BACKGROUND: Kugel repair, a minimally invasive technique, has become an alternative to laparoscopic groin hernia repair, but the technique has not been adequately evaluated by assessment of objective parameters. A prospective randomized clinical study was carried out to compare the systemic inflammatory response to surgical trauma and clinical outcomes in patients who underwent groin hernia repair by the Kugel and totally extraperitoneal (TEP) laparoscopic methods. METHODS: Forty consecutive patients admitted for unilateral groin hernia were randomized to Kugel (n = 20) or TEP (n = 20) repair under general anesthesia...
December 2009: Surgical Endoscopy
S G Barreto, D Schoemaker, M Siddins, D Wattchow
Erosion of the "Kugel" mesh into intraperitoneal organs has not been previously reported in the medical literature. We report such an occurrence in a 54-year-old male, 4 years following a "Kugel" preperitoneal repair of a left-sided inguinal hernia. The patient presented with septicaemia, pneumaturia and left iliac fossa pain. His computed tomography (CT) scan indicated the presence of gas in the bladder and a thickened loop of sigmoid colon attached to the region of the dome of the bladder. Colonoscopy showed some scattered diverticula in the sigmoid colon but no tumour...
December 2009: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Junsheng Li, Yanan Zhang, Haolin Hu, Whenhao Tang
Kugel hernia repair is classically carried out through the posterior approach; in this study we investigated the effectiveness and invasiveness of a Modified Kugel (Bard-Davol Inc., RI, USA) hernia repair procedure carried out through an anterior approach. A prospective series covering a 2-year period, including 122 patients (142 hernias) were carried out using the anterior approach. Patient comfort, complications and recurrence were evaluated. A total of 142 inguinal hernias were repaired, median age was 67 years, the mean operation time was 51 +/- 23 min and the average incision was 4...
October 2008: ANZ Journal of Surgery
Junsheng Li, Yanan Zhang, Haolin Hu, Whenhao Tang
PURPOSE: We report our results with the modified Kugel hernia repair, a relatively new and minimally invasive open technique offering the advantages of preperitoneal repair without the need for general anesthesia. METHODS: We performed 42 inguinal or femoral hernias (44 sides), including incarcerated femoral hernias, using this modified technique, giving the patient local anesthesia with very little sedation. We describe the operative techniques used and the postoperative complications encountered...
2008: Surgery Today
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