Utilização do sistema Prolene de Hérnia (SPH) para o reparo de hernias inguinais

Abstract

Objective: To assess immediate postoperative and late complications in patients with inguinal hernia undergoing surgical correction by Gilbert1 technique, using the Prolene Hernia System (PHS). Methods: We surveyed all patients undergoing inguinal hernia repair with PHS mesh at The Sao Lucas Hospital - PUCRS, from January 2001 to october 2006. Information was retrospectively collected through telephone calls and chart review. The protocol for data collection included epidemiological aspects, as well as immediate and late complications. Results: ninety-six patients were enrolled. We identified six (6.25%) complications in different patients, none of which resulting in death. Two patients (2.08%) had seroma; hematoma was identified in one patient (1.04%); one patient (1.04%) had wound infection. Two patients (2.08%) had scrotal edema. After a mean follow up of 49.25 months (range 16 to 86.12) two patients (2.08%) had chronic pain and one patient (1.04%) had hernia recurrence twenty-six months after surgery. Conclusion: The repair of inguinal hernia with PHS is a safe, effective and reproducible method, with low complication and recurrence rates or long term symptoms.