Kugel hernia repair

Can mesh repair hernia be used for inguinal hernia repair? Did Kugel hernia patch break? Can laparoscopic surgery be performed without mesh?

Is the Kugel hernia patch in the U. It is applicable to the treatment of indirect and direct inguinal hernias as well as femoral hernias. The Kugel repair approach was possible even in patients with obturator hernia requiring intestinal resection.

However, for patients with perforations, open surgery should be performed after securing the surgical field through a midline incision. A herniorrhaphy is defined as a procedure where a hernia is repaired by stitching the muscle tissue together, where the hernia has developed or occurred and without the use of prosthetic products. Minimally invasive II.

The relatively high risk of hernia recurrence associated with pure tissue repairs, as reported in the literature, has prompted a significant increase in the use of prosthetic materials in the repair of groin hernias. In addition, greater attention is now given to speed of recovery after surgery and the cost and simplicity of various repairs. Bard Davol designed the mesh for minimally-invasive laparoscopic hernia repairs. A surgeon folded the Kugel Patch to insert it through small incisions.

A “memory recoil ring” built into the mesh caused the patch to spring open to its full shape and size. The aim of this study is to evaluate the efficacy of transinguinal preperitoneal repair (TIPP) of giant inguinoscrotal hernias using Kugel mesh.

Many victims are not able to file surgical mesh. Hernia repairs are common—more than one million hernia repairs are performed each year in the U. Approximately 800are to repair inguinal hernias and the rest are for other types of hernias. A Kugel patch (Bar Murray Hill, NJ) is composed of polypropylene sheets and a polyethylene polymer memory recoil ring, which allows the mesh to spring back to the original shape after it is folded. The aim of the present study is to report an initial experience of a cohort of patients with inguinal hernias undergoing repair using this technique. Hernia recurrence is all too common considering that hernia repair is known to be one of the commonly practiced surgical methods.

Even surgeons know well that this is one of the most common operations that occur in hospitals. Surgeons place the mesh across the area surrounding the hernia , attaching it with stitches, staples or glue. Pores in the mesh allow tissue to grow into the device.

One of the first hernia mesh implants to be recalled was C. Bard’s Kugel hernia mesh patches. Hernia mesh is used in million surgeries annually in the U. The implant was made of polypropylene and contained a ring around the mesh. In some cases, this ring would break.

During inguinal hernia repair , your surgeon pushes the bulging tissues back into the abdomen while stitching and reinforcing the portion of the abdominal wall containing the defect. Composix Kugel Mesh Patches, manufactured by Davol, Inc. Patients resumed work after an average of days (range 7-12) from operation. Recurrence rate was 0.

AB - A large monoinstitutional series adopting the Kugel retroparietal technique for inguinal hernia surgery is analysed. The Kugel hernia repair satisfies the standards to be awarded as a mini-invasive technique. As in a laparoscopic TEP repair , the preperitoneal space is accessed using digital dissection instead of a balloon dissection.

The cost of the Kugel repair was $7less per case than the laparoscopic repair. The collection of long-term for this new repair are ongoing. The developer of the repair , Dr Robert Kugel , reports a recurrence rate of less than (R.

Kugel , personal communication, i999). PM – The tissue repair for inguinal hernia by Dr. The author has per- formed 4repairs with five recurrences (). Modified Kugel version 2” a type of supra-inguinal open preperitoneal mesh repair by Dr. The comparison of self-gripping mesh and sutured mesh in open inguinal hernia repair : the of meta-analysis.

Schopf S, von Ahnen T, von Ahnen M, Schardey H. Chronic pain after laparoscopic transabdominal preperitoneal hernia repair : a randomized comparison of light and extralight titanized polypropylene mesh.