[Treatment of the inguinal haernias with the use of synthetic mesh with prolen hernia system (PHS) and Robbins-Rutkow methods--review of outcomes].

OBJECT OF RESEARCH: Evaluation of methods and outcomes of inguinal region haernias' treatment with the use of synthetic implants.

MATERIAL: An analysis of 867 patients operated with the use of synthetic implants between 1999 and 2005 has been made (PHS, Robbins-Rutkow). The group consisted of 695 men, and 172 women and the average age was 44.5 years. In 860 (99%) patients a subarachnoid anaesthesia and in (1%) patients a local anaesthesia were performed. All patients received antibiotic prophylaxis.

RESULTS

Between 1999-2005 867 surgical treatments of the inguinal region haernias were performed using synthetic implants--PHS 363 (41.9%), Robbins-Rutkow 504 (58.1%). Most patients received subarachnoid anaesthesia (99%). Only 1% of the patients were given local anaesthesia due to the load pertaining to internal medicine and the presence of spondylosis. Complications which occured after surgery were: suppuration of the wound in 17 patients (2%), hematoma in the wound in 8 patients (1%), relapse of haernia in 4 patients (0.5%). All patients were activated in the first twenty-four hours after the operation. Return to full physical activity was observed 14 days after the surgery.

CONCLUSIONS

1. Analysing both methods of treatment, no statistically significant differences were found in the frequency of posoperative complications and haernia relapse. 2. The choice of method is dependent on the type of haernia found intraoperatively. 3. The proper method choice guarantees the efficacy of treatment as well as little amount of complications and relapses.