Journal of Nippon Medical School
Online ISSN : 1347-3409
Print ISSN : 1345-4676
ISSN-L : 1345-4676
Report on Experiments and Clinical Cases
Experience with Direct Kugel Patch Method for Repair of Adult Inguinal Hernia
Yuji KuriharaTaturou YamakawaMasanori YoshinoMasao OgataMasanori WatanabeAkira TokunagaTakashi Tajiri
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2008 Volume 75 Issue 1 Pages 28-31

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Abstract

The direct Kugel Patch method is a minimally invasive but nonlaparoscopic preperitoneal method of hernia repair which has various ideal characteristics including all the benefits of laparoscopic hernia repair without the risks of complications. In this retrospective study, we report our experience with this method for adult inguinal hernia repair. Forty-four hernias, including 35 indirect, 7 direct inguinal hernias, and 1 recurrent indirect inguinal hernia, in 41 patients were surgically repaired using the direct Kugel patch method. The average operation time was 45.6 ± 11.3 min, and the average hospitalization time was 6.2 ± 5.0 days. There were 5 complications of seroma and only 1 recurrence of hernia which were successfully managed. We concluded that the direct Kugel patch method provides an ideal approach to adult inguinal hernia repair with short operation time and hospital stay and a very low risk of complications or recurrence.

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© 2008 by the Medical Association of Nippon Medical School
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