What is a Prole Hernia System technique for open inguinal hernia repair?

Updated: Apr 16, 2020
  • Author: Vinay Kumar Kapoor, MBBS, MS, FRCS, FAMS; Chief Editor: Kurt E Roberts, MD  more...
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Answer

The Prolene Hernia System (PHS) consists of an anterior oval polypropylene mesh connected to a posterior circular component. The posterior component is deployed in a bluntly created preperitoneal space (see the first image below). The anterior portion is then laid out with a cut made to recreate the internal ring (see the second image below). The anterior portion is then sutured above to the conjoined tendon and below to the shelving edge of the inguinal ligament and is tucked behind the external oblique aponeurosis (see the third image below).

Open inguinal hernia repair. Development of preper Open inguinal hernia repair. Development of preperitoneal space.
Open inguinal hernia repair. Deployment of Prolene Open inguinal hernia repair. Deployment of Prolene Hernia System (PHS).
Open inguinal hernia repair. Final position of Pro Open inguinal hernia repair. Final position of Prolene Hernia System (PHS) mesh.

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