Experience of Open Herniorrhaphy Using the PerFix$^{\circledR}$ Plug for Patients with Recurrent Groin Hernias

Purpose: The recurrence of a groin hernia presents few surgical options for repair. We investigated the safety and efficacy of herniorrhaphy using PerFixⓇ plug for patients with recurrent groin hernias. Methods: Between October 2000 and December 2004, 30 herniorrhaphies for recurrent groin hernia were performed and followed-up. The operation time, length of hospital stay, time of analgesic use, complication rates, and recurrence were investigated. Results: Surgery had been initially performed in 26 patients with the non-mesh method, and with mesh in 4 patients; 12 patients had a direct recurrence at the medial side of the inguinal area near the pubic tubercle, 7 patients had a direct recurrence at other sites, and 11 patients had an indirect recurrence. Eight patients had urinary retention and 2 patients had minor wound complications. Hospital stays and analgesic use were comparable to non-recurrent groin hernia operations, although operation time was significantly longer in recurrent group, and there were no recurrences during the 70 months of followup. Conclusion: Comparing open or laparoscopic preperitoneal approach, the PerFixⓇ plug method is simple and effective for recurrent groin hernia repair.