-Report on Experiments and Clinical Cases-

Experience with Direct Kugel Patch Method for Repair of Adult Inguinal Hernia

Yuji Kurihara¹, Taturou Yamakawa¹, Masanori Yoshino², Masao Ogata^2,3, Masanori Watanabe^2,3, Akira Tokunaga^2,3 and Takashi Tajiri²

¹Department of Surgery, Keihin General Hospital, Kanagawa
²Surgery for Organ Function and Biological Regulation, Graduate School of Medicine, Nippon Medical School
³Department of Surgery, Nippon Medical School Musashi Kosugi Hospital

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.

J Nippon Med Sch 2008; 75: 28-31

Keywords
hernia, direct Kugel patch, mesh

Correspondence to
Yuji Kurihara, MD, PhD, Department of Surgery, Keihin General Hospital, 1-2-5 Shinjo, Nakahara-ku, Kawasaki, Kanagawa 211-0044, Japan
kuri-0708@s4.dion.ne.jp

Received, August 29, 2007
Accepted, November 6, 2007