Dynamic self-regulating prosthesis (protesi autoregolantesi dinamica)

The long-term results in the treatment of primary inguinal hernias

Gabriele Valenti, Emanuele Baldassarre, Alessandro Testa, Alessandro Arturi, Giovanni Torino, Costantino Campisi, Giorgio Capuano

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

The dynamic self-regulating prosthesis (protest autoregolantesi dinamica, PAD) is a double-layered prosthesi, in use since 1992 in inguinal hernia repair. In 1999, we published the short-term results on 500 patients and herein we report the long-term follow-up. Five hundred eighty-five PAD procedures were performed on 500 adult male, unselected patients. Hernias were unilateral in 415 patients, were bilateral in 85 patients, were direct in 197 patients (33.7%), were indirect in 269 patients (46.0%), and were combined in 119 patients (20.3%). Four hundred sixty-four patients were alive at the follow-up period of minimum 5 years, whereas 36 died (7.2%) of causes unrelated to the hernia. No information was available on 73 patients (14.6%). Therefore, the follow-up was consisted of 391 patients (78.2%) with 469 hernias. The recurrence and testicular atrophy rates were nil. Three patients (0.77%) presented chronic pain and 18 (4.6%) suffered persistent discomfort or paresthesia. A hydrocoele was observed in one patient (0.2%). The long-term data confirm the efficacy of the dynamic self-regulating posthesis hernioplasty. We propose it as a standard of care in all cases of primary inguinal hernia in adult males, retaining it as a definitive and comfortable solution.

Original languageEnglish
Pages (from-to)244-248
Number of pages5
JournalAmerican Surgeon
Volume72
Issue number3
Publication statusPublished - Mar 2006

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Inguinal Hernia
Prostheses and Implants
Therapeutics
Hernia
Herniorrhaphy
Paresthesia
Standard of Care
Chronic Pain
Atrophy

ASJC Scopus subject areas

  • Surgery

Cite this

Valenti, G., Baldassarre, E., Testa, A., Arturi, A., Torino, G., Campisi, C., & Capuano, G. (2006). Dynamic self-regulating prosthesis (protesi autoregolantesi dinamica): The long-term results in the treatment of primary inguinal hernias. American Surgeon, 72(3), 244-248.

Dynamic self-regulating prosthesis (protesi autoregolantesi dinamica) : The long-term results in the treatment of primary inguinal hernias. / Valenti, Gabriele; Baldassarre, Emanuele; Testa, Alessandro; Arturi, Alessandro; Torino, Giovanni; Campisi, Costantino; Capuano, Giorgio.

In: American Surgeon, Vol. 72, No. 3, 03.2006, p. 244-248.

Research output: Contribution to journalArticle

Valenti, G, Baldassarre, E, Testa, A, Arturi, A, Torino, G, Campisi, C & Capuano, G 2006, 'Dynamic self-regulating prosthesis (protesi autoregolantesi dinamica): The long-term results in the treatment of primary inguinal hernias', American Surgeon, vol. 72, no. 3, pp. 244-248.
Valenti, Gabriele ; Baldassarre, Emanuele ; Testa, Alessandro ; Arturi, Alessandro ; Torino, Giovanni ; Campisi, Costantino ; Capuano, Giorgio. / Dynamic self-regulating prosthesis (protesi autoregolantesi dinamica) : The long-term results in the treatment of primary inguinal hernias. In: American Surgeon. 2006 ; Vol. 72, No. 3. pp. 244-248.
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