Inguinal Hernia Repair Methods
Not least due to the results of open tension free repairs performed and published internationally by the british hernia centre the stitching of hernias is now hardly used in the developed world.
Inguinal hernia repair methods. The incision tends to be painful and recovery can take as long as five to six weeks. Elective surgery is offered to most patients. Inguinal hernia surgery is an operation to repair a weakness in the abdominal wall that abnormally allows abdominal contents to slip into a narrow tube called the inguinal canal in the groin region. There are two general types of hernia operations open hernia repair and laparoscopic repair.
This method has been tried and true for decades and may be the only way to repair a very large hernia. In fact despite recent negative press regarding use of abdominal mesh use of mesh in an inguinal hernia repair remains the standard of care. The risk of your hernia returning is similar after both operations. Right inguinal hernia repair.
Method description the lichtenstein technique is an open tension free inlay mesh repair for indirect and direct inguinal hernias. Deciding which technique to use. Widespread open tension free method in inguinal hernia repair. Inguinal hernia repair without mesh also known as non mesh inguinal hernia repair.
Shouldice technique has a remarkable history of safety and durability. Laparoscopy this method leaves smaller scars than. Mobilization of the spermatic cord through the cremasteric muscle and creation of medial and lateral flaps for transection the posterior wall of the inguinal canal is examined for a direct hernia then opened beginning at the internal ring in parallel to the internal oblique muscle. Discuss the advantages and disadvantages of keyhole and open surgery with your surgeon before deciding on the most appropriate treatment.
The choice of technique for inguinal hernia repair largely depends on. Open hernia repair in this procedure which might be done with local anesthesia and sedation or general anesthesia the surgeon makes an incision in your groin and pushes the protruding tissue back into your abdomen. Tension repair has a higher recurrence rate than non tension or mesh repair. The other and extremely common method employed these days is.
Surgery remains the ultimate treatment for all types of hernias as they will not get better on their own however not all require immediate repair. It remains the view of the british hernia centre that laparoscopy is not the method of choice in the majority of cases of hernia repair. Although many advances have taken place for the repair of inguinal hernia there is still a discussion regarding the effectiveness of the ideal technique to be used during surgical procedures. It is known that nowadays the mesh repair is widely and safely used with better results despite concerns about chronic pain 8.
Dissection of cremasteric muscle.