Inguinal hernia repair techniques

Is inguinal hernia always need a surgery? What can you expect after inguinal hernia surgery? What is the recovery time after inguinal hernia surgery?

What are the risks of having inguinal hernia repair surgery? A surgical hernia repair involves pushing the bulge back inside the body part that should contain it, and keeping it there. Do I Need Hernia Surgery?

Your doctor will likely recommend it if any of. Techniques to repair inguinal hernias fall into two broad categories termed open and laparoscopic. Non-mesh hernia repair is also known as tissue repair. Examples include primary closure of a small umbilical hernia or inguinal hernia repair using the Shouldice , Bassini , McVay and Desarda techniques. Laparoscopic Total Extraperitoneal Inguinal Hernia Repair Three small incisions in the lower abdomen are used to gently expose the area behind the hernia (on the inside of the abdominal wall).

High definition video imaging is utilized to facilitate a gentle exposure of the hernia. Under general anesthesia the abdomen is inflated with COgas and a camera (laparoscope) is inserted through an incision in or just below the navel. Michael Latzko performs a Robotic repair of a right inguinal hernia with mesh using the Da Vinci Si.

Many inguinal hernias can be repaired using a ‘closed’ or laparoscopic procedure — especially when they’re smaller. Peritoneal flap quick closure technique is also shown. Laparoscopic repair entails inserting special instruments through tiny incisions in the abdomen through which the surgeon is able to visualize and perform the procedure. This text is designed to present a comprehensive state-of-the-art approach to options available for inguinal hernia repair.

The Shouldice technique is a comprehensive treatment plan for inguinal hernias based on the extensive experience at the Shouldice Hospital. Thorough knowledge of inguinal anatomy and pathology is essential to achieving optimal. Here’s what that means: Open — An incision of to is made in the abdomen to give the surgeon access to the hernia.

Tension — The edges of healthy tissue around the hernia are pulled together and sewn with sutures. The incision is then closed with dissolving sutures or abdominal adhesive. During inguinal hernia repair , your surgeon pushes the bulging tissues back into the abdomen while stitching and reinforcing the portion of the abdominal wall containing the defect. In the search for a technical means to reduce recurrence, emphasis was also placed on a meticulous dissection that would avoid placement of a prosthetic mesh. INGUINAL HERNIA REPAIR -NO MESH REPAIR TECHNIQUE It is possible that some surgeons may use old tension repairs like Bassini or Shouldice under the pretext of mesh free surgery.

So always insist for mesh free repair by DESARDA TECHNIQUE only Mesh, a piece of synthetic cloth, never gives protection by itself as believed by many. Currently, the main categories of inguinal hernia repair are the open repairs and the laparoscopic repairs. In the open category, repair of the hernia is achieved by pure tissue approxi- mation or by tension-free mesh repair. The most commonly performed tissue repairs are those of Bassini, Shouldice, and to a lesser extent McVay. It involves separating the hernia sac from the spermatic cord.

The hernia sac is tied off or the sac is inverted into the retroperitoneal space.

A few sutures tighten the internal ring. An inguinal hernia occurs when the intestines or fat from the abdomen bulge through the lower abdominal wall into the inguinal , or groin, area. There are types of inguinal hernias: Indirect inguinal hernias : This type of hernia is caused by a birth defect in the abdominal wall that is congenital (present at birth).