Methods of Repair
Options for repair are numerous. Several different hernia repair methods exist for any given hernia. All of these techniques may have excellent outcomes when performed by surgeons with extensive experience in that particular method.
At the Center for Hernia Repair, all possible approaches for repair are explored for each and every one of our hernia patients. This customized approach helps us to achieve a durable and comfortable outcome. Reduction of post-surgical pain, quick recovery and prevention of recurrence are the highest priorities for Dr. Yunis.
Inguinal and Femoral Hernia Repair
Inguinal & Femoral Hernia Repair
The various methods of hernia repair can be broken down into 3 basic categories.
Open repair without mesh
- Shouldice technique is the most effective in this class for reduction of future hernia recurrence.
- Can be performed under local anesthesia or general anesthesia with a 3-4 inch incision
Open repair with mesh
Many different techniques exist based on different designs of mesh. Mesh for groin hernia repair is usually a light weight plastic (polypropylene). The mesh ultimately becomes integrated into the body’s tissue manifested by human tissue ingrowth into the pores or matrix of the mesh itself.
- Popular open mesh repairs include:
- Lichtenstein Repair
- Plug and patch repair
- Prolene Hernia System mesh repair
Laparoscopic 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. A customized mesh is placed to repair the hernia defect.
- Statistically less pain
- Easier and more rapid return to work and sports
- Lowers risk of infection
- Cosmetically more appealing given the minimal size of the incisions