Quick Contact

Inguinal Hernia Repair

Open hernia repair and the laparoscopic surgery are the common types of inguinal hernia repair.

  • Herniorrhaphy: In this open hernia repair, an incision is made in the groin. The protrusion is pulled back into the abdomen. Now, the muscle that is torn apart is now stitched. In order to provide adequate support to this weak muscle, an artificial mesh is placed along the weak spot. This process is named as hernioplasty.
  • Laparoscopy: In this procedure, several small incisions in the abdomen are used for surgery. Through one of the incisions, a laparoscope is passed into the region. Laparoscopic surgeries are beneficial for those circumstances in which the traditional surgeries have failed. This is due to the reason that the scar tissue can be avoided from earlier repair. Situations can arise when hernia affect both sides of the body. The condition is called bilateral inguinal hernia. Laparoscopy is reliable option in such situations.

2 kinds of laparoscopic repair are there. They are transabdominal preperitoneal repair (TAPP) and totally extra-peritoneal (TEP) repair. Irrespective of the type of laparoscopic repair, the method offers several advantages than the open mesh surgery. Some of the advantages are quicker healing, relatively less intensity of pain during initial post-operative days, fewer complications like bleeding, infections, seromas etc, chronic pain experienced is also less.

The meshes used for supporting the weak portions of muscles can be different types. The meshes can be broadly classified into 2 categories: permanent & absorbable mesh. Permanent mesh can be either commercial mesh or mosquito-net mesh. Commercial mesh is made of polyster or prolene. Those made of marlex, Teflon or gore-tex also fall into this category. Mosquito-net mesh comprise of those synthesized from polyproplylene & polyethylene. Biocompatible meshes were introduced in the year 1999. Since then, they have been used extensively. These meshes can be used for repairing the infected environment. This type of mesh also provides more comfort rather than the other types. The risk of inguinodynia is significantly reduced by using this type of mesh.

Laparoscopic repair may be unsuitable for the following situations:

  • For a large hernia.
  • The intestine is pushed down into the scrotum.
  • An occurrences of pelvic surgeries like prostate surgeries.
  • Incapability to receive general anesthesia.