Tension Free Mesh Inguinal Hernia Repair

A 7 year experience in a teaching hospital. The lichtenstein tension free mesh repair which is an example of hernioplasty and is currently one of the most popular open inguinal hernia repair techniques includes the following components. Named techniques such as the shouldice the mcvay and the bassinni have all been shown in experienced hands to achieve low recurrence rates of about 2 or less.

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A tension free no mesh hernia repair leaves nothing in you for your body to reject and cause severe chronic pain.

Tension free mesh inguinal hernia repair. Elective surgery is offered to most patients. The tension free mesh technique was pioneered by the lichtenstein hernia institute in 1984 and is currently considered the gold standard of hernia repair by the american college of surgeons. Perhaps the way some others are using it is a factor we can only speculate in the absence of any clinical evidence. That we the biggest and most experienced users of surgical mesh in hernia repair have not suffered these problems suggests that what is causing the described problems is not the use of mesh itself at all.

Gianetta e cuneo s vitale b camerini g marini p stella m. The whole operation takes minutes to perform. Lichtenstein tension free mesh inguinal hernia repair is a simple safe comfortable effective method with extremely low early and late morbidity and remarkably low recurrence rate and therefore it is our preferred method for hernia repair since 1994. 12 during the last decade minimally invasive hernioplasties have been developed using either a laparoscopic or an open technique.

This is firmly held in place and the outer incision closed. Review of 1098 cases using local anaesthesia in a day unit. The risks of significant and long term chronic pain are very low in the hands of an experienced surgeon modern meshes and fixation techniques have significantly reduced the chance of chronic pain and the recurrence rate is extremely low. In this procedure repair is accomplished by covering the opening of the hernia with a patch of mesh instead of sewing the edge of the hole together.

9 11 in sweden and denmark the most frequently used hernia repair is the lichtenstein procedure. 4 many different tension free techniques have been developed 4 8 and the use of mesh is common and increasing. Ann r coll surg engl. It simply restores normal anatomy in the simplest possible way.

Anterior tension free repair of recurrent inguinal hernia under local anesthesia. 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. Lublin believes that a tension free hernia repair using mesh is the ideal method for repair because. Under local anaesthesia a small incision is made over the site of the hernia.

The peritoneal bulge is returned to where it belongs but the repair is achieved by placing a piece of fine inert and sterile mesh at the opening in the tissue. Tension free mesh hernia repair. 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.