Inguinal & Femoral Hernia Repair

The various methods of 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 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