Femoral Hernia Repair Options

Open Surgery

Tension-Free Bard® PerFix™ and PerFix™ Light Plug
Over 5 million of these devices have been implanted worldwide, giving surgeons the confidence to use them. These devices are designed to be used in a tension-free hernia repair technique that typically takes less than an hour to complete. The procedure is typically done using a local or epidural anesthetic instead of general anesthesia.


PerFix™ Plug PerFix™ Light Plug

The surgeon typically makes a small 4-6 cm (1.5 to 2.5 inch) incision and places the mesh plug into the defect where the hernia protrudes out from. The tapered shape of the plug similar to a “cork in a bottle” keeps the hernia from coming back. Sutures are used to hold the plug in place. Another piece of mesh is placed over the plug to help prevent future hernias in this area of weakened tissue

Patients are typically admitted on an outpatient basis and discharged from the hospital within hours after surgery. Pain post surgery is minimal in most patients and they typically return to their normal activities within several days. Your surgeon will advise you appropriately based on your condition. There is always a chance for complications with surgery such as infection, hematoma (blood collection), pain, or hernia recurrence. Your physician will discuss these with you prior to surgery.

Please consult the package insert for more detailed safety information and instructions for use.
PerFix Plug Instructions for Use


Conventional Tissue-to-Tissue Technique

To repair a hernia using the conventional tissue-to-tissue method, an incision is made over the hernia site and the hernia is returned to the abdomen. The surgeon repairs the hole by pulling the surrounding tissue and muscle over the defect. Several sutures are used to hold the muscle in place. No mesh is used in this repair. This is method is "conventional" is it reflects how hernias were initially repaired. This repair is common in children because they are constantly growing and mesh would not grow with them.

Operating time and typical recovery periods are longer than the other methods mentioned, and return to normal activities is approximately four to six weeks after surgery.

Hundreds of thousands of hernia repair operations are performed each year both with and without surgical mesh, and patients generally recover quickly and do well after surgery. However, all surgical procedures are associated with some risk. Speak to your surgeon prior to surgery about possible risks and complications. Some of the possible complications include adverse reactions to the mesh, adhesions (bands of scar-like tissue) and injuries to nearby organs, nerves or blood vessels. Other complications of hernia repair can occur with or without the mesh, including infection, chronic pain and hernia recurrence.

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