Inguinal

Inguinal Hernia Repair Options

Laparoscopic Surgery

Bard® 3DMax and 3DMax Light Mesh
The Bard® 3DMax™ and 3DMax™ Light Mesh repairs are performed only under general anesthesia as referenced earlier in laparoscopic procedures. Three separate small incisions are made though the skin (approximately one cm each) and laparoscopic equipment is used. The mesh is designed to fit the groin region. The surgeon may decide to use fewer staples or tacks to hold the mesh in place. 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.

 

3DMax™ Mesh 3DMax™ Light Mesh

Please consult the package insert for more detailed safety information and instructions for use.
3DMax Mesh Instructions for Use

 

 

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 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 plug into the defect where the hernia occured. 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 released from the hospital within one to two 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. 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

 

Tension-Free Bard® Modified Kugel Patch
The Modified Kugel™ Patch is inserted through the hernia defect in the tissue and repairs the hernia from the inside, so the pressure will help hold it in place. This procedure eliminates the tension or strain on the surrounding muscles and ligaments, helping reduce postoperative pain. The Modified Kugel Patch typically covers the entire groin region, minimizing the risk of getting another hernia. Sutures are needed to hold the patch in place.

MK™† Patch with Posiflex Memory Technology


This technique typically requires only a 4 to 6cm incision (1.5 to 2.5 inch). General anesthesia is not necessarily required and many patients are typically able to go home within a few hours of surgery. 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.
MK  Patch Instructions for Use


Tension-Free Bard® Kugel Patch
The Kugel Patch repair can be performed on an outpatient basis and under local anesthesia. The patch is usually placed through a single 3 to 4cm (1.5 inch) incision. Only one suture is needed to hold it in place. This technique is an alternative to laparoscopic surgery for patients who cannot undergo the general anesthesia required for a laparoscopic procedure.  Like the other techniques above, this patch helps minimize the chance of recurrence and prevents against any future hernias in this area.

   Kugel Hernia Patch


This procedure is typically done in under an hour and patients are discharged hours after surgery.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.

 

  1. Do not use the Bard® Kugel™ Hernia Patch in infants or children, whereby future growth will be compromised by use of such mesh material.
  2. Literature reports there may be a  possibility for adhesion formation when Bard® Kugel™  mesh  is  placed  in  direct  contact  with  the bowel or viscera.


Warnings

  1.  If an infection develops, treat the infection aggressively. Consideration should be given regarding the need to remove the mesh. An unresolved infection may require removal of the device.


Lichtenstein Technique
This technique, also an outpatient procedure, is performed by making a 6 to 8cm (2.5 to 3 inch) incision at the hernia site. The hernia is gently pushed back into the abdomen. A flat piece of mesh is placed over the hernia defect and sutured the entire way around the mesh to the surrounding tissue and muscle to hold it in place.

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 hernia defect by pulling the surrounding tissue and muscle over it. Several sutures are used to hold the muscle in place. No mesh is used in this repair. This method is called "conventional" and it reflects how hernias were initally repaired. This repair is common in children because they are constantly growing and mesh would not grow with them.

 

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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