Inguinal Hernia Repair Options
Tension-Free Bard® PerFix® Plug Technique
Over 3 million of these devices have been implanted worldwide. Surgeons trust this product and have confidence that each time they will have positive clinical results. This device is designed to be used in a tension-free hernia repair technique that takes approximately 25 minutes. The procedure is typically done using a local or epidural anesthetic instead of general anesthesia.
The surgeon makes one small 4-6 cm (1.5 to 2.5 inch) incision and places the plug into the hole where the hernia popped out from. The tapered shape of the plug acts like a cork in a bottle to keep the hernia from coming back. One to two 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. Post-operative pain is minimal in most patients and they typically return to their normal activities within only three days. Your surgeon will advise you appropriately. Like any surgery, there is always a chance for complications, like infection or hernia recurrence. Your physician will discuss these with you prior to surgery.
Tension-Free Bard® Modified Kugel® Patch Technique
The Modified Kugel Patch is inserted through the hole in the tissue and repairs the hernia from the inside, so the pressure from your body will help hold it in place. This procedure eliminates the tension or strain on the surrounding muscles and ligaments, reducing postoperative pain. The Modified Kugel Patch typically covers the entire groin region, minimizing the risk of a getting another hernia. Only two sutures are needed to hold the patch in place.
This technique requires only a 4 to 6cm incision (1.5 to 2.5 inch). General anesthesia is not required and most patients are able to go home within a few hours of surgery. Like any surgery, there is always a chance for complications, like infection or hernia recurrence. Your physician will discuss these with you prior to surgery.
Tension-Free Bard® Kugel Patch Technique
The Kugel Patch repair can be performed on an outpatient basis and under local anesthesia. The patch is placed through a single 3 to 4cm (1.5 inch) incision. Only one suture is needed to hold it in place. This technique is a nice alternative to laparoscopic surgery for patients who cannot undergo the general anesthesia required for a laparoscopic procedure for whatever reason. It also only requires one incision instead of three small incisions. Like the other techniques above, this patch helps minimize the chance of recurrence and protects against any future hernias in this area.
This procedure takes about 45 minutes and patients are discharged in approximately one to two hours after surgery. Almost all patients return to work within three to five days following surgery. Like any surgery, there is always a chance for complications, like infection or hernia recurrence. Your physician will discuss these with you prior to surgery.
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 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 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.
Bard® 3DMax® Mesh Laparoscopic Technique
The Bard® 3DMax® repair is performed only under general anesthesia as referenced earlier in laparoscopic procedures. Three separate incisions are made though the skin (approximately one cm each) and special equipment is used. The mesh is designed to fit the groin region precisely so that the surgeon may decide to use fewer staples or tacks to hold the mesh in place, as sometimes these can cause pain. Like any surgery, there is always a chance for complications, like infection or hernia recurrence. Your physician will discuss these with you prior to surgery.