Tension Free Inguinal Hernia Repair
Tension free repair is completed through the following procedure. To describe a 7 year experience with recurrent inguinal hernia repair performed mainly with tension free mesh or plug technique under local anesthesia through the anterior approach and to evaluate the safety and effectiveness of this method of treatment.
Open Tension Free Mesh Repair Of Inguinal Hernia
The method of tension free hernia repair.
Tension free inguinal hernia repair. 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. 9 11 in sweden and denmark the most frequently used hernia repair is the lichtenstein procedure. 12 during the last decade minimally invasive hernioplasties have been developed using either a laparoscopic or an open technique.
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. Today s hernia repair options the best reason to fix your hernia early. Elective surgery is offered to most patients.
The hernia bulge is then freed from the muscle. 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. 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.
4 many different tension free techniques have been developed 4 8 and the use of mesh is common and increasing. A small incision is made into the abdominal wall under local anesthesia. 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.
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. The contents of the hernia bulge is returned back to the abdomen through the hole made. 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.
Tension repair has a higher recurrence rate than non tension or mesh repair. Tension free mesh the british hernia centre s preferred method in most cases a number of surgeons felt that none of the existing methods was entirely desirable and over several years an altogether different technique was devised. Today s hernia repair options include new techniques and materials that can make surgery less invasive recovery faster and recurrence less likely.
Lublin believes that a tension free hernia repair using mesh is the ideal method for repair because.