This is my procedure
of choice. The Tension-Free Hernioplasty technique involves suturing permanent
polypropylene mesh to strong tissues in the groin to close the gap in
the inguinal canal. Anatomically, the mesh is inserted in the pre-peritoneal
space, to afford the strongest mechanical advantage.
Any foreign body
inserted into human tissues may be rejected, or become infected. The mesh
is soaked in an antibiotic solution prior to implantation, and prophylactic
antibiotics are administered intravenously to reduce the risk of infection.
After surgery, patients
are fully ambulatory, and the sole restriction is to avoid very heavy
lifting for 30 days. Modern, water-proof dressings allow the patient to
bathe. A prescription for pain medication is given, and patients are encouraged
to gradually return to full activities as tolerated.
Sutures Used For Repair
Direct Hernia Sac Exposed
Hernia Sac Removed
Properitoneal Space Exposed by Opening Transversalis
Mesh Anchored at Pubis (near retractor)
"Wings" of Mesh Posterior to
(Re-Enforcing Internal Ring)
Completed Tension-free Repair