Tension-Free Hernioplasty

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 Fascia

Mesh Anchored at Pubis (near retractor)

"Wings" of Mesh Posterior to Cord

(Re-Enforcing Internal Ring)

Completed Tension-free Repair

New York University School of Medicine
Hernia Repair
Department of Surgery
550 First Avenue, New York, NY 10016
© 2001 New York University
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