All hernias should
be surgically corrected to remove the risk of incarceration and strangulation.
If there are compelling co-morbid medical conditions that preclude surgery,
then a truss, or support hernia belt may be employed. A truss does not
repair the hernia defect, but will afford some relief of symptoms.
Modern methods of
repair include open primary closure of the defect with sutures (Shouldice
or "Canadian" Repair, Bassini Repair); patch closure with prosthetic materials
(Polypropylene or Gortex), and laparoscopic repair.
My personal choice
is the mesh tension-free (Lichtenstein-type) hernia repair. This technique
combines efficacy (low recurrence rate) with patient safety and comfort.
Hernia repairs at
The NYU Medical Center are performed in our modern out-patient ambulatory
Day Surgery Center on the east side of Manhattan, under regional or general
Repairs of hernias