Innovative Surgical Techniques in
Hernia Repair [return to
the list of articles]
A hernia is a protrusion of an organ through the wall of a body
cavity that normally contains it. Most hernias occur in the groin
and result from a weakening or rupture of the abdominal wall. Many
things can cause hernias such as heavy lifting.
Hernias do not always cause pain but may present themselves as
a "buldging" area in the groin, the anterior abdominal
wall or around a previous incision. Some can become very large.
Hernias need to be repaired to prevent two major problems. These
problems occur when the organ gets "stuck" (incarcerated)
in the hole of the muscle wall which can result in poor blood flow
to the organ with resultant strangulation/gangrene.
The newest technique to repair groin hernias is called the patch
& plug repair. This technique uses mesh to fix the rupture and
has resulted in the lowest risk of recurrence. This technique can
be done safely through a two inch incision under local anesthesia
and allows for a rapid return to normal activities. Other types
of repair include laparoscopic repair which can have a higher rate
of recurrence and a technique known as "myofacial flap".
These types require general anesthesia.
Your surgeon will assess which technique is best suited for each
patient as many factors come into the decision making process.
If you do feel you may have a hernia it is best to have it evaluated
by your family doctor or surgeon. Decisions that affect your health
and well being are decisions that can last a lifetime.
-- Anthony M Carrato, M.D.