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The Shouldice technique is the most effective non-mesh repair thus making it one of the most commonly utilized methods. [29] Numerous studies have been able to validate the conclusion that patients have lower rates of hernia recurrence with the Shouldice technique as compared to other non-mesh repair techniques. [48]
Post herniorrhaphy pain syndrome, or inguinodynia is pain or discomfort lasting greater than 3 months after surgery of inguinal hernia. Randomized trials of laparoscopic vs open inguinal hernia repair have demonstrated similar recurrence rates with the use of mesh and have identified that chronic groin pain (>10%) surpasses recurrence (<2%) and is an important measure of success.
Hernia repair is a surgical operation for the correction of a hernia—a bulging of internal organs or tissues through the wall that contains it. It can be of two different types: herniorrhaphy ; or hernioplasty . [ 1 ]
The mesh distributes tension across the repaired area and is intended to both seal and strengthen the area to prevent future hernias. [15] Most hernias, including obturator hernias, have a strong rate of recurrence. After clinical intervention, mesh vs. non-mesh repair are two of the most common ways to finish the procedure.
The mesh is placed either over the defect (anterior repair) or under the defect (posterior repair). At times staples are used to keep the mesh in place. These mesh repair methods [ broken anchor ] are often called "tension free" repairs because, unlike some suture methods (e.g., Shouldice), muscle is not pulled together under tension.
Laparoscopic incisional hernia repair is a new method of surgery for this condition. [ 9 ] [ 10 ] [ 11 ] The operation is performed using surgical microscopes and specialized instruments. The surgical mesh is placed into the abdomen underneath the abdominal muscles through small incisions to the side of the hernia.
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