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Surgical Techniques
Hernias are repaired, not "cut out". The repair or
reconstruction of the abdominal wall is reinforced with the use of a synthetic
material. This is a space-age material which is routinely accepted by the body.
In addition, we use a newly developed suture that conforms and stretches with
the body, and is superior in strength to other sutures. We also offer the newest and most advanced "laparoscopic" techniques whereby the hernia
is repaired without an incision utilizing small punctures and a video monitor
and camera system.
The benefits of each of the available techniques will be
discussed with you personally by your surgeon. The choice of technique for your
hernia repair will depend on your individual needs, lifestyle, and work
requirements.
Our innovative techniques assure our patients the strongest hernia
repair available with an exceptionally low recurrence rate, as well as a very
pleasing cosmetic result. The Hernia Specialists have a recurrence rate of less
than 0.01%. We also use an "invisible wound closure technique" for an
optimum cosmetic outcome.
Surgical approaches are usually done open (with a
small incision) or laparoscopically using 3-4 small punctures and a video
camera.
In the open technique an incision allows the surgeon to get to
the level of the defect. The surgeon will then use two pieces of surgical mesh
(double mesh technique) to repair the hole or defect. This serves as a
"belt and suspenders" technique to doubly reassure that the defect has
been closed from above and below.
The laparoscopic technique uses 3-4 small
punctures to gain access to the hernia from the backside of the abdominal wall.
This laparoscope (tiny telescope) is connected to a special camera assembly and
passed through a hollow sleeve termed a trocar. The mesh is ultimately placed
through a trocar and affixed to the backside of the abdominal wall using
titanium spiral tacks. This technique is used on selected patients allowing them
the potential for a quicker recovery time with less post-operative discomfort.
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