The type of Abdominal repair surgery chosen will depend on size, location and the accompanying complications of the Hernia. This is the surgery of choice for all irreducible or strangulated hernias.
During the surgery
An anesthesiologist (a physician who specializes in pain relief) will recommend a type of anesthesia according to the patient’s condition and health status. Anesthesia will make a person immune to pain.
The abdomen and groin are prepared with an antibacterial solution.
A small incision or cut is made in the skin.
The hernia “sac” containing the bulging intestine is identified.
The surgeon pushes the intestine back into its proper location behind the muscle wall and back into the abdominl cavity.
The muscle wall is reinforced with stitches or synthetic mesh to contain the intestine and complete the repair.
The abdomen is closed in layers after ensuring that all the bleeding points are secured.
Although there are many types of hernia repair that have been practiced and modified over the last century the current thinking is that the use of a synthetic mesh like material can help with the long term results and prevent the recurrence of hernias. This is especially true for direct hernias and moderate sized inguinal hernias. The principles of the synthetic mesh like the Prolene mesh is similar whether it is done by open or laparoscopic surgery. The PROLENE Hernia System is generally a two-layer patch that is held together by a connector and it is fixed in the space in the defect area next to the spermatic cord towards the midline.