Pre-operative Preparation for a Open Inguinal Hernia Repair procedure
There is some important information about the pre-operative preparation for this procedure. It is imperative that you read this.
An open inguinal hernia repair is a very successful operation that has been performed over many decades. It provides for a very sound repair of either a direct or indirect inguinal hernia using a piece of prolene mesh. The decision to undergo an open technique as opposed to a laparoscopic (extra peritoneal) technique is largely based on patient preference.
The procedure is performed under general anaesthesia. An oblique incision is made in the groin on the affected side and dissection is continued through the muscle of the groin. The spermatic cord is identified and a distinction made between a direct hernia (through the muscle of the abdominal wall) and an indirect hernia (a persistence of a finger of peritoneum that was present at birth). A direct defect is reduced and if present the peritoneal sac is emptied, obliterated and resected. The area is then reinforced with prolene mesh which is secured in place with multiple non absorbable sutures. The wound is then closed in layers, including a suture to the skin which does not require removing. Finally long acting local anaesthetic is injected into the wound and a dressing is applied.
The patient is transferred to the recovery room and then either to day surgery if going home the same day or to the ward if staying overnight.
Post-operative Care following a Open Inguinal Hernia Repair procedure
There is some very useful information regarding your care following this procedure and it is important that you take time to read it.