Medium inguinal Hernia – Traditional Tension Repair

HowardF – It’s important to keep in mind that all of the non mesh repairs use the same type of permanent material that the many mesh products are made from. So the goal of repairing the hernia with permanent sutures will not meet your goal of no foreign material being implanted, unless all absorbable materials are used (mesh or no mesh). If absorbable materials are used to repair the hole, then theoretically the hole will have a greater chance of re-appearing once the materials go away. There is some data about lap inguinal hernia with a biological mesh that doesn’t get absorbed, but remodels. It’s a single study, so not sure how that would work for you. You will have to decide if you want to take a chance for higher recurrence, or a chance from a mesh/suture reaction from permanent material. Ramon Berguer is a laparoscopic surgeon in the Bay area that I would trust to help you make these decisions for yourself. Ed Felix in Fresno is a hernia specialist that could also help. Hope this helps!