MemberOctober 30, 2017 at 4:46 amquote Rob:
Yes I sometimes use small piece of Goretex cloth for umbilical hernia
But it depends on the size of the hernia opening.
If the opening diameter is less than 1cm, just tissue repair is done.
For inguinal hernia, I always do no-mesh tissue repair without any exception.
Even if any recurrence after my tissue repair occurs, there would be absolutely no difficulty to do laparoscopic mesh repair or Lichtenstein repair.
Because my procedure is very less invasive and minimal, there would be little postoperative adhesion or derangement at the repair site.
And I actually do the second tissue repair for all my recurrence cases, although rare, without any difficulty.
I even do the tissue repair for the recurrent inguinal hernia after open or laparoscopic mesh operation, although it is quite diffiult to perform because of concommitent postoperative derangement.
In terms of the second tissue repair, Lichtenstein repair is worst and my procedure and laparoscopic mesh repair are similar.