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open preperitoneal mesh inguinal hernia repair vs laparoscopic
Hello,
just wanting some knowledge or past or past experiences regarding the advantages or disadvantages between the two options of open preperitoneal or laparoscopic mesh inguinal hernia repairs?
safer? Post op healing/complications?
i was just checking bostonhernia.com and it seems less invasive then lap?
thanks -
6 Replies
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[USER=”2029″]Good intentions[/USER] Is exactly right!
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I totally agree with Good Intentions….that question is like driving in the wrong direction and in the wrong car.. Even if you would ask like.. what would be less invasive No mesh hernia repair ?..also wouldn’t be a correct question . The correct question is who would be one of a very best doctors who is excellent in no mesh repair and great with all known methods. You are lucky you found this forum.before the fact . I also lucky men that i came here and spent entire year to educate myself.. i found Dr.Brown who i believe saved my live.
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Dear Briby.
I agree with Good Intentions. Your goal should be to get an excellent longterm result.
I personally believe that a non mesh repair is best.
Regards.
Bill Brown MD -
Hello briby. I wrote a whole page about what “invasive” might mean but decided to not to post it.
You can look at the actual procedures via video and make your own determination. There is a topic on the site showing four different methods. I think that for hernia repair the word almost doesn’t really matter. It’s really a pointless word. Lap repair is called minimally invasive even though the instruments and dissection areas are actually inside your abdomen, and a very large area of peritoneum is dissected from the abdominal wall. I think that the word is a holdover from things like appendectomy and gall bladder removal. Not really the same as inguinal hernia repair.
But, your main concern should be the long-term results of the surgery, for you and what you plan to do with the rest of your life. This is not a broken bone repair or a gall bladder removal. The methods are fairly simple but the effect on your life can be very dramatic. Don’t worry about those odd details. Worry about the results and put the time effort and money in to getting the results you want.
Ambulatory, one-hour, scarless surgery is a complete waste if you don’t get the results that you expected. It really is. None of that will matter if the repair is bad, and/or you have a bad reaction to the mesh. It can ruin your life. You’ll wish that they had taken days or weeks to fix your hernia instead of minutes. It really will affect the rest of your life and the other people in it.
Good luck.
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DR Towfigh
Thank you for the response. I see. Just looking at the actual procedure and using local vs general anesthesia I was curious after looking at the information bostonhernia.com. Will a non-mesh procedure a less invasive procedure to these top options?
any recommendations for Washington/Oregon area?
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Open preperitoneal mesh repair of Inguinal Hernia is one of many methods and definitely not less invasive than laparoscopic approach.
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