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Laparoscopic Inguinal Hernia Repair

















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Laparoscopic Repair of Inguinal & Femoral Hernias |
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Choice of Laparoscopic Mesh |
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This is the prosthetic Mesh we use the most.
Most inguino-femoral herniaes are repaired by laparoscopy using a 6 x 6 i
SurgiPro Mesh. We are now certain that the 5 x 3 i Mesh is too small for
these repairs and expose the patient to an unacceptable recurrence rate.
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Ethicon-EndoSurgery SOFT PROLENE® Mesh |
This Prosthetic Mesh [Polypropylene
Mesh]is
rather new. We have use the 6 x 6 i size with great success in this
clinical setting. It is softer than the USSC SurgiPro Mesh and for some
surgeons this may be an operative advantage. It also has horizontal blue
stripes which theoretically can help orient the mesh when deployed.
This Mesh is a "three dimensional Mesh"
and is custom constructed to deploy and mold the afflicted inguinal
region. It has a good "fit" in totally extra-peritoneal repairs and many
authors have used it without fixation or tacks/staples. The postulated
advantage of placing a Mesh without fixation is a probable decrease in
post-operative neuropathies [lateral cutaneous nerve, femoral branch and
genital branches of the genitofemoral nerve]. This Mesh is unilateral
[for left or right side repair] and comes in different sizes.

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