In
more traditional hernia
repairs, the weakness
is stitched together to
seal the “hole”. Unfortunately
suturing like this often
recreates the tension
that created the hernia.
Too often the stitches
simply cut through the
tissue leading to the
recurrence
of the hernia within a
short period of time,
(sometimes before the patient
has got back to the ward).
Worse still the tension
inhibits normal healing
and causes pain. That's
why in hernias
over 2cm in size, the
London Hernia Clinic
uses tension
free repairs.
The key to providing a tension free repair is not to struggle to bring the edges
of the hernial defect together but rather to bridge the gap between the edges
with specialist surgical mesh.
The
surgical mesh used by the
London Hernia Clinic is
exceptionally thin and
flexible. This acts as
a bridge or scaffolding
for growth of new tissue
to support the abdominal
wall. No muscle is cut,
or stiched. Overtime, the
mesh safely becomes incorporated
into the muscle layer,
creating a very strong,
permanent repair.
The mesh can be used in all types of hernias either as a sheet of material stitched over the hole or less commonly, rolled into a plug which is then inserted into the hernial defect and held in place with a few stitches. Either way, it is strong enough to allow our patients to resume normal activity without concern for pain or recurrence.
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