hernia repair surgery

A hernia is an out pouching of tissue that occurs when the inner layers of abdominal muscles become weakened. This results in a visible small sac that may contain part of the intestine or other abdominal tissue. Hernias occur most commonly in the groin (inguinal hernia), the upper thigh (femoral hernia), the navel (umbilical hernia), at the midline (ventral hernia), and at the incision site of a previous surgery (incisional hernia).

Hernias can be a major cause of discomfort and pain and surgery is often the best cause of action when your life is impacted by this condition.

Hernia repair surgery is one of the two main areas of our specialization. The surgical procedures used by our practice are based on the latest research and developments of hernia repair. As a result, surgery is now much less invasive, recovery time is significantly shorter and reoccurrence of a hernia is less likely.

Traditionally the focus of hernia surgery was only repair of the affected area. Recent research proved that restoration of the function of the entire abdominal wall is required for achieving the best outcomes for patients and improving quality of life. The techniques applied by Dr Mastakov aim to preserve the abdominal anatomy including nerves and blood vessels and realign muscles in accordance with their original connections. Reconstruction of the abdominal wall, where applicable, during the surgery includes restoration of the midline essential for supporting abdominal muscles and restoring the full functionality.

One approach will not fit all the defects, each surgery is optimally tailored to a patient’s anatomy and type or types of hernia. Years of experience in treating patients with different types of hernia allows Dr Mastakov to use various reconstructive techniques and tailored approach to each individual case. Details of the proposed surgery are explained to the patient prior to the procedure. Follow up care is also provided by the clinic to ensure each patient’s speedy recovery.

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Meshes for Hernia Repair

Importantly, all hernia repair surgeries are done with the use of recently developed synthetic biodegradable and hybrid synthetic meshes. The mesh type, size and parameters are individually chosen for each patient. The use of appropriate mesh provides a durable abdominal closure, reinforces the repair and prevents recurrence. Over the recent years meshes evolved to allow quick incorporation, native tissue ingrowth, ablity to tolerate infection and avoid foreign body drawbacks.

The mesh is usually attached to the abdominal wall with small absorbable staples which will help keep the mesh flat and stable while the tissue heals and integrates with the mesh. However, we also already use in our clinic the most recent 4 Dimensional biodegradable mesh which is fixation free and leave only 25% of foreign body material after 12 months, and planning to start using new innovative fully biodegradable meshes by the end of this year.

The following are examples of meshes that Dr Mastakov uses:

New Meshes to be introduced by the end of the year:

Phasix™ Mesh – Fully Resorbable Scaffold for Hernia Repair Designed to enable functional tissue remodeling for a strong repair

(PDF document for more information)

Phasix™ ST Mesh – Fully Resorbable Scaffold Featuring Proven Sepra ® Technology. Designed to enable functional tissue remodeling for a strong repair

(PDF document for more information)

For Laparoscopic hernia repair surgery:

Cousin 4D MESH – is fixation free and partially resorbable implant, designed for the treatment of inguinal hernias and easy to place laparoscopically.

(PDF document for more information)

Bard® 3DMax™ Mesh was developed based on careful and precise anatomical research of the inguinal canal. The three-dimensional, anatomically curved shape, sealed edge and medial orientation marker allow for easier positioning than a conventional flat mesh and also enhance the speed and simplicity of placement.

https://www.crbard.com/davol/en-US/products/3DMax-Mesh

Ventralight™ ST Mesh is an uncoated lightweight monofilament polypropylene mesh on the anterior (forward facing) side with an absorbable hydrogel barrier based on Sepra® Technology on the posterior (rear facing) side for laparoscopic ventral hernia repair.

https://www.crbard.com/davol/en-US/products/Ventralight-ST-Mesh

For Open hernia repair surgery:

Cousin 4D DOME MESH– Dome is 90% resorbable and flat mesh is 75% resorbable. It is merging with anatomy for better outcome and quick & easy to place. This mesh is designed for open inguinal hernias only.

(PDF document for more information)

The Ventrio™ ST Hernia Patch is an uncoated monofilament polypropylene mesh with SorbaFlex™ Memory Technology and an absorbable barrier based on Sepra® Technology.

(PDF document for more information)

Ventralex ST Hernia Patch is a clinically proven umbilical hernia repair solution with SorbaFlex™ Memory Technology and an absorbable barrier featuring Sepra® Technology.

(PDF document for more information)

Further Reading

The British Hernia Centre
Hernia Anatomy, Types and Overview 

Better Health Channel
Hernia Overview

Davol, A Bard Company
Hernia Repair Mesh

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