Is the effect of inguinal hernia repair reliable

At present, there are many surgical methods to treat inguinal hernia in China, but the overall choice is two types, open surgery and endoscopic surgery. These two operations have their own advantages and disadvantages, and individual choice is needed in application, which achieves the best therapeutic effect for patients. Open tension-free hernioplasty 1997 was introduced to China from abroad, and then it was quickly popularized throughout the country. One of the biggest advantages of this tension-free hernia repair is its low recurrence rate, which is below 2% in China. In addition, this method is less painful and the operation can be completed under local anesthesia. Generally, you only need to stay in hospital for 2-5 days, or even complete the operation in the outpatient department, and the patient can go home immediately. And can quickly return to normal life after surgery. Tension-free hernioplasty is carried out in China every year, about 1 10,000 cases, and the practice proves that the effect is very good. At present, the commonly used open tension-free hernioplasty in China is summarized as follows: 1 plain tension-free hernioplasty: the operation is to sew the patch with the inguinal wall, and the spermatic cord is led out through the patch. Before 1997, it was recognized as the most classic hernia operation in the world. At present, a few hospitals in China are still doing this kind of surgery. Tension-free repair of hernia ring: this operation combines mesh plug filling and plain film repair, that is, polypropylene is rolled into an umbrella to fill the hernia ring defect, and then the back wall of inguinal canal is reinforced with plain film. The umbrella-shaped package and the flat mask could not be fixed at one time. Later, Rutkow and Robbines suggested that the umbrella-shaped package and the flat mask should be fixed separately. The final product was produced by American Bard Company. It is a popular hernia repair abroad at present, and it is also the fastest-growing operation in recent years. Three-in-one tension-free hernioplasty: This operation uses the stereotyped product (PHS) produced by Johnson & Johnson Company in the United States, which consists of three parts: placing a negative film in front of the peritoneum to repair the pubic muscle hole; Plug-shaped intermediate is used to repair hernia ring; Repair the posterior wall of inguinal canal with surface patch. This is a method introduced in recent years, and many hospitals in China also do this kind of surgery. 4. Tension-free hernioplasty with preperitoneal space patch (Kugel): This is a new tension-free hernioplasty proposed in 2000. The memory elastic ring patch made by Bard Company in the United States was inserted into the preperitoneal space to repair the pubic foramen. With the rapid development of synthetic materials science, the patch material has reached the ideal requirements, thus achieving the overall repair of three potential defects: inner ring, straight hernia triangle and femoral ring, which is the concept of total inguinal repair.