
Inguinal Hernia Surgery Fort Myers, Naples, Cape Coral, FL
Inguinal Hernias, Groin Hernias

Inguinal hernias are the most common type of hernia. They represent approximately two thirds of adult hernias and are much more common in men than in women. They occur in a part of the abdominal wall known as the inguinal canal, where a man's testicles must descend before birth. This leaves a natural defect called the internal inguinal ring that can develop into a hernia if it doesn't seal properly. As a result, the contents of the abdomen, such as intestine, may protrude through the opening, creating pain and/or a bulge.
Inguinal hernias are located in the lower abdomen just above the leg crease, near or adjacent to the pubic area. They can sometimes occur on both sides of the pubic area, and if they do, they are called bilateral inguinal hernias. Inguinal hernias, along with femoral hernias make up the 2 types of groin hernias and can produce pain that extends into the upper thigh or scrotum.
Inguinal hernias can be classified as "direct" or "indirect".
- An indirect inguinal hernia occurs through the natural weakness in the internal inguinal ring.
- A direct inguinal hernia is a result of weakness in the floor of the inguinal canal and is more likely to develop in older men over the age of 40. The floor of the inguinal canal is located just below the internal inguinal ring.
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No Mesh Tension Free Inguinal Hernia Repair
Now you can get your hernia repair without mesh and it is as strong as a repair as if you had mesh. This is a new technique that incorporates your own body wall (fascia) into the repair with two layers of support.
Here you see a photo of a hernia protruding:

The first layer is used to cover the defective floor of the inguinal canal and as you can see the hernia sac is no longer visible.

Then, to reinforce the floor a second layer of protection is used with the inner muscle belly of the inguinal canal.

NO MESH REQUIRED FOR THIS REPAIR.
PROLENE* Polypropylene Hernia System (PHS) for Inguinal Hernia Repair

- The PHS has a revolutionary 3-in-1 design that is a proven, effective repair of inguinal hernias.
- Three points of protection: onlay patch, connector, and underlay patch
Lower incidence of chronic pain than in other reported inguinal hernia studies 2 - Patient comfort
- Reduced risk of mesh device migration
- Quick recovery and return to normal activities
2. PHS Registry, Data on file, ETHICON, INC.
Dr. Robert Tomas demonstrates the mesh used in inguinal hernia repair:
Can't see the video above? Click here for a Quicktime video of Dr. Robert Tomas demonstrating the mesh used in inguinal hernia repair.
