Surgical material, made from synthetic plastic(i.e.,: Polypropylene) or Gortex®) or even bio-degradable substances, used to repair hernias. These sterile mesh "SCREENS", or "PATCHES" are soft, pliable, flexible, and 'wafer-thin' so as to conform to body movement and size. Yet they are remarkably strong to immediately add strength and fully repair the hernia while allowing rapid resumption of "Normal" activities, including SPORTS. Many varieties, shapes and sizes of Mesh Systems are available. Hernias differ from patient to patient, and we firmly believe that any given single mesh system or manufacturer is not appropriate for effective repair of all hernias. We therefore evaluate the anatomic and physical properties of each hernia at the time of surgery, then use our expertise to select the appropriate mesh form and TENSION FREE TECHNIQUE to satisfactorily repair your hernia defect appropriately.
A Hernia that has been previously repaired surgically, and now has returned. Often multiply recurrent.
Injury to the blood circulation to the intestine caused by "Incarceration. The Intestine will become gangrenous or die if not corrected early. This is an absolute emergency situation requiring immediate surgery. Mortality rates are high in patients not treated quickly with surgery
A HYDROCELE is simply a collection of fluid, contained within a membrane sac surrounding the testicle. This membrane sac is generally a congenital remnant of the pathway that the testicle passed from within the abdomen where it is initially formed, down into the scrotum during fetal development. Usually, this tract or pathway closes after birth, but may persist in some patients. It is at times connected to a hernia sac (Communicating Hydrocele), while at other times is separated or not at all associated with a hernia (Non-Communicating Hydrocele). In children, the presence of a Hydrocele most frequently is associated with a hernia on the same side. Fluid may develop within this membrane sac spontaneously, or, in the case of a Communicating Hydrocele, drain into the sac along the hernia from inside the abdominal cavity. The size of the Hydrocele may fluctuate, often significantly in Communicating Hydroceles as fluid travels back and forth from within the abdomen to the Hydrocele sac. Hydroceles are successfully managed surgically and should be repaired when associated with a hernia, or when large and symptomatic or growing.
The PERITONEUM is the thin, membranous outer lining of the abdominal cavity, it fully surrounds the intestines and abdominal organs. It lies between the muscles of the abdominal wall, and the intestines. In our Tension Free techniques, mesh is placed between the under surface of the muscles, and the peritoneum layer, and not inside the abdomen itself. Therefor, mesh is not in contact directly with intestine and there is no concern about adhesions or intestinal injury. The peritoneum, although thin, is fully protective. The mesh however is under the muscle layer where it is much more effective in hernia repair than if it was placed on top of the muscle.
The HEALING RIDGE, which is a normal occurring event, is a term we use to describe the area of swelling and hardness beneath the incision after hernia repair surgery. This area of temporary swelling normally occurs and is progressive in extent for about 2-3 days after surgery. It may harden somewhat, feeling like a roll of quarters or even a small 'cucumber' beneath the skin in the region. It remains virtually unchanged for 2-3 weeks after which it gradually softens and flattens (taking an additional 2-3 weeks to complete on average). The size and duration of the 'ridge' is related to the size and complexity of the hernia itself. The ridge is caused by local tissue swelling and inflammation around the implanted mesh as it 'heals' into the surrounding muscle. It is not, per se, a complication, but is part of the normal process. We allow our patients to resume normal activity rapidly despite the presence of the healing ridge feeling that such activity maintains flexibility of the region and inhibits overly dense scar tissue formation.
Technique utilized at the
NORTH PENN HERNIA INSTITUTE
whereby Hernias are repaired without pulling muscle together under tension. Using our "Tension Free" method, a sterile specifically designed surgical mesh, exactly positioned through a small incision, is utilized to safely and effectively repair the hernia defect.
This results in:
- Decreased post operative pain
- A significantly more rapid recovery
- Fewer restrictions on activity
- A less complicated recovery