Leading Laparoscopic Hernia Surgeon Less Pain and Return to Work Earlier Faster recovery and shorter waiting time
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History of Hernia Repair

Historically, the most common operation performed was an open hernia repair using the Bassini technique which was a repair made by stitching the muscle together.   The recurrence rate was around 20% and there were also complications frequently related to the wound e.g. infection, haematoma, or ongoing pain and delay in return to activities. 

With the introduction of laparoscopic surgery, hernia repair has regained much interest.  In the beginning, laparoscopic hernia repair was performed as an intra-peritoneal repair with mesh where the surgeon accessed the hernia from inside the abdomen. This is a technique which is still used, however it can carry some problems.  In particular, the mesh needs to be covered with the peritoneum, the layer of membrane that lines the abdominal cavity.  If it isn’t, it carries the risk of bowel obstruction due to the fact that the small bowel can become adherent to the mesh.

The introduction of the Tyco pre-peritoneal balloon enables surgeons to now repair hernias laparoscopically with mesh in the pre-peritoneal space, outside the abdominal wall. This reduced the risk of small bowel obstruction.