Advantages and disadvantages of various hernia repair procedures

  First of all, it should be clear that surgery is currently the only effective treatment for inguinal hernia, and the so-called injection therapy, localized herbal packs and other treatments are not effective.  Surgical treatment of inguinal hernia has a long history and many methods, with incomplete statistics there are more than 100 surgical methods, and with the continuous development of new repair materials.  Currently, there are three major types of surgical procedures: 1) traditional tension repair; 2) open tension-free repair; and 3) lumpectomy tension-free repair.  Traditional tension repair surgery, which uses the body’s own tissue for tension repair, is being used less and less with the development of artificial implant materials, and its scope is becoming narrower and narrower, only for pediatric hernia and some acute surgeries.  Open tension-free repair surgery has been widely accepted and promoted since the Tension-Free Hernioplasty with artificial material was established by Dr. Lichenstein in the 1980’s. It is widely accepted and promoted for its low recurrence, light pain and fast recovery after surgery. Although there is a wide range of these surgeries, they can be classified into two categories: anterior approach surgery and posterior approach surgery.  The advantages of both anterior and posterior approaches are that they can be done under local anesthesia, are simple, and have a very high safety level. They are inexpensive. They are still the main type of inguinal hernia repair.  Tension-free repair under lumpectomy, which started to be used clinically in the 1990s, has been used in China for only about 10 years, but it has developed rapidly and is loved by more and more patients. The advantages of this procedure are fast postoperative recovery, light postoperative pain, and outstanding advantages. However, the lumpectomy technique requires high requirements for the surgeon, general anesthesia and high surgical cost which limit its clinical application.