Adult hernia can’t heal by itself, only surgery can cure hernia, this is a common sense that most people understand, but how to choose the surgical method and patch, most people are not clear, more and more patients ask about this problem, I would like to make a brief introduction here for your reference. Hernia is a common and frequent disease, the onset of congenital or acquired causes of the inguinal region of the transversal abdominal fascia is weak or defective, like a hole in the clothes. 90 years ago is the use of traditional methods of repair, with stitches to sew the hole, because of the tension after the suture patch, postoperative recovery is slow, hospitalization time is long, the recurrence rate is high. In the past 10 years, modern treatment methods have been adopted, using patches to patch up the holes without tension, short operation time, less trauma, fast recovery and low recurrence rate. There are two types of surgeries: one is open surgery and the other is laparoscopic surgery. Both are minimally invasive surgeries that use a patch to repair the hernia ring (the gateway to the hernia) and the weak tissue of the abdominal wall, which is also called tension-free repair. Open surgery: A small incision of 4cm is made in the inguinal area (where the hernia exits) to open the abdominal wall, locate and treat the hernia sac, and then repair the hernia ring and weak tissue with a patch. Advantages: surgery can be done under local anesthesia, small incision, no need to enter the abdominal cavity, less traumatic, shorter operation time, quicker recovery, and less expensive (polypropylene patch is usually around 5000RMB overall). Most people (more than 95%) can be operated under local anesthesia, local anesthesia surgery dietary restrictions, no urinary catheter, no fluids, no antibiotics, cosmetic sutures, no change of medication and removal of stitches, you can go home on the day of the operation, the indications for the operation are very broad, because of local anesthesia is safe, the body has little interference, so especially suitable for the elderly, frail and sick can not tolerate other anesthesia patients. Local anesthesia has long been our specialty and brand, and we have trained doctors from hundreds of hospitals all over the country. Any patch can be used for open surgery. There are two commonly used patches: polypropylene patches (non-absorbable) and biopatches (absorbable), the price of which varies from RMB 1,500-3,500 per patch for polypropylene patches to RMB 5,000-10,000 per patch for biopatches. There are more than 10 different shapes of polypropylene patches, ranging from mesh plugs to flat patches. Depending on the condition of each hernia, there are different types of patches for each individual. Polypropylene patches are usually chosen as a general rule, but biologic patches can be chosen for older children, adolescents, infertile, those who need to have another child, those who have had contaminated surgeries (incarcerated hernias, strangulated hernias), and those who are less tolerant and prone to infections. Laparoscopic surgery: there are two types of surgery: TAPP and TEP, operated under general anesthesia after the establishment of pneumoperitoneum. TAPP surgery is to establish a pneumoperitoneum under general anesthesia, in the navel and umbilicus and around the three small holes, into the abdominal cavity, incision of inguinal peritoneum, in the peritoneum of the extraperitoneal free and treatment of hernia sacs, after the insertion of a patch, the peritoneum is sutured; TEP surgery is also to establish a pneumoperitoneum under general anesthesia, with the difference of the three small holes in the umbilicus and the pubic bone, without entering the abdominal cavity, and the hernia can not be repaired by biopatch. TEP is also performed under general anesthesia to create a pneumoperitoneum. In both cases, the anterior peritoneal space is accessed and the hernia sac is treated and a polypropylene patch is used to repair the defect and replace the transversal abdominal fascia. Advantages of laparoscopic surgery: it is a posterior approach, the incision is the same for both fat and thin patients, the ease of operation is not affected by fatness or thinness; at the same time, it is possible to investigate the contralateral side of the hernia and deal with bilateral hernias; the position of the patch is deep and foreign body sensation is low; and the patch is large and has a wide scope of repair with a low recurrence rate. However, due to the large peeling surface, it is easy to form effusion for large hernia, which is more likely to occur compared with open surgery, but do not worry, most of these cases will be absorbed by themselves. The results of both procedures are generally the same, but each has its own advantages and features, and the surgeon will choose a different procedure and patch according to each person’s situation. Bilateral hernia patients, obese people, and people with recurrence are more suitable for laparoscopic repair. Laparoscopic repair is relatively expensive, as it requires general anesthesia and laparoscopy, and the total cost is around 10,000 RMB. Most of the patches used under laparoscopy are polypropylene patches, and if biopatch is used under laparoscopy, it will be more expensive, usually more than 20,000 RMB, and the operation conditions of biopatch under laparoscopy are also relatively high, so those who need to be repaired with biopatch should choose open surgery.