The advanced open preperitoneal inguinal hernia repair that Dr. Reinhorn performs allows for faster hernia recovery than many other types of inguinal hernia surgery. Patients report less pain in the postoperative period, as well as return to normal activity within a few days and return to full physical activity within a couple of weeks. Patients leave the hospital a couple hours after surgery to continue recovery from home. Most patients feel comfortable enough to be up and walking on the days immediately after surgery. Many can return to work within 1-3 days after surgery, and return to full physical activity, including exercise, in 2 weeks. One of the other main advantages of this type of repair is a decreased risk of chronic pain that can sometimes be associated with inguinal hernia surgery. This repair is minimally invasive, and only requires one small incision in the groin about 1-1.5 inches in length.
Dr. Reinhorn’s Approach to Surgery
Advanced Open Preperitoneal Inguinal Hernia Repair
This minimally invasive method was first used in 1965 by Renee Stoppa, and refined by Robert Kugel in 1999. Using a small 1.25" incision, a thin mesh is placed under the abdominal wall in the same location as the laparoscopic repair. This repair has all the benefits of laparoscopic surgery, since the mesh is placed in the exact same place. At the same time, it has all of the advantages of open surgery in terms of safety and the ability to perform it under local anesthesia with sedation in selected patients. This combination allows for a faster recovery from hernia surgery as well as a lower incidence of chronic pain.
If you are interested in seeing a video of Dr. Reinhorn performing this procedure, please click here. You will be asked to create a free account in order to see the entire video.
Shouldice Inguinal hernia Repair
This is a non-mesh repair developed by the Shouldice Clinic in Toronto, Canada. Dr. Reinhorn offers this repair to a specific patient population, especially those patients who would prefer to avoid mesh. This repair involves suturing the defect in the abdominal wall back together in multiple different layers, which can be a great option for thin, healthy patients. The Shouldice Clinic provides expertise in this repair, and Dr. Reinhorn has visited the clinic to learn from their surgeons how to properly perform this repair. He has been offering this type of repair with increasing frequency over the last few years.