Surgery of the hernia involves putting the internal organs back into the abdominal cavity, abdominal plastic and often installing a special grid (eventually it is fully implanted in the body, it protects from the re-emergence of a hernia). ANACOSMA clinic uses Ethicon grids (USA). Hernia plastic surgery can be performed by several accesses:
- Open access assumes a 4 cm section through which the special grid is fixed. With this access, there is a possibility of a qualitative review for the surgeon during the operation. The surgeon hides a scar in the navel. The operation is often performed with local anesthesia.
- Laparoscopic access is done using special video equipment and instruments. The surgeon makes 3 punctures on the abdomen, the total length of which can exceed the length of the scar with open access. Disadvantages: general anesthesia, in which the stomach is filled with carbon dioxide, which leads to less reliable fixation of the grid and possible relapses.
- Preperitoneal access is performed using the same technical means as laparoscopic, through punctures. Cons: the lack of fixing the grid, which leads to its undesirable movement over time; This access is more prolonged in the conduct; Increased risk of damage to organs in hernia.
In ANACOSMА clinic, it is possible to perform the operation with all the above methods. However, having extensive experience in the treatment of hernias, we consider open access to surgery to be the most reliable and safe.