Intended for healthcare professional education

Johnson & Johnson Institute

Inguinal hernia repair open

George Crawford, MD

Procedure overview

Inguinal hernias can be categorized as direct, indirect, femoral.


Inguinal Hernia repair techniques fall under two categories: tension and tension free.


Tension techniques suture the anterior abdominal walls or other structures together to recreate the inguinal canal. They are usually performed using an open procedure.  This technique is often used where infection is a concern.  


Tension free open repair options with mesh include Plug & Patch, Lichtenstein and Bilayer Connected Mesh Device.

Indications & objectives

  • The existence of an inguinal hernia has traditionally been considered sufficient reason for operative intervention.
  • Surgical repair is recommended electively to avoid incarceration or strangulation.
    NOTE: Reducible inguinal hernias can be safely observed in the elderly population with a sedentary lifestyle or high morbidity for surgery. 
  • Inguinal hernia repair has no absolute contraindications.

References

For complete indications, contraindications, warnings, precautions, and adverse reactions, please reference full package insert.


George Crawford, MD prepared this procedure guide on behalf of Johnson & Johnson and its affiliates. The procedure guide reflects the opinions of the individual presenter, and the steps described may not encompass the complete steps of the procedure. Additionally, other surgeons may prefer different techniques, approaches, etc., as individual surgeon experience in his/her clinical practice, as well as patient needs, may dictate variation in procedure steps.


Before using any medical device, review all labeling, including without limitation; the Instructions For Use (IFU), and relevant package inserts with particular attention to the indications, contraindications, warnings and precautions, and steps for use of the device(s).


This presentation is not accredited for CE/CME.

George Crawford, MD is compensated by and presenting on behalf of Johnson & Johnson and its affiliates and must present information in accordance with applicable regulatory requirements.

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