Both sides open way
The operation is performed sequentially on both sides under the same spinal anesthesia; each side receives full Liechtenstein plastic surgery. Compared to laparoscopy, there are two incisions and a longer recovery, but there is no general anesthesia and pneumoperitoneum, which is critical for pulmonary and cardiac pathologies. Pain is controlled for 3–4 days, bandage for 4 weeks, severity after 2 months. For an alternative (laparoscopic double-sided plastic surgery through 3 punctures), see the “Options and prices” block - the surgeon will help you choose during the consultation.
Indications
- inguinal hernia in patients who prefer spinal/local anesthesia (age, pulmonary diseases);
- large inguinoscrotal hernias;
- relapse after laparoscopic plastic surgery (the “change of floor” principle);
- unilateral hernias if an open technique is desired.
Lichtenstein method
Open Lichtenstein repair is the world standard with a recurrence rate of 1–3%: the mesh is placed on the posterior wall of the canal behind the cord without tissue tension, so the pain is moderate, and the operation is possible even under local anesthesia in elderly patients with concomitant diseases. Compared to laparoscopy - no need for general anesthesia and pneumoperitoneum, cheaper; inferior in terms of recovery time and cosmetics and does not allow closing both sides with one access. The surgeon makes the choice between open and laparoscopic techniques based on anatomy, anesthetic risk and patient preferences (laparoscopic options are in the “Options and Prices” block).
