Format with patient implant
The doctor issues a specification: a lightweight polypropylene mesh of a standard “groin” size (usually 7.5x15 cm) from a trusted manufacturer. The technique does not change: tension-free Lichtenstein fixation with a window for the cord, reliable covering of all weak areas. This format is chosen by patients who bring the implant through their own channels or programs; Overall it is more economical. Recovery is standard: bandage 4 weeks, severity after 1.5–2 months, relapse 1–3%.
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).
