"Hernia repair has been around for a long time. That means traditional techniques have been perfected while new options and materials have been developed. While not every technique is right for every hernia, they all have common goals: to provide the strongest repair and least chance of recurrence with the least possible discomfort and quickest recovery.
Until about 25 years ago, hernias were repaired one way, referred to as ‘open tension’ repair. Here’s what that means:
- Open — An incision of 3" to 6" is made in the abdomen to give the surgeon access to the hernia.
- Tension — The edges of healthy tissue around the hernia are pulled together and sewn with sutures.
- The incision is then closed with dissolving sutures or abdominal adhesive.
This method has been tried and true for decades and may be the only way to repair a very large hernia. The incision tends to be painful and recovery can take as long as five to six weeks. The incision also leaves a scar, although it’s usually very low on the abdomen. Tension repair has a higher recurrence rate than non-tension, or mesh, repair."
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