Biomechanically Compatible,Minimally Invasive Technique for Recurrence Free Groin Hernia Repair
Biomechanically Compatible,Minimally Invasive Technique for Recurrence Free Groin Hernia Repair
"A bio-mechanically compatible, minimally invasive technique for recurrence-free groin hernia
 repair by implantation of Tensiflex mesh prosthesis for the enhancement of the tissue tensile
 strength of the fascia transversalis."
Hernia recurrences post-repair remain a confounding problem. The prospective study described
 herein tested Cooper's paradigm, which holds that abdominal pressure exceeding abdominal wall
 resistance causes hernia, by incorporating the Tensiflex mesh prosthesis which is a modified
 version of mesh prosthesis of Stoppa technique in the surgical treatment of patients with
 hernia. The study was 2-phased: the first phase involved the pre-peritoneal implantation of a
 bi-layered mesh for anatomical replacement of the damaged fascia. The second phase involved
 the implantation of the bi-layered Tensiflex mesh prosthesis for definitive and seamless
 augmentation of tensile strength in the myopectineal orifice of Fruchaud.

 Eighty-three percent of our patients consumed analgesics for 3 days (3% reported no pain on
 day 3); however, by day 5, 86% reported pain intensity scores lower than 5. The median number
 of lost workdays was 7. Most importantly, the primary endpoint of 100% recurrence-free
 outcomes was met, as were the secondary endpoints (minimal pain, morbidity, and loss of
 workdays).
Inclusion Criteria:

 -  all patients with confirmed groin hernia of both sexes.

 Exclusion Criteria:

 -  none