HERNIA TREATMENT

• Herniotomy: Trans fixation and ligation of sac. Used for indirect inguinal hernia. Used in
infants and adolescents.

• Herniorapphy: Herniotomy and strengthening

of posterior abdominal wall either by a sutured repair or by mesh.

A. For infants & young adults

B. Lytle's Repair by

narrowing deep ring with 2' O prolene.

1. Modified Basini Repair

2. Conjoint tendon approximated

with inguinal ligament by 1' polypropelene material.

1. Shouldice Repair → Upper & Lower leaf of Fascia transversals overlapped & sutured by
double breasting fashion.

2. Maloney Darn Repair → Posterior abdominal wall repaired by monofilament nylon in

crisscross fashion. Best where mesh is too expensive.

Lichtenstein Tension Free mesh Hernioplasty

Gilbert Plug
PHS
Laparoscopic mesh repair Stoppas Repair

For DIRECT HERNIA

• Herniotomy is not done but

posterior inguinal wall is repaired by TF Mesh Hernioplasty.

Laparoscopic Repair
2 Types: -

A. TAPP (Trans abdominal pre peritoneal)

B. TEP (Total extra peritoneal)

C. IPOM (Intra peritoneal onlay Mesh)