Herniorrhaphy and HernioplastyOne of the key issues our site visitors have communicated with us, amongst other issues, is their confusion in the various medical terms that doctors and surgeons use when it comes to hernia repair. We aim to address the terminology and procedures more commonly used within and throughout the hernia repair process.

The hernia repair and treatment process is almost always dependent on the type of hernia. The solution recommended by the surgeon would be determined by the hernia itself. The most common types of hernias include inguinal, femoral, umbilical, incisional, ventral and hiatal hernias.

Herniorrhaphy

A herniorrhaphy is defined as a procedure where a hernia is repaired by stitching the muscle tissue together, where the hernia has developed or occurred and without the use of prosthetic products. Various studies have been conducted in terms hernia recurrence on a post-operative basis including both the herniorrhaphy and the hernioplasty options.

One of which include “Factors Affecting Recurrence following Incisional Herniorrhaphy” – Anthony et al. (2000) where it was found that “the recurrence rate for those patients undergoing a tissue repair (herniorrhaphy) was 54%, compared to that of 29% “recurrence rate following prosthetic repair”, which refers to the hernioplasty procedure (see below). The resultant finding, or data supported conclusions, of the study published by Anthony et. al provides that the use of prosthetics, such as hernia mesh, is supported for incisional hernia repairs, particularly for patients that are in fact overweight.

Inguinal hernia

“An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. The resulting bulge can be painful, especially when you cough, bend over or lift a heavy object.

An inguinal hernia isn’t necessarily dangerous. It doesn’t improve on its own, however, and can lead to life-threatening complications. Your doctor is likely to recommend surgery to fix an inguinal hernia that’s painful or enlarging. Inguinal hernia repair is a common surgical procedure. Symptoms Inguinal hernia signs and symptoms include:

  • A bulge in the area on either side of your pubic bone, which becomes more obvious when you’re upright, especially if you cough or strain
  • A burning or aching sensation at the bulge
  • Pain or discomfort in your groin, especially when bending over, coughing or lifting
  • A heavy or dragging sensation in your groin
  • Weakness or pressure in your groin
  • Occasionally, pain and swelling around the testicles when the protruding intestine descends into the scrotum” Quote from Mayo Clinic

Hernioplasty

The use of prosthetic materials for the repair of a hernia is commonly referred to as a hernioplasty. Although hernioplasty has shown to be a more effective treatment, it does not come without a fair share of criticism, and perhaps even more importantly defective products that have been withdrawn and recalled from the marketplace.