OPEN HERNIA SURGERY
An open or conventional hernia operation refers to a surgical approach where a single large incision is made to access the herniated tissue and repair the weakened area in the groin or the abdominal wall. This method is contrasted with minimally invasive techniques such as laparoscopic or robotic hernia repair, where smaller incisions are used, and specialized instruments and a camera are inserted to perform the surgery. The size and location of the incision depend on the type and location of the hernia.
Open hernia repair has been a standard and effective method for many years. While it may result in a longer recovery period and potentially more postoperative discomfort compared to minimally invasive approaches, open surgery is still widely utilized and can be the preferred choice in large or complex hernias, hernias where the peritoneal cavity is grossly diseased and cannot be accessed through minimally invasive techniques, or when a laparoscopic or robotic hernia surgery has failed. Open surgery may also be a rescue procedure when there is a complication during a laparoscopic or a robotic hernia surgery in wich case it is called a conversion. Open hernia surgery is also a preferred surgery when the patient is unfit for general anaesthesia, since open hernia repair is also possible under local or regional anesthesia.
Some of the open inguinal hernia surgeries types are: herniotomy, Bassini’s repair, Shouldice’s repair, Desarda’s repair, Lichtenstein’s repair, and trans inguinal preperitoneal repair.
Some of the open ventral hernia repairs are: onlay repair, inlay repair, sublay repair, underlay repair, Rives-Stoppa repair (RS), posterior component separation/transversus abdominis release (PCS/TAR), anterior component separation (ACS).