Open Non-mesh Inguinal Hernia Repair

  • Bruce RamshawEmail author
  • Sherard Chiu


Despite the fact that dozens of open inguinal hernia tissue repair techniques exist in the surgical literature, it is not currently a commonly performed technique in the United States. In the past quarter of a century, laparoscopic and open “tension-free” mesh inguinal hernia repairs have been a preferred approach for inguinal hernia repair. However, with an increased emphasis on other outcomes besides recurrence that impact the patient’s quality of life, in particular chronic pain, there is a growing interest in re-visiting non-mesh inguinal hernia repairs. Although not nearly as simple as thinking that mesh can cause chronic pain, it is possible that mesh may be a contributing factor in addition to many other factors, known and potentially not yet known, that result in a complication such as chronic pain. Other complications that may involve mesh as a contributing factor include infection, erosion, contraction, or migration that contributes to a recurrence and rare incidences of allergic-type and systemic/immune reactions. This chapter will highlight some of the established tissue repairs, discuss the reasons why they are of growing interest, and describe some of the general principles in performing a tissue repair.


Inguinal hernia Tissue repair Open approach Suture repair 

Selected References

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of SurgeryUniversity of Tennessee Medical Center and Graduate School of MedicineKnoxvilleUSA
  2. 2.Department of SurgeryUniversity of Tennessee Graduate School of MedicineKnoxvilleUSA

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