What size mesh is optimal for open inguinal hernia repair?

Updated: Jan 17, 2018
  • Author: Vinay Kumar Kapoor, MBBS, MS, FRCS, FAMS; Chief Editor: Kurt E Roberts, MD  more...
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Answer

The use of an amply sized (eg, 7.5 × 15 cm) piece of mesh is crucial for minimizing recurrence. It must be large enough to extend 2 cm medial to the pubic tubercle, 3-4 cm above the Hesselbach triangle, and 5-6 cm lateral to the internal ring. It should not be laid under tension, so that its center can achieve a slightly domed configuration, which compensates for the forward protrusion of the transversalis fascia upon standing and for the shrinkage of the mesh over time.


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