Video of inguinal hernia repair using the Perfix Plug and on-lay patch
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The operation involves a cut in the groin, dissecting down to the external oblique muscle (shiny white on video) and opening this. The cord is exposed and the hernia sac can then be isolated. In the video you will see the sac and some fat - this is the normal fat that is present beneath the abdominal muscles. The sac and the fat are reduced (pushed back into the correct place) and I then use a piece of permanent mesh in the shape of a shuttle-cock to plug the hole. The plug is held in place with permanent stitches. This technique also has an 'on-lay' mesh to help strengthen the back wall of the inguinal canal. The on-lay mesh is placed under the external oblique muscle and around the cord. The tissues are then closed and dissolving stitches used for the skin.
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