In my practice, I have performed over 2000 laparoscopic and open preperitoneal inguinal hernia repairs. When I began performing hernia surgery, I performed laparoscopic operations exclusively.
In 2003, I learned a more advanced technique than laparoscopic hernia surgery and observed that my patients had a much better experience with this new open preperitoneal inguinal hernia repair. Over time It was obvious to me that patients had less pain with this technique and I switched to this more advanced method in 2007.
I have personally found this repair to allow almost every patient to return to work in 1-3 days. Additionally, about 50% of patients only take Tylenol or Ibuprofen after surgery instead of narcotics. After two weeks, almost all patients are fully active, including working out at the gym and playing contact sports. The postoperative nerve pain has been almost completely eliminated in my practice.
Below, I’ve answered the most common questions I receive from my patients and their families.