Inguinal hernia - choices?

[Jules59]

...(when key hole fails simply switch to open and have to administer General Anaesthetic)....

You may have got confused with "open surgery under local anaesthesia" and "keyhole surgery".

"keyhole surgery " aka laparoscopic surgery requires general anaesthesia so that the anaesthetist can ventilate you whilst you are lying on your back in a head down position with your abdomen inflated with gas.

[djnotts]

...(when key hole fails simply switch to open and have to administer General Anaesthetic)....

You may have got confused with "open surgery under local anaesthesia" and "keyhole surgery".

"keyhole surgery " aka laparoscopic surgery requires general anaesthesia so that the anaesthetist can ventilate you whilst you are lying on your back in a head down position with your abdomen inflated with gas.

Very likely - good few years ago! Should have left it at when keyhole fails simply switch to open. Although would then have to administer more GA.

[toontra]

You may find this useful in the discussion with the surgeon about which method he or she will use.

https://www.nhs.uk/conditions/inguinal- ... t-happens/

Ah - really useful - thanks. One of the relevant sections is:

The British Hernia Society recommends using the open technique to repair most primary single-sided hernias (those appearing for the first time on just one side).

This may well be why my consultant is suggesting open rather than keyhole.

[iseree321]

A bit late reply, but I'd like to add that whatever you do, don't put hernia mesh implants.
Many hernia mesh manufacturers have faced lawsuits (see here) over the years due to allegations that their products use substandard materials or designs that can lead to serious complications for patients. These complications may include chronic pain, infections, and even the need for additional surgeries to correct issues caused by the mesh.

[toontra]

Too late for me. I had the mesh implant last November. There is certainly some ongoing discomfort which I hadn't anticipated or been warned about.
However, at no point in the lead-up consultations was it suggested there was any alternative to mesh. It was made out to be a simple routine procedure with a very high success rate.
We'll see how things progress. I had the operation done at a highly reputable private hospital which is a recognised centre of excellence for hernia treatment (at great personal cost!). I can't really believe they would be carrying out procedures they knew were risky.

[Jdsk]

A bit late reply, but I'd like to add that whatever you do, don't put hernia mesh implants.
Many hernia mesh manufacturers have faced lawsuits over the years due to allegations that their products use substandard materials or designs that can lead to serious complications for patients.

Too late for me. I had the mesh implant last November. There is certainly some ongoing discomfort which I hadn't anticipated or been warned about.
However, at no point in the lead-up consultations was it suggested there was any alternative to mesh. It was made out to be a simple routine procedure with a very high success rate.
We'll see how things progress. I had the operation done at a highly reputable private hospital which is a recognised centre of excellence for hernia treatment (at great personal cost!). I can't really believe they would be carrying out procedures they knew were risky.

I wouldn't worry about it, but if you do then I strongly suggest discussing it directly with them.

If anyone would like the current NICE guidance please say.

Jonathan

[djnotts]

I had mesh, open surgery, local anaesthetic, some 15 years ago. All has been fine.