A number of surgeons felt that none of the above methods was entirely desirable and over several years an altogether different technique was devised. This formed the basis for the method now perfected at The British Hernia Centre over thousands of cases. Under local anaesthesia, a small incision is made over the site of the hernia. The peritoneal bulge is returned to where it belongs, as before, but the repair is achieved by placing a piece of fine (inert and sterile) mesh at the opening in the tissue. This is firmly held in place and the outer incision closed. The whole operation takes minutes to perform.
Unlike other techniques, even those now using mesh, our approach does not require any stitching together of the muscle tissue at all, thus eliminating the tension induced by other methods.
The healing process starts to take place immediately in that - sensing the presence of the fine mesh - the muscle and tendon send out fibrous tissue which grows around and through the
mesh, incorporating it in a way similar to the placing of the steelwork inside reinforced concrete. It is not a 'patch' stuck on the outside, but a total, tension-free reinforcement inside the abdominal wall.
The results are also similar to the concrete analogy, in that the 'mechanical load' is spread over the whole area, precisely at the area of weakness, rather than on high pressure points of stitching through the deep, sensitive tissue with older methods. When performed correctly, this technique requires no bed, even after the operation. The patient is able to walk away from the theatre immediately after surgery.
The technique was originally devised as a much-needed alternative to re-stitching failed hernia operations (ie recurrences) done the old way. It was then realised that, as the technique was so very successful with recurrent hernias, it should be used for 'first-time' repairs and thus avoid recurrences altogether.