Inguinal Hernia

What is the Right Hernia Repair Technique for You?

Is Your Surgeon Recommending the One Best For You?

Once your hernia is diagnosed, the conversation turns to how is it going to be repaired.  There are several methods to repair a hernia and your surgeon should be skilled in and familiar with them all.

There is no right hernia repair technique that applies across the board. The right method depends on several factors, including the type of hernia you have, your unique anatomy, and the extent of the hernia. 

In general to repair an indirect inguinal hernia, the Marcy technique is a good option that gives excellent results and minimal postoperative pain.

For direct inguinal hernias, your surgeon might recommend the Bassini, the Shouldice or the Desarda techniques.

The Bassini method is a good option if your inguinal canal is weak, but not completely torn. Expect a little more tension and pain with this repair compared to other methods.…

The Nerve!

What Roles Nerves Play in Your Hernia Repair Surgery

Your nerves are what give you sensation. During surgery it is important not to damage the nerves.  Here’s what you need to know about the three major nerves in the inguinal area before you head into surgery for hernia repair:

What are the Three Major Nerves?

  1. Iliohypogastric nerve: provides sensation to the pubic hair area and the upper part of the scrotum or Mons. 
  2. Ilioinguinal nerve: provides sensation along the inguinal ligament, on the inside of the upper thigh, and on the outside of the scrotum or Mons. 
  3. Genital nerve: provides innervation to the cremasteric muscles and sensation to the testicle or labia majora.

Some Hernia Repair Surgeons Advise Cutting the Nerve

Some surgeons routinely cut the nerves during a hernia repair with the thought that it decreases pain after the operations. Yes, cutting the nerves eliminates some pain, but also…

What You Should Know About the McVay Technique

McVay Technique for Non-Mesh Hernia Repair

Femoral hernias are more common in women than in men. It develops from a hole underneath the inguinal ligament. Most hernia repairs depend on an intact inguinal ligament, and for this reason most hernia repairs will not work when there is a femoral hernia. The McVay operation uses Cooper’s Ligament instead of the inguinal ligament and is the best operation for femoral hernias or when the inguinal ligament has been damaged.

The McVay operation is more painful than the other operations and thus is reserved for situations in which the inguinal ligament has been damaged or when a femoral hernia is present.

Knowing that the McVay method will make your recovery longer and more uncomfortable, you can be proactive to minimize both by preparing ahead of surgery. Of course, Dr. Brown and his staff can answer all your questions about the McVay technique…

Researching Non-Mesh Hernia Repair?

What You Need to Know About the Desarda Technique

Overusing the muscles, a chronic cough, an accident that rips the muscle, etc. can tear the lower abdominal muscles resulting in a direct inguinal hernias. Whatever the reason, the muscles are damaged. Since the surgeon is now dealing with damaged tissues it is important the surgeon is familiar with multiple techniques so best method can be chosen to fix the problem.

Having performed hernia repair surgeries and developed specialized recovery programs since 1999, Dr. William Brown is known across the U.S. and many other countries for his expertise. Weekend warriors, professional athletes from the NFL, AFL, NBA, NBL and the United States Soccer League, as well as non-athletes seek Dr. Brown’s opinion due to his knowledge of all repair techniques and choose his non-mesh approach to surgical hernia repair.

There are five major hernia repair techniques, and many more when you…

Using the Marcy Technique for Non-Mesh Hernia Repair

Lower Abdominal Pain may be an Inguinal Hernia

Does coughing, lifting objects, sneezing, or doing other ordinary things that affect the lower abdominal region causes pain? Can you feel a bulge in the lower stomach region? After resting those muscles, does the pain come back? If you answer, “Yes,” you might have an inguinal hernia. A hernia is a hole in your muscles.

The hole can open up for several reasons, including sudden twists, turns or moves (such as when playing sports), chronic coughing, constipation or straining bowels, and straining to urinate. For these reasons, anyone whether athletic or not, can be diagnosed with an inguinal hernia.

Inguinal hernias will not heal in time, and surgery is the best treatment option. And, the quality of the surgical repair has everything to do with the experience of your surgeon. Recently, Dr. William Brown saw a young patient and recommended non-mesh repair.…

Options For Your Hernia Repair

Do All Hernias Have to be Repaired?

Once you’re diagnosed with a hernia – be it an indirect inguinal hernia, direct inguinal hernia and/or femoral hernia – the next question is does it have to be repaired, and if so, how soon? If you’ve been living with a hernia for long, then you may have increased your pain tolerance to a point where the hernia doesn’t appear to have a negative effect on your life. Some hernias simply don’t cause much discomfort. And, there’s the recovery period post-hernia repair to consider and plan for, which can make you want to put off repairing your hernia.

Relieving significant pain that stops you from living daily life as usual is the top reason to repair a hernia, but there are several other reasons that cause people with hernias to have them repaired sooner versus later. If you’re on your feet for long…

William Brown, MD
Hernia Specialist

Dr. Brown has been repairing inguinal hernias for over 30 years, taking care of Athletes with Sports Hernia injuries since 1999.  Dr. Brown has been taking care of patients with complications from mesh for so long that his hair is gray. Luckily he still has some hair.

His patients include players from the San Jose Sharks and the San Jose Earthquakes as well as athletes from the NFL, AFL, NBA, and the local college teams. As well as Athletes from 15 foreign countries.

Fremont Office
William H. Brown, M.D.
39470 Paseo Padre Pkwy
Fremont, CA 94538
(510) 793-2404
Fax: (510) 793-1320

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