No Mesh Hernia Repair

Thinking of an Inguinal Hernia Repair Without Mesh?

Which Surgeon Should You See?

A noticeable bulge in your abdominal region. A burning sensation in the area. Pain in the groin when you use those muscles when you cough, strain or lift. Pain that subsides with rest and comes back with activity. These are the most common symptoms of an inguinal hernia, and since it won’t repair itself on its own, you should see a hernia specialist.

Why a specialist for inguinal hernia repair without mesh? Hernia repair is a common surgery, and many surgeons use mesh, which can cause a plethora of other problems. To avoid these problems, research the benefits of non-mesh repair and choose a surgeon who has decades of experience with no mesh hernia repair techniques.

Dr. William Brown, a leading hernia specialist says his patients already know that they have a hernia and want a non mesh repair or they’ve been suffering…

The Problems with Using Mesh for Hernia Repair Surgery

Things you Need to  Know

Your hernia has been diagnosed and now the journey back to your old self can begin. The next step is choosing the right surgeon who is experienced in the type of hernia repair that you prefer. There are two basic methods your surgeon can use to repair your hernia. One of them uses sutures and your own tissues to close the hole. The other involves using mesh to “patch” the hole.

“Patching” a hole in theory is a great idea. However, if you’ve ever been disappointed by how well a patch really works in the long run then you’ll understand why Dr. William Brown uses the suture method to repair his patients’ hernias. Remember the blow-up plastic baby pools that come with a plastic patch should the pool get a hole in it? That patch may stop the air and/or water from leaking in the…

Acute or Chronic Pain After Surgery?

How to Avoid Chronic Pain After Inguinal Hernia Repair Surgery

Pain directly after an operation is called acute pain. It is related to the operation itself and resolves as you heal from the operation. Chronic pain is pain that persists even after everything is healed.

Chronic pain after hernia repair can be debilitating and affect every aspect of your life. Be sure that you do everything you can to avoid chronic pain and promote rapid healing.

Avoid mesh hernia repair. Problems with mesh are the most common causes of chronic pain after hernia repair.  Sometimes mesh will often become stiff with scar tissue and then when you bend and twist and the mesh does not bend and twist with you, you have pain. Also there are many sensitive structures in the inguinal region. If a nerve or the spermatic cord get stuck to the mesh then you will suffer…

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.…

Cremasteric Muscle and Hernia Repair Surgery

What Happens to the Cremasteric Muscle During Non-Mesh Hernia Repair Surgery?

Perhaps your surgeon mentioned the cremasteric muscle when discussing your hernia repair surgery. The cremaster muscle surrounds the spermatic cord and runs from the internal inguinal ring to the testicle.  The cremasteric muscle has two important jobs:

  1. It pulls the testicles closer to the body when they are exposed to cold.
  2. It brings the testicles closer to the body during sexual intercourse.

However, since it is a muscle, it has the potential to add volume around the spermatic cord and thereby make it more difficult to get a tight hernia repair. 

Options for Addressing the Cremasteric Muscle

Removing it: There are surgeons who routinely remove the cremasteric muscle during hernia repair surgery, which results in a tighter repair. However, removing this muscle means it can no longer do its job of pulling the testicles closer to the body in…

7 Ways to Prepare for Your Non-Mesh Hernia Repair Surgery

The healthier you are prior to having non-mesh hernia repair, the better and quicker your recovery will go. After dealing with the pain and inconvenience of living with a hernia, no matter how long or short a time, you’re looking forward to getting back into your regular routine. Here are seven of Dr. William Brown’s best tips for preparing for non-mesh hernia surgery.

Tips To Prepare For Hernia Surgery 

1. Quit smoking three months before your surgery
If you do nothing else to prepare your body for a successful recovery, do this one thing. Your body requires strong collagen to repair itself, and nothing weakens collagen like smoking does. If you smoke, you are taking a significant risk for the hernia repair to fail. Coughing associated with smoking also endangers your repair. A smoker’s cough contracts muscles in your abdomen. The strain can pull out sutures before you have a…

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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