No Mesh Hernia Repair

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.…

Shouldice Hernia Repair Technique

Four Things You Should Know About the Shouldice Hernia Repair Technique

Shouldice Repair for Hernias

If you are researching hernia repair techniques, chances are that you’ve come across the Shouldice technique. No wonder since it’s considered an excellent hernia repair method due to it putting minimal tension on the repair, which leads to less post-operative pain and easier recovery, it has a low hernia recurrence rate, it has a low infection rate, and its results are equal to or better than using mesh.

That just scratches the surface of this popular hernia repair method. Here are four more things you should know about the Shouldice hernia repair technique.

1. How it’s performed.
The Shouldice hernia repair involves using a running permanent suture to first plicate and strengthen the inguinal floor. Then a second running suture is used to plicate the oblique muscles, creating a four-layer hernia repair.

2. Who invented it.
Dr. Edward Shouldice,…

Hernia Repair Technique Needs To Match Type of Hernia

The Bassini Technique: A Classic Non-Mesh Way to Repair Inguinal Hernias

Dr. William Brown, the renowned inguinal hernia repair surgeon, has never wavered from his stance against repairing hernias with mesh. He performs non-mesh hernia repair to avoid the poor results and complications that come with using mesh. When mesh binds to nerve endings, which is common post procedure, chronic pain results. When mesh becomes stiff, fibrosis occurs causing more damage to the herniated area. When mesh affects nearby blood vessels or organs, problems arise that could mean another surgical procedure, or worse, nothing can be done to correct the situation. Considering the risks, Dr. Brown strongly recommends non-mesh hernia repair, like the Bassini, Shouldice, or Desarda technique.

Of all the ways to repair an inguinal hernia with the local soft tissue, the Bassini method is a classic inguinal hernia repair technique that has been used by surgeons for over…

Inguinal Hernia Repair

To Use or Not to Use Mesh, That is the Question

When a surgeon chooses to use mesh, the mesh (or plastic) is used as a patch to cover the hole in the muscles. The mesh can be can be inserted with a laparoscope, so that it patches the hole on the inner surface or the deep side. Or the mesh can be placed through an incision in your skin, in which case the mesh or patch is on the outside of the hole in the muscles.

Either way, mesh repair leaves a foreign object in your body. A layer of scar tissue developments around the mesh. The scar tissue causes the mesh to become stiff and hard, thus unable to move with your body when you bend and twist. It’s the perfect storm for causing pain. Severe pain can also result when a nerve or the spermatic cord becomes…

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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