Comparison of Hernia Repair Methods

Surgery Methods	Natural Tissue Repair The Integrative Hernioplasty	Natural Tissue Repair Traditional natural tis- sue repair	Natural Tissue Repair Traditional natural tis- sue repair	Mesh Repair	Laparoscopic Hernia Repair
Principle of surgery	Natural tissue reconstruction: Abdominal wall structure of the groin is reconstructed with autologous tissue. The principle resembles the three- dimensional structure of the building.	Bassini: Autologous tissue is used in repairing the abdominal wall of the groin. The principle resembles a plane structure that closes the door covering a gap.	Shouldice: Autologous tissue is used in repairing and reconstructing the abdominal wall of the groin. The principle resembles a three- dimensional structure that closes several gates to cover a gap.	The mesh is used to patch the abdominal wall structure of groin. The principle is like patching a hole in a tire.	The mesh from the abdominal cavity is used to patch the abdominal wall structure of groin. The principle is like patching a hole in a tire’s inner tube.
The recurrence rate of hernia	Low	About 3%	Low	Low	Low
The size of the wound	2~3 cm (particular minimally invasive small wound)	4~6 cm	5~10 cm	4~6 cm	Three 1~2 cm abdominal wounds
Surgical operation time	30~40 min	0.5~1 hr	0.8~1 hr	0.5~1 hr	1~2 hrs

Comparison of Hernia Repair Methods

Nature Tissue Repair

Surgery Methods	Natural Tissue Repair The Integrative Hernioplasty
Principle of surgery	Natural tissue reconstruction: Abdominal wall structure of the groin is reconstructed with autologous tissue. The principle resembles the three- dimensional structure of the building.
The recurrence rate of hernia	Low
The size of the wound	2~3 cm (particular minimally invasive small wound)
Surgical operation time	30~40 min

Bassini

Surgery Methods	Bassini
Principle of surgery	Autologous tissue is used in repairing the abdominal wall of the groin. The principle resembles a plane structure that closes the door covering a gap.
The recurrence rate of hernia	About 3%
The size of the wound	4~6 cm
Surgical operation time	0.5~1 hr

Shouldice

Surgery Methods	Shouldice
Principle of surgery	Autologous tissue is used in repairing and reconstructing the abdominal wall of the groin. The principle resembles a three- dimensional structure that closes several gates to cover a gap.
The recurrence rate of hernia	Low
The size of the wound	5~10 cm
Surgical operation time	0.8~1 hr

Mesh Repair

Surgery Methods	Mesh Repair
Principle of surgery	The mesh is used to patch the abdominal wall structure of groin. The principle is like patching a hole in a tire.
The recurrence rate of	Low
The size of the wound	4~6 cm
Surgical operation time	0.5~1 hr

Laparoscopic Hernia Repair

Surgery Methods	Laparoscopic Hernia Repair
Principle of surgery	The mesh from the abdominal cavity is used to patch the abdominal wall structure of groin. The principle is like patching a hole in a tire’s inner tube.
The recurrence rate of	Low
The size of the wound	Three 1~2 cm abdominal wounds
Surgical operation time	1~2 hrs

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Central Clinic and Hospital

Joshua Taipei Hernia Center

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Taipei City 106, Taiwan
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Central Clinic and Hospital

Joshua Healthcare International Medical Services

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