Yes, you read that right, 6000 dollars up front, out of my pocket, before insurance would even kick in! I came out ahead flying to Florida and having this done by Dr. And besides that, my insurance is crud with a $6000 deductible.
Maybe it is a small percentage of people overall, 5-6%, but that is still way too high for me to take such a chance. Why did I have this done instead of mesh? There are too many stories on the net of mesh complications or long term pain. Basically it means no foreign body like mesh inside YOUR body. Get all that! You can search Desarda on YouTube and watch a video to see what he means.
#Thelibrarian Patch#
The difference is, that (1) this is a patch of living tissue and (2) the strip of external oblique aponeurosis is still attached normally to external oblique muscle and contractions of the external oblique muscle have a dynamic affect on countering intra-abdominal pressure, rather than merely static effect that the non-living patch used in a Lichtenstein repair, would have.) The result is that a "patch" of external oblique aponeuroses is in place behind the spermatic cord, similarly to the way a Lichtenstein patch would be in place behind the spermatic cord. The upper edge of this "patch" is sutured to the internal oblique.
Then the external oblique is incised again, 1-2 centimeters above the inguinal ligament, simultaneously creating (1) a new lower edge to the upper flap, and (2) a "strip," or in my words a patch, made out of a strip of external oblique that is several centimeters wide. The upper flap of the external oblique aponeurosis is sutured to the inguinal ligament, behind the spermatic cord. (The external oblique is incised similarly to the way it is done in the other anterior approach repairs. (a flat sheet or ribbon of tendon like material that anchors a muscle ) If you like technical stuff then read what is inside the parentheses, otherwise skip the next paragraph. Instead of using mesh to reinforce the area they use your own Aponeuroses.
Not just any hernia surgery, but a fairly new (in this country) technique which is called the Desarda Method.
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