Inguinal Hernia Repair

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An inguinal hernia is a common type of hernia where fat or intestine push through an opening in the groin region. They can occur in both men and women but they are much more in men due to the natural anatomy of the groin. Inguinal hernias can cause a noticeable bulge in the groin are and can be uncomfortable or painful.

Mr Steven Karametos offers a range of minimally invasive surgical procedures for inguinal hernia repair which include laparoscopic and robotic approaches depending on the complexity of the hernia. He still offers open repairs in patients who cannot tolerate a general anaesthetic due to medical reasons.

Mr Steven Karametos repairs these with either partially absorbable, self-fixating mesh or totally absorbable mesh.

Minimally invasive inguinal hernia repair
Laparoscopic and robotic (when indicated) is the gold standard for inguinal and femoral hernia repair within all the international hernia societies and specialised hernia units throughout the world. 

WHY is Laparoscopic inguinal hernia repair preferred over Open repair?

• Lower recurrence rates
• Lower rates wound morbidity - seroma, haematoma, wound infection and mesh infection
• Lower rates of chronic pain
• Less post operative pain, especially in young patients and in bilateral cases
• It allows the surgeon to repair inguinal, femoral and obturator hernias with one mesh

The latest Inguinal Hernia Repair Techniques
As a specialist laparoscopic hernia surgeon,  Mr Karametos at Melbourne Hernia Centre is highly skilled in the following laparoscopic and robotic inguinal hernia repair techniques: All these techniques deploy the mesh in a layer of the abdominal wall so it does not come in contact with bowel or other viscera.

• TEP - Totally extraperitoneal. Surgical dissection and mesh placement is performed outside of the peritoneal cavity in the pre-peritoneal space away from the visceral contents. Mesh does not come into contact with bowel or visceral organs. Usually utilised for inguinal, femoral and small Spigelian hernia.
• ​I-TEP - a hybrid of laparoscopic TEP and TAPP that facilitate the repair of inguinal hernia that are large, complex or that occur in patients with previous pelvic surgery. It allows for laparoscopic suturing and division of adhesions, which other traditional techniques do not. This advanced technique is exclusive to Melbourne Hernia Centre.
• eTEP - Extended view totally extraperitoneal. Same as TEP, however it can be utilised for  larger inguinal hernia. 
• TAPP - Transabdominal preperitoneal. Allows direct access to the abdominal cavity and allows for better visualisation of the hernia and surrounding structures. This approach is offered both as a robotic and laparoscopic repair.

Large Inguinal Hernia 

Inguinal Hernia Repair with Partially Absorbable Mesh 

Melbourne Hernia Centre
"Uncompromising Excellence. Commitment to Care."

Understanding Hernias
Hernia Causes and Risk Factors
Types of Hernias We Treat
Complex Hernia
Advanced Hernia Surgery Options 
Absorbable Mesh
​After Hernia Surgery

About
Our Surgeon 
Our Staff
Insurance and Cost 

Contact
Phone: 03 9857 3600
[email protected]
stevenkarametos.com.au

Operating: Knox Private Hospital
                     Mitcham Private Hospital 
​                     Peninsula Private Hospital 
​                     Holmesglen Private Hospital