
There are many ways to treat a hernia and this suggests that non is superior in all aspects. I have experience in all methods described here and these treatments must be suited to the individual patient to give the greates chance of good surgical results.
Every patient should be individualised to their surgical hernia repair. Depending on the patient's wishes in addition to their age, occupation, general health, physical activities and the complexity of the hernia, the optimum surgical technique is chosen carefully between following methods.If unfit even for local anaesthesia a truss rarely may be an alternative to surgery. In this case minimally symptomatic direct inguinal herniae may be left with the risk of only 1-2% strangulation per year.