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このサイトで取り上げるヘルニアについて 手術の流れ
When you see the word "hernia",you might imagine a disk hernia. "Hernia" on this site means inguinal hernia or groin hernia. My specialty is the surgical repairment of adult inguinal hernia.

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Board certified surgeon of The Japan Surgical Society
Board Certified Surgeon in Gastroenterology
Board certified Gastroenterologist



Typical schedule
After diagnosis
As for the cost, Japanese heath insurance holders are 70% covered. These patients will pay approximately 74,000 yen in total. If you don't have the insurance, you have to pay approximately 250,000 yen in total. There may be some variances.

typical schedule
first hospital visit -> second -> admission -> operation

We offer 2 scheduling options.
You can also print out the schedule.
You can see these files as PDF(Portable Document Format).
Please click LOGO to download Acrobat Reader if you don't have it.

・Day surgery…Admission morning→operation→Discharge afternoon Printable
・Overnight…Admission morning→operation→Discharge next morning Printable
・Child…Admission morning→operation→Discharge afternoon Printable
・Precaution for admission Precaution
・Informed consent for the operation Consent
・Medical questionnaire Medical

 If doctor says that you have a hernia...
  herniorrhaphy It was developed in the 19th century. A recent report revealed high recurrence rate, long hospital stay and delayed recovery. But high ligation and simple closure of the opening (Marcy's procedure) is suitable for young adults, especially women.
  mesh plug The most popular tension-free method in Japan. Onlay patch
  direct Kugel (The newest prosthesis, permitted by the Japanese government in Dec. 2005. It's also one of the tension-free methods. It has merits of both the mesh-plug and original Kugel. Some specialists like this method. Inlay patch
  laparoscopic Also one of the tension-free methods. It offers minimal incision, but it's a little more expensive than open techniques. A recent study revealed relatively high recurrence rate compared to open procedures. Inlay patch
We will decide the procedure with consideration for your age, gender and symptoms.
  Our first recommendation for patients middle age and above is the "Direct Kugel procedure".

    meritno prosthesis
meritshort hospital stay and early recovery with Marcy's method
demeritlong hospital stay (5-7 days) with Bassini's method
demeritHigh recurrence rate 5-15% with Bassini's method
demeritYou may feel some tension or discomfort with Bassini's method.
     An approximately 150-year-old method. No synthetic material is used in this procedure. After removal of the hernia sac, the abnormal abdominal wall opening is closed. The suture is not so tight in Marcy's method. It allows a short hospital stay and early recovery. But the tissue is sutured very tightly in Bassini's method. Patients have to stay longer in the hospital. The recurrence rate with Bassini's method is 5 to 15 %.
  Mesh plug
    demeritwith prosthesis
meritshort hospital stay and early recovery
meritlow recurrence rate <1%
meritmost popular procedure in Japan
     One of the hernioplasty methods developed in the 1990's. To cover the hernia port, two pieces of synthetic material are placed in the inguinal canal (onlay). This method is the most popular in Japan now. The recurrence rate is lower (approximately 1 to 5 %) than conventional methods. A short hospital stay and early recovery are major merits. There are a few varying procedures and materials. (Lichtenstein, PHS etc.)
  modified Kugel
    demeritwith prosthesis
meritshort hospital stay and early recovery
meritlow recurrence rate <1%
meritwhole cover of inguinal weak point
    This procedure is also tension-free and is derived from the original Kugel method. Open approach through the inguinal canal and placement of the mesh on the preperitoneal space are performed. The shape of the mesh is round. It is approximately 10cm in diameter round framed with fine vinyl tube. The mesh can fully cover the weak point of the groin region.
    demeritwith prosthesis
meritshort hospital stay (3 days) and early recovery
demeritgeneral anesthesia
デメリットrelatively high cost in Japan
デメリットrelatively long operation time
    Three small holes are made on the abdomen. A scope and instruments are put through the holes, and a piece of mesh is placed on the preperitoneal space (inlay). It was developed in the 1990's.
Short hospital stay. General anesthesia and relatively high cost are necessary.

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