No more “plugs” or “patches”, but a dynamic prosthetic device that is placed without sutures or fixation. A surgical solution which respects the physiology of the inguinal region, combining an innovative method and improved comfort for the patient.

Inguinal hernia is a protrusion of abdominal viscera through the muscular wall of the inguinal region. It’s a common disease which yearly afflicts ca. 800,000 patients in USA. The treatment is surgical, with various techniques. As of now, these techniques aim to cover the inguinal area, one of most mobile areas in the human body, with static implants (meshes).

These prostheses are usually flat and are fixed in a variety of fashions to the muscles, do not cope with their movements yet create a stiff fibrotic reaction in tissues. This leads to stiffness and shrinkage of the implant, can cause discomfort and, in some cases, even chronic pain. The shrinkage of the implant can set free the hernia opening, which was previoulsy covered by the mesh. This is a prelude to hernia recurrence.

Today, as an alternative to conventional implants, we can use a device that promotes the re-growth of healthy tissue in the area of the hernia opening, establishing a condition similar to normal abdominal wall structures. Patients, normally get back home same day of the surgical procedure. The return to normal activities is possible starting from the first week after surgery.

Until now, most scientific studies have focused on the effects of the hernia, rather than its origins. As a result, years of surgical practice have been carried out treating a disease without knowledge on its genesis.

Professor Amato’s studies, published in the most relevant journal on the hernia disease, led to new concepts about the origin of inguinal hernia. The Dynamic Implant was engineered following to these studies and their scientific outcomes.

The 3D dynamic implant do not covers, but  full thickness obliterates the muscular gap where the hernia arises. Moves in harmony with the inguinal structures promoting regeneration of new and vital tissue inside its structure and enabling a true barrier which definitely closes the hernia orifice.

The procedure

  • 100% “Tension free”: no fixation of the prosthesis with sutures, stitches, staples or similar.
  • Performed, in non-complex cases, under local anesthesia.
  • Patient usually is discharged same day of the surgical procedure.

Tissue regeneration following hernia repair procedure

The conventional static implants by the time shrink and form a regressive fibrotic scar plate which does not move in compliance with the groin structures but, hinders the kinetic of the inguinal region causing discomfort to the patients. Conversely, the dynamic implant contracts and relaxes in compliance with the muscular structures of the groin. Due to its continous movement, it acts as a scaffold for new tissue regeneration, creating a thick barrier of dense, viable and well vascularized tissue. The dynamic implant does not shrink, does not cause discomfort and its postoperative pain score results lower as the conventional hernia repair.

Quality of regenerated tissue

  • After 6 months absence of inflammatory reaction
  • Presence of elastic fibers
  • Well-structured veins and arteries
  • Mature nerves
  • Fibro-adipous tissue
  • Soft and well hydrated connective
  • Spermatic cord structures intact