What is the best surgery for a groin hernis in a relatively healthy middle-aged male?

I wanted a surgery that would minimize the chances of post-operative chronic pain, would have the shortest recovery time, least risk and lowest recurrence rate possible. Online I found the Hernia Center of Ohio with Dr. David Grischkan and and the British Hernia Center, both of which seem to meet my criteria. This is the British statement:

The British Hernia Centre Method
Our operation is performed via an incision higher than the previous one(s) and the hernia itself is approached from behind the weakness in the abdominal muscles. There is, therefore, no need to cut through scar tissue and the described risks to the testis do not apply.
The hernia opening is then completely covered by a mesh 'veil' applied from the inside, making it virtually impossible for a further recurrence to take place. In effect, the whole area of abdominal wall surrounding the hernia site(s) becomes reinforced without really involving the area(s) previously operated upon.

Is recovery much slower?
Because our technique avoids the usual, high levels of tissue trauma and the repair is 'tension-free' (in the same way as is described earlier for the less complex repairs), there is surprisingly little discomfort and recuperation is just as rapid as after our 'simpler' hernia repairs.
Patients are expected to be as active as possible from the first day i.e. walking 1 to 2 miles, swinging a golf club (or similar activity) and return to completely normal routine, work etcetera, often in 4 to 7 days.
I haven't found data re the method that Dr. David Grischkan, modified Shouldice technique.
Which one poses the least risk and best outcome? Is mesh or no-mesh better and if mesh, which one?

Not yet answered | No comments | Asked anonymously on October 30^th, 2010, 3:33 AM | Viewed 206 times