How Does One Decide to Use the Barr Procedure for Umbilical Hernia ? Is It More for a Larger Hernia

I will need to have umbilical hernia repair and a very large diastasis.. and wondered if Barr , which attaches the umbilical repair to the back wall? pelvic bone? would be necessary? It is a new procedure, and some surgeons use natural mesh or other mesh, attaching it to the back for more security. How is this evaluated ? Thank you very much for your help.

Doctor Answers 1

Surgery for recurrent hernia

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The BAR procedure is a laparoscopic procedure performed for complex hernias (longstanding, large, or recurrent hernias) where mesh is secured over most of the abdomen. Generally permanent mesh that does not stretch over time is used. A small umbilical hernia and a diasthasis can often be treated without permanent mesh, which carries risk over time. 

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