Inguinal hernias occur when part of the intestine or other tissue protrudes through the abdominal muscles. This results in a bulge near the groin that can cause pain when bending over, coughing, or lifting heavy objects.6 It is the most common type of hernia.

Inguinal Hernia Image 1 scaled uai Insightra

Symptoms Include:

A bulge near the groin area or on either side of your pubic bone

The bulge protrudes or appears to grow in size when you stand upright or cough

The bulge may be painful or become painful with contact or applied pressure

Pain when you cough, bend over, try to lift heavy objects, or exercise

Weakness in your groin or a heavy, dragging, or full sensation

Swelling of the testicles (for males)


Today’s standard of care is an open mesh repair technique, where the top of the hernia defect gets “patched” with a simple piece of flat, polypropylene onlay mesh. The human body can fight this foreign material by encapsulating it with scar tissue, which is associated with hernia mesh related chronic pain. Widely accepted studies have shown that 18% of all patients undergoing onlay hernia mesh repair develop this chronic pain.1

Hernia Mesh Image scaled uai Insightra

The most common alternative to open inguinal hernia repair is a laparoscopic procedure, where a flat polypropylene mesh is placed on the bottom (posterior) of the hernia defect. While these procedures are considered “Minimal Invasive” surgeries, that only applies to the keyhole access surgeons use. A typical “Minimal Invasive” procedure takes about 2 hours, is performed with the patient under full, general anesthesia, requires the mesh to be fixed in place using staples, adhesive sealant, or sutures, and is as invasive to the interior of the human body as an open procedure.

Laparoscopic Surgery Image 525787207 scaled uai Insightra

Both of these commonly used inguinal hernia repair techniques – open onlay mesh and laparoscopic mesh repair – come with the risk of patients developing long-term, hernia mesh related chronic pain. Studies have shown that 18% of open mesh1 and 6% of laparoscopic mesh1 patients develop chronic pain that can last for years and can stem from causes such as nerve entrapment, mesh erosion, mesh migration, mesh shrinkage, and scar tissue.

In comparison, ProFlor implants move with the muscles surrounding them and allow the regrowth of healthy, vascularized muscle tissue significantly reducing the occurrences of hernia mesh related chronic pain.5 ProFlor procedures are only performed through trained Hernia Alliance specialist partners.



Information Regarding Surgical Mesh for Hernia Repairs

The FDA wants to inform you about complications that may occur with the surgical mesh that is sometimes used to repair hernias and provide questions you may want to ask your surgeon before having this procedure.

Hundreds of thousands of hernia repair operations are performed each year, both with and without surgical mesh, and patients generally recover quickly and do well after surgery.

However, the FDA has received reports of complications associated with mesh, including adverse reactions, adhesions (when loops of the intestines adhere to each other or the mesh), and injuries to nearby organs, nerves or blood vessels. Other hernia repair complications can occur with or without mesh, including infection, chronic pain and hernia recurrence.

Most complications reported so far have been associated with mesh products that have been recalled and are no longer on the market. Please visit the FDA’s website for more information on recalled hernia surgical mesh products.


Performance claims and data cited from reference studies and materials listed here.