Procedure guides

Where a retractor may be of use:

Uro and colorectal

  • Fistula repair
  • Sphincteroplasty
  • Haemorrhoidal surgery
  • Perineal proctectomy
  • Prolapse repairs
  • Panproctocolectomy
  • Ileal Pouch –anal anastomosis
  • Hirschsprung’s procedure


  • Prolapse repairs
  • Urethral diverticulum
  • Fistula repairs
  • Reconstructive pelvic surgery
  • Vaginal hysterectomy
  • Cystectomy
  • Episiotomy repairs


  • Temporal artery biopsy
  • Hand surgery
  • Tympanomastoid surgery
  • Neck dissection
  • Mastectomy
  • Orbital surgery
  • Thyroidectomy

We also have heard

  • Abdominal Surgery
  • Cardiac Surgery
  • Spinal Surgery
  • Plastic Surgery
  • Dental Surgery
  • Brain Surgery
  • Thyroid Surgery

Surgery Overview: Herniorrhaphy, Hernioplasty

For open hernia repair surgery, a single long incision is made in the groin. If the hernia is bulging out of the abdominal wall (a direct hernia), the bulge is pushed back into place. If the hernia is going down the inguinal canal (indirect), the hernia sac is either pushed back or tied off and removed.

The weak spot in the muscle wall—where the hernia bulges through—traditionally has been repaired by sewing the edges of healthy muscle tissue together (herniorrhaphy). This is appropriate for smaller hernias that have been present since birth (indirect hernias) and for healthy tissues, where it is possible to use stitches without adding stress on the tissue. But the surgical approach varies depending on the area of muscle wall to be repaired and the surgeon’s preference.

Mesh patches of synthetic material are now being widely used to repair hernias (hernioplasty). This is especially true for large hernias and for hernias that reoccur. Patches are sewn over the weakened area in the abdominal (belly) wall after the hernia is pushed back into place. The patch decreases the tension on the weakened belly wall, reducing the risk that a hernia will recur.

Open surgery is different from laparoscopic surgery for hernia repair in the following ways:

  • An open surgery requires one larger incision instead of several small incisions.
  • If hernias are on both sides, a second incision will be needed to fix the other hernia. Laparoscopic surgery allows the surgeon to repair both hernias without making more incisions.
  • Open hernia repair can be done under general, spinal, or local anesthesia. Laparoscopic repair requires general anesthesia.

Products used in this hernia image to give Prof Aye Than superior access:

  • Galaxy II Snowman frame (order code JUNE3000)
  • 3-Finger Claw (order code JUNE3005B-50)
  • 12mm Blunt Hooks (order code JUNE3003B-50)

Trusted by leading surgeons

"Angela is a great and reliable business director. I am delighted to work with her for her dedication, passion and support to patient's care, surgical training that she offers and provide to clinicians as well as for the great support that June medical give to surgeons and physicians"

Dr Alex Digesu

"I love the rings" (after having done the first 4 procedures in the USA in January 2020)

Professor Ervin Kocjancic

"I love the design, and it feels much lighter than older retractors. The single hand adjustment is a big win!"


"Can't thank everyone enough for the rapid response especially in such trying times. Stay safe"


"Fantastic Rep and help from the company in organising the thermablate for theatres and training staff. Thank you."

Nottingham NHS Treatment Centre

"Tina Farmer went above & beyond to ensure products arrived for surgery. it was great appreciated, by us, and she should be recognized for this! asset to June Medical"

BMI Chaucer

"Tina remembered an outstanding query which I had forgotten. Some suppliers would just let it hang, so thanks."

Hospital of St John & St Elizabeth

"Friendly and efficient staff, excellent customer service."

Harrogate District Hospital

"Very professional, working for women health in their best interest"

Royal United Hospitals Bath

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