— The Foundation —
Guideline-led, patient-tailored.
Every consultation at THI starts from the same evidence base — the current international literature on hernia surgery. From that foundation, we tailor a plan to the patient's anatomy, lifestyle, occupation, and risk profile. This is the difference between a surgical opinion and a surgical decision.
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01
Current international guidelinesEvery operation is informed by the most recent peer-reviewed guidelines in hernia and abdominal wall surgery — actively followed, not selectively cited.
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Tailored to anatomy & riskDefect size, prior surgery, body habitus, smoking status, occupation, and recurrence risk — every factor changes the technique. We choose the operation that fits the patient.
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Mesh selection by caseThere is no single "best" mesh. Lightweight macroporous, composite, self-gripping, biologic — chosen per indication, per defect, per patient.
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Documented decision-makingThe recommended approach, the alternatives, and the reasoning are written into the consultation note — shared with the patient before the day of surgery.
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Weekly internal case reviewComplex and pre-operative cases are discussed across our surgical team each week — collective judgement, not individual habit.
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AI-assisted, surgeon-validatedDecision support from our AI stack proposes the evidence-aligned approach. The surgeon validates and adapts. The patient sees both — and asks questions.
