Can You Have Hernia Repair Without Mesh

Do I Have to Have Mesh Placed to Fix my Hernia?

07Feb

Do I Have to Have Mesh Placed to Fix my Hernia?

This is a peachy question, and like most bang-up questions, it is because the respond is complicated.

Offset of all, not all hernias require mesh to exist repaired and resolved. Still, mesh is an invaluable tool which has allowed surgeons to be able to reliably repair hernias which in the past were not possible to repair. Not all hernias are the aforementioned and not all meshes are the same. Mesh is a tool and a proficient surgeon will sympathise the limitations of the mesh, which mesh is best for which type of hernia, what complications the mesh product could possibly bring into the equation for the patient, and what the mesh could lend to the repair to decrease the hazard of recurrence and provide optimal healing for the patient. For some hernias, such equally small umbilical hernias, some hiatal hernias, and inguinal, or groin, hernias in children, mesh can be avoided with adequate risks of recurrence.

For near adult inguinal hernias and many ventral (abdominal wall) hernias, mesh provides a prophylactic and reliable way to buttress the repair and greatly decrease the risk that the patient will develop a recurrent hernia. Many horrible, big complicated intestinal wall hernias started out with a small hernia which recurred after repair and and then some other attempt led to some other recurrence. Every bit yous tin imagine, a patient'due south all-time bet is to accept the hernia stock-still once and for all with the kickoff surgery. When hernia mesh for inguinal hernias became available around 1990, mesh was originally reserved for those patients who underwent inguinal hernia surgery and then developed a recurrence of their hernia and needed a 2d (or third!) surgery. It soon became apparent that mesh decreased the recurrence risk and became first line therapy for those undergoing their original inguinal hernia repair. Tissue only (no mesh) repairs for inguinal hernias usually cause more than discomfort during healing and take increased risks of recurrence compared to mesh repairs. This is the reason mesh inguinal hernia repair is the standard of care.

I perform non mesh inguinal hernia repairs, only I caution those patients that the tissue repair will have a higher risk of recurrence. Without a dubiety, if I am personally undergoing inguinal hernia repair, I volition accept mesh placed. Even so, I personally did undergo repair of a pocket-sized umbilical hernia and had a suture just, no mesh repair, which has lasted about ten years now with no issues. Again, non all hernias are the aforementioned and not all meshes are the same.

Heed to your surgeon, inquire all of the questions you need to ask, and if you even so are not comfy, obtain a second surgical opinion.

If you have more questions, be certain to check out our Hernia FAQ folio hither.