Inguinal Hernia Surgery Mesh Or No Mesh

The mesh can be placed on the deep side of the hernia using a laparoscope or the mesh can be placed to cover the outside of the hernia using an incision.

Inguinal hernia surgery mesh or no mesh. They fully support using appropriately selected mesh reinforcement for the majority of inguinal and ventral hernias especially if there is a likelihood of the hernia coming back at a later time in life. The goal of hernia repair surgery is to close and support the weakened area in the abdominal wall. The argument for a hand sewn repair i e no mesh is that there is no foreign body placed in the body. Our experience with non mesh hernia surgery.

Mesh and no mesh hernia repairwhen a hernia is symptomatic and causes detrimental health complications for an individual surgical intervention is necessary in order to repair it. Surgery remains the ultimate treatment for all types of hernias as they will not get better on their own however not all require immediate repair. This review found that mesh inguinal hernia repairs may be associated with better outcomes than non mesh repairs in the elective setting including for outcomes of recurrence surgical complications duration of surgery postoperative stay time to return to activities of daily living however non mesh repairs remain a viable alternative. Ahs recommends all surgeons should be.

Despite the improvement in the overall recurrence rate due to mesh in the hands of non hernia specialists it appears to have come at a needless cost to patients. Reinhorn has observed the non mesh shouldice repair technique by visiting the famous shouldice hospital in toronto. Since 2015 we have performed over 300 no mesh inguinal hernia repairs. Hernia repairs are common more than one million hernia repairs are performed each year in the u s.

This review gives a survey of the current data on the mesh or no mesh question in open inguinal hernia surgery. It is common for people to develop scar tissue around the mesh. Elective surgery is offered to most patients. The cochrane database systematic review of 2002 has the highest level of evidence.

Mesh and non mesh repairs are effective surgical approaches in treating hernias each demonstrating benefits in different areas. Americas hernia society ahs advisory approved a message on october 21 2018 regarding mesh implants. Compared to non mesh repairs mesh repairs probably reduce the rate of hernia recurrence and reduce visceral or neurovascular injuries making mesh repair a common repair approach. Hernia centres specializing in natural tissue inguinal hernia repair have met and far exceeded 5 recurrence rates and shouldice has done so for over 70 years.

The operative repair of inguinal hernias is the most common surgical procedure in general surgery. The decision to proceed with no mesh repair is made on an individual basis. Mesh repairs may result in a reduced length of hospital stay and time to return to.