Mesh Vs No Mesh Inguinal Hernia Repair
Hernia mesh repair because of the high hernia recurrence rate of traditional suture surgery mesh patches were used to help strengthen the area.
Mesh vs no mesh inguinal hernia repair. Ultimately the most important factor in the success of a hernia procedure lies in the surgeon s experience. This review gives a survey of the current data on the mesh or no mesh question in open inguinal hernia surgery. More simple cases may require protruding tissues and organs be placed back in their correct position and the weakened spot and gap be stitched together and reinforced. Mesh repairs may result in a reduced length of hospital stay and time to return to.
Ngo will typically use no mesh hernia surgery in relatively straightforward cases. Developed in 1958 meshes became particularly popular in the 80s and many medical professionals saw these patches as being the superior method to repair hernias. Only 10 20 percent of our patient wants no mesh. The abdominal wall is a complex multi levelled structure made up of distinct layers of muscle and fascia tissue designed to contract stretch and bear tension in a way that allows the.
Mesh and non mesh repairs are effective surgical approaches in treating hernias each demonstrating benefits in different areas. 75 percent of patients ask about the safety of mesh and it s our job to provide them with the best science and data we have. Natural tissue hernia repair vs. The operative repair of inguinal hernias is the most common surgical procedure in general surgery.
The cochrane database systematic review of 2002 has the highest level of evidence. The second method of repair involves placing a piece of mesh to patch the hole. Mesh repair from boston hernia. That is why employing a hernia specialist for your procedure is critical for the success of your hernia repair.
Studies were eligible for inclusion if they were randomised or quasi randomised trials comparing either a open mesh with open non mesh repair of groin hernia or b open flat mesh repair with plug and mesh repair of groin hernia. The argument for a hand sewn repair i e no mesh is that there is no foreign body placed in the body. Primary closure says fda is used primarily to repair inguinal hernias in infants small hernias strangulated or infected hernias. 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.
Our team at boston hernia is here to inform you of the benefits of using medical mesh for your hernia procedure. But one can use primary closure for other reasons as well such as fear of hernia mesh and its side effects though the fda does not say so. Mesh in hernia repair at all times the human body tolerates its own natural tissues best and hernia surgery is no exception. 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.