Doctor insights on:
Hiatal Hernia Mesh
Is it common practice to cut through an old hiatal hernia mesh from previous op to perform laproscopic gallbladder removal resulting a hernia-redo?
A hernia is a hole in the abdominal wall thru which the inner lining protrudes thru, creating a sac. Organs from within the abdominal cavity, such as the intestine, can protrude thru the hole and get stuck in the sac. Many hernias develop during fetal life and become evident in childhood or as an adult. Some develop following a prior abdominal operation. The cornerstone ...Read more
I had gastroschisis at birth, many intestinal blockage removals, and my hiatal hernia mesh causes severe pain 10 yrs later. Vegan, uninsured. Advice?
Is it possible to have your hiatal hernia repaired using mesh without having the wrap (nissen fundoplication) done at the same time?
Yes, rarely: Sliding hiatal hernias, where the esophagus & stomach "yo-yo" into the chest, are responsible for reflux (gerd). Surgical rx of the gerd includes the wrap. Paraesophageal hiatal hernias are much more rare & more serious--here the stomach twists up into the chest, causing obstruction (or worse). These always require hernia repair; a wrap is not necessary, tho advisable, since gerd often follows. ...Read moreSee 1 more doctor answer
What can be side effects and complications of biologic mesh used in recurrent hiatal hernia repair?
Few, but...: Biological mesh material actually goes away at it is replaced with your own connective tissue cells. There have been reports of this type of mesh eroding into the esophagus, but it is more likely to be technique related in my opinion, rather than caused by the material itself. It is biologically inert, so shouldn't cause any type of systemic reaction like an allergy. Hope this helps! ...Read moreSee 1 more doctor answer
I havehad a nissen and hiatal hernia surgery then an abdominal wall reconstruction with surgical mesh then an abdominal wall reconstruction with pig?
Pig - yes: I can't tell from your description the exact mesh or where it was placed. But generally speaking, there are biologic mesh products, some of which are derived from pigs (porcine mesh). Porcine mesh products are processed such that all the cells are washed away, and only the underlying matrix remains. Thus, the risk of adverse reactions from the mesh are very low and the products are very safe. ...Read moreSee 2 more doctor answers
Hole in diaphragm: The diaphragm is the muscle that separates the chest- from the abdominal cavity. Many structures have to go thru the diaphragm in order to enter into the abdominal cavity, including the esophagus, the aorta, and the vena cava. The hiatus is the hole in the diaphragm thru which the esophagus passes. This can enlarge, allowing the stomach to "yo-yo" up into the chest: this is called a hiatal hernia. ...Read moreSee 2 more doctor answers
Stretched diaphragm : There is normally a hole in the diaphragm through which passes the esophagus. The diaphragm separates the abdominal and chest cavities, and the chest cavity is like a vacuum. When the normal opening stretches out and becomes large enough, the stomach gets "sucked" into the chest slowly. Why some get this and others don't is largely a mystery. ...Read more
Unknown: The hiatus is the normal hole in the diaphragm muscle thru which the esophagus passes to go from the chest to the abdominal cavity. A hiatal hernia is an enlargement of this opening thru which the stomach can slip up into the chest. This is found in 15% of people & rarely causes symptoms. It is unclear if this develops before birth and/or develops in response to elevated abdominal pressure. ...Read moreSee 2 more doctor answers