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
Not really: These types of hernias won't fix themselves, but really are not dangerous or need treatment. They are fixed during operations performed for reflux disease, But otherwise just left alone. They can get larger over the years, but there's no specific activities or diet to avoid to prevent this. Hope this helps! ...Read moreSee 2 more doctor answers
X-RAY, Endoscopy,etc: A hiatal hernia is an enlargement of the hole in the diaphragm thru which the esophagus passes to enter the abdominal cavity. This commonly leads to the stomach "yo-yo-ing" up into the chest, which may cause gerd (reflux). This can be seen by ct scan and by upper endoscopy. ...Read moreSee 2 more doctor answers
Scope vs X-ray: There are multiple ways to make this diagnosis, but the most common ways are upper endoscopy (a camera inserted into your mouth and stomach) or some type of x-ray. Often you will drink a dye and have an "esophagram" test. Ct scans can often show large hiatal hernias as well, but may not show a small one. Talk to your doctor to see what's best for you. ...Read moreSee 2 more doctor answers
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
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