Doctor insights on:
Mesh For Hernia
Traditional suture repair of inguinal hernia back in 2012. Hernia has recurred. Should I opt for open mesh repair or robotic laparoscopic?
Either: Both are equal and should remedy the problem ...Read more
It may not be...: Inguinal hernia repair is technically challenging, open or laparoscopic. The laparoscopic repair is relatively new and not all surgeons are comfortable performing repair this way. Statistically, the failure rate of open hernia repair is between 1-5% depending on sugeon expertise. Conversely, laparoscopic failure is much higher up to 10% and more depending on experience. More experience=less failur. ...Read moreSee 1 more doctor answer
Have reducable lump 5 weeks post laparo inguinal mesh repair. Identical to original hernia. Thoughts?
Relatively common: The most common anti-reflux procedure is called a fundoplication, which involves closure of the hernia and re-creating a new valve by wrapping a portion of the stomach around the esophagus. While very effective, this procedure is reserved for the rare patient who cannot manage their symptoms with lifestyle and dietary modifications supplemented by anti-acid medication. ...Read moreSee 3 more doctor answers
Hard work: Mesh placed for a hernia repair may need to be removed , either for infection, intractable post op pain of an extended period, or for hernia recurrence. In the latter, the graft should be left in place , and repaired with another adjacent or overlying graft. To remove a graft requires an open exploration, removal of tacks or sutures, then direct removal of the graft. Can be difficult. Good luck. ...Read moreSee 1 more doctor answer
Laparoscopic repair: Laparoscopic incisional hernia is repair of a hernia associated with a surgical incision by means of laparoscopic techniques. This entails use of small incisions, trocars, instruments that are placed through the trocars and repair of the hernia with the use of synthetic mesh or a biologic graft. Suture reapair is also possible but is typically reinforced by the mesh or graft. ...Read moreSee 2 more doctor answers
Depends : One possibility is that your hernia came back immediately. ( not good but rare ). More commonly there is old blood or fluid (seroma) there that feels like a hernia but will eventually be reabsorbed and go away. Your surgeon should be able to tell you. And Ultrasound or CT scan can help if unsure. ...Read moreSee 1 more doctor answer
Post-op pain common: Talk to your surgeon! tell him/her what's going on. You're the best judge of how much pain you can tolerate but let your surgeon know. S/he should have warned you about post-op pain as well as potential complications. Check back in w/your surgeon to be sure your pain isn't due to bleeding, infection or repair gone bad. ...Read moreSee 1 more doctor answer
Nonspecific : Many people have a variety of mild sensations in and around the area where a her is repair was performed for years. Usually they are not serious. If the symptoms are severe, limit activities, or persistent, you should have an exam by a primary care provider, or ideally your surgeon. Hope this helps! ...Read moreSee 2 more doctor answers
Should I try the Shouldice clinic/method for a recurrent inguinal hernia repair, given the first repair was open mesh?
You can try: any major medical center. Shouldice Center in Canada may be fine. There may be a facility closer to you that does laparoscopic repairs of recurrent hernias too. Ask your doctor about the specialists in your region. ...Read more