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Doctor insights on: Mesh Hernia Repair Failure

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What would cause an inguinal/mesh hernia repair to fail? What are the symptoms of failure?

What would cause an inguinal/mesh hernia repair to fail? What are the symptoms of failure?

Hernia failure: Hernia recurrence is 1-5% after surgery. Poor tissue, obesity, steroid medications, infections and possibly return to heavy work too soon can be some possible reasons. Many causes are unknown. Symptoms would be the same swelling, bulge & discomfort at the hernia site. Would need a physical examination with your surgeon. ...Read more

Dr. David Earle
577 Doctors shared insights

Hernia Repair (Definition)

A hernia is a hole in the abdominal wall through which the lining of the abdominal cavity protrudes, creating a sac. Hernias are common in the groin, belly button, upper-midline, or associated w/scars. The exact method of repair varies w/the type & size of the hernia as well as patient-factors, however, the basic principle is the same: close the hole, often ...Read more


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How long for recovery of hernia repair using mesh?

How long for recovery of hernia repair using mesh?

Not long: Recovery from uncomplicated inguinal hernia will be very brief, in less than 4 to 6 wks, that is the minimum time that nature needs to lay down the collagen fibers to complete the healing process, in mesh repair which is tension free, can be active much earlier ...Read more

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Why am I experiencing pain 7 years after a mesh hernia repair?

Unknown: Some reasons for pain after hernia repair include recurrent hernia, or a muscle pull or strain. Depending on the type of hernia and technique of repair, there could be sutures that are pulling through the tissue. Best to see your surgeon if you're concerned. Hope this helps! ...Read more

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What are signs that someone is having a reaction to the mesh used in the hernia repair?

Non-reactive: Mesh used for hernia repair does not cause an immune or allergic reaction. Your body does respond to the mesh by forming scar tissue and sending inflammatory cells to the area. If this normal response is excessive, you may have pain at the site. If there is red skin, may be an infection. Best to have it checked by your surgeon if you're concerned. Hope this helps! ...Read more

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Is nanotechnolgy used 2 round the edges of the holes which are in artificial mesh used for hernia repair so no problem occur when fibros tissues grow?

Is nanotechnolgy used 2 round the edges of the holes which are in artificial mesh used for hernia repair so no problem occur when fibros tissues grow?

Not yet: The majority of synthetic mesh for hernia repair are knitted in large sheets, then cut to size with a laser. This smooths the edges of the mesh. I am not aware of any special engineering regarding the mesh edge that uses a form of nanotechnology in the current products. ...Read more

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Is all hernia repair mesh synthetic fabric?

No.: There are many different kinds of mesh available for hernia repair. Some products are derived from animal products, or from cell culture products. Each product has specific uses, so talk with your surgeon to see what meets your needs. ...Read more

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I had hernia repair with mesh years ago, can my diastisis recti be repaire?

Not recommended: A surgery could be done to remove a portion of the fascia and reqpproximate the rectus muscles, however this is not recommended as you would be at risk for then developing a hernia in the future. ...Read more

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I have constant belching after hernia repair with partial mesh wrap, what to do?

I have constant belching after hernia repair with partial mesh wrap, what to do?

See your surgeon: Depending on the time period after the surgery, this can be normal and need some time for the swelling that is normal immediately after the surgery to subside, or if it is occurring several weeks after the surgery it could mean that the wrap is too tight or it has slipped. The best person to determine this is your surgeon. Who can perform some tests to identify what the problem is. ...Read more

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Are acellular dermal matrixes more successful in hernia repair than artificial mesh?

Are acellular dermal matrixes more successful in hernia repair than artificial mesh?

Typically not.: While acellular dermal matrixes are used in hernia repair, they tend to stretch over time, leaving the patient with unsatisfactory results. They are useful in infected fields and in places where it can be dangerous to use artificial mesh. ...Read more

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How do I know if I damaged a hernia repair mesh from coughing 4 weeks after surgery.

How do I know if I damaged a hernia repair mesh from coughing 4 weeks after surgery.

The only way to: Tell for certain is to be examined. The odds are in your favor as most healing has completed within two weeks. Make an appointment to see the surgeon soon for reassurance. ...Read more

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I've had iguinal hernia repair and it returned, should I replace the mesh that's on top and start from new?

Inguinal hernia: That is one technique, to open the area, remove the mesh, and place a new one. My preference, to repair a recurrent hernia after an open hernia repair, is to perform a laparoscopic TEP inguinal hernia repair with mesh. This is done in a different tissue plane, is easier to identify the anatomy, and has a lower chance of injuring the nerves. ...Read more

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I had a unbiblical hernia repair upen and laparoscopic to add mesh two weeks go. Ii have 15 pounds of fluid that has not gone away.

I had a unbiblical hernia repair upen and laparoscopic to add mesh two weeks go. Ii have 15 pounds of fluid that has not gone away.

Where?: Where is this fluid? Do you have a large collection of fluid somewhere or are you just 15 # heavier? If just heavier you can try decreasing salt intake etc to lose water weight. If instead you have fluid in one location see your surgeon ...Read more

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Had a laparoscopic hernia repair using mesh. If someone is having pain, but not sure of cause how do you know if MESH has moved, etc. Whataresymptoms?

Had a laparoscopic hernia repair using mesh. If someone is having pain, but not sure of cause how do you know if MESH has moved, etc. Whataresymptoms?

Pain After Hernia: Mesh movement or migration after laparoscopic hernia repair is a rare cause of pain after surgery. Other, more common causes include hernia recurrence, nerve injury, etc. It's best to follow up with your surgeon. ...Read more

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Can I train abs 7months after hernia repair (abodminal, no mesh).

Can I train abs 7months after hernia repair (abodminal, no mesh).

Yes: 7 months after abdominal hernia repair you should be able to return normal activities, including ab exercises unless otherwise directed by your surgeon. The tissues have healed, and while it will never be as strong as the original, there is typically no prescribed restriction on activities any longer as it won't change your outcomes. ...Read more

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If my hernia repair (with mesh) isn't healing well, will I need another surgery?

Maybe: It is dependent on the type and location of the hernia, what type if mesh was used and the technique that was used to place it. It is also very dependent on what is meant by "not healing well". Stick with your surgeon, but if things don't seem to be progressing, feel free to get another opinion. ...Read more

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2months post op incisional hernia repair with mesh. Still looks like a hernia to me why?

2months post op incisional hernia repair with mesh. Still looks like a hernia to me why?

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 more

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I just had inginial hernia repair with mesh about 5 days ago and its very painful when I cough is this normal?

Yes.: Unfortunately, hernia repair is typically associated with discomfort for "days-to-weeks", depending on the method of repair and size of the hernia. Follow your surgeons advice for pain control. If your pain is not well-controlled, your surgeon will want to hear from you. Rest assured, though: the pain tends to lessen with each passing day. ...Read more

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I had a rather large hernia repair with mesh years ago and since then have developed a diastasis recti, will this cause me any problems?

Most do not: But if the issue is where your repair was done, then it may be ventral recurrent hernia and not diastasis.
Worth seeing your general surgeon. ...Read more

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Hernia repair 2/13 for lg. Ventral henias. New one developed recently outside 1 st repair of 8" by 13" mesh. Not inclined to fix this time. Advice?

Hernia repair 2/13 for lg. Ventral henias. New one developed recently outside 1 st repair of 8" by 13" mesh. Not inclined to fix this time. Advice?

Consequences: That's the biggest thing to consider. Small hernias are much easier to repair than large ones. ... And especially if you've just had a major hernia repair with a new weakness, it's been 6 months, and an ideal time to repair this small area before it becomes a bigger problem (pun intended!). Good luck! ...Read more

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Had hernia repair with mesh 4 months ago. Started gym a week ago and I got almost 0 pains in that area. Is it safe to try lifting heavier weights?

Should be fine: Activity after hernia repair is usually "as tolerated". Furthermore, at fou months, the scar tissue is over 90% of its ultimate strength. Don't hesitate to call your surgeon I there are any problems, or questions about your specific case. ...Read more

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Do I need to know for future reference what kind of mesh used in ing. Hernia repair? They told me it is called ethicon prolene mesh. Is this enough.

Yes: What's just as important is the technique. Ethicon makes more than one type of mesh for inguinal hernia repair. If you were to ever need repeat hernia repair (unlikely), it would be helpful to have the operative report for the surgeon to review. Sounds like you have enough info for everything else. ...Read more

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After about 3 months of hernia repair with mesh, my left testicle still hurts... is it normal? I'm worried. Some days I don't feel so much pain though

After about 3 months of hernia repair with mesh, my left testicle still hurts... is it normal? I'm worried. Some days I don't feel so much pain though

See the surgeon: Likely just post op healing and
Local discomfort.
There are complications however so, check with your surgeon.
Bleeding, bruising, infection, recurrence testicle ischemia or

infarction are in the list of possibles. ...Read more

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Is it normal to still have pain where you had a umbilical hernia repair with mesh?

Is it normal to still have pain where you had a umbilical hernia repair with mesh?

Yes, mild pain: It is normal to have mild pain, especially with strenuous activity, at the site of an umbilical hernia repair for a few weeks after surgery. Severe pain, or pain lasting longer, is unusual. If the pain is severe, and especially if there is a bulge in that area, you should see the surgeon promptly to make sure that the hernia has not recurred. ...Read more

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Is it normal to still have pain after 7 or so months after umbilical hernia repair with mesh?

Maybe: Some intermittent, mild discomfort is common, but more severe pain is not. Call your surgeon for a follow up exam. ...Read more

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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 more

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Strong Pulling sensation one week after tension free mesh umbilical hernia repair? Is this normal?

Strong Pulling sensation one week after tension free mesh umbilical hernia repair? Is this normal?

Wait and see: Do not stretch your abdomen too much for next 2 to 3 wks for compete healing then only you know if hernia is recurring. ...Read more

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Subsequent to an umbilial hernia repair with mesh, how long until I can excercise my abs as my abdomen is larger than?

Exercising: After umbilical hernia repair depends on the method used ; should be discussed with your surgeon. There are many methods for repairing umbilical hernias. "tension free" repairs with mesh allow patients to resume physical activity rapidly. However, suture-only repairs may require a longer period of time to permit the repair to fully heal before aggressive exercising; esp. Ab work. See your surgeon. ...Read more

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So much research is going on stem cells. Are these cells being used for creating mesh used for hernia repair that can last a lifetime?

Good question: But I am not aware other use for this purpose and I am not sure if thismismbeing evaluated. It would likely require a temporary mesh that would be impregnated with stem cells that formed fibrous tissue while the mesh provided temporary structural support. Current investigations focus in their use following chemotherapy, and for nerve or muscle regeneration following injury. ...Read more

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What would cause pinching 4 weeks post- op with a laproscopic ventural hernia repair. Not where the mesh is, but at one of the incision sites?

Fixture device: This is likely a suture underneath which is used to tack the edge of the mesh in place. Or, it could actually be a small metal coiled "tack" that is used to hold the mesh to the abdominal wall. It should resolve and get better with time. Some tacks nowadays are even "absorbable, " but take some time to dissovle. ...Read more

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I had inguinal open/mesh repair 2 months ago. I plan to lose between 85-100 pounds over the next year. Will losing weight affect my hernia repair?

I had inguinal open/mesh repair 2 months ago. I plan to lose between 85-100 pounds over the next year. Will losing weight affect my hernia repair?

Hernia repair: No, weight loss shouldn't affect your repair. The weight loss will actually take pressure off of the repair site and lower the chance of complications. Best wishes on your weight loss journey! ...Read more

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When mesh is used in hernia repair is it dipped in some solution that encourages quick collagen&fibrous growth & which reduces chances of rejection?

Some surgeons: Place mesh in antibiotic solution before implantation, but I am not aware of any solution that encourages collagen or fibrous growth. Mesh material is inert and there is almost zero chance of rejection, just small chance of infection. Good questions! ...Read more

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In hernia repair, can the skin of thigh be used instead of artificial mesh?

Good question.: Many years ago, the fascia from lateral thigh (fascia lata) was used for hernia repairs. But they eventually broke down and got resorbed because it was a free graft without any blood supply. It did not stay long enough, and many cases recurred. So we don't use it any more. ...Read more

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Is there any correlation between inguinal open mesh hernia repair and constipation?

Is there any correlation between inguinal open mesh hernia repair and constipation?

Maybe: But only early after surgery while taking narcotic medications, which can cause constipation. If you are not taking pain medication & the hernia is already well healed then hernia surgery & constipation would likely be unrelated. See your family doctor for an exam. ...Read more

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I had surgery to remove the mesh from my hernia repair on friday and now I fell dizzy?

I had surgery to remove the mesh from my hernia repair on friday and now I fell dizzy?

Stay hydrated: You had hernia surgery. You are now feeling dizzy. It remains important to stay hydrated after the surgery. Your body releases many hormones in response to the stress of surgery. Also the medication for pain lowers your blood pressure. Drink lots of fluid to stay hydrated. Lay down when dizzy and keep a friend with you at all times. If worsens call doctor. ...Read more

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Is it normal to develope seroma five months after laposcopic ventral hernia repair with mesh?

Very common: Seromas are very common after laparoscopic ventral hernia repair. It is a bit unusual to develop after five months. I suspect it may have been there before hand and smaller form and could be getting larger. They usually don't require any treatment, but on occasion they need to be drained. Best to follow up with your surgeon for an exam. Hope this helps! ...Read more

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I had abdominal hernia repair (no mesh) 1 month ago. Am I still be able to go back to the gym?

I had abdominal hernia repair (no mesh) 1 month ago. Am I still be able to go back to the gym?

Enjoy the gym: Hernia repair should be well-healed after one month. If there is pain at or under the incision, see your surgeon. Otherwise, enjoy your workout. ...Read more

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What can be cuasing my abdomen to swell and hurt almost 4 months after mesh ventral hernia repair?

Seroma vs recurrence: Pain 4 months after ventral hernia repair is unusual and may be a sign of a recurrent hernia. Another less problematic cause is a seroma which is a fluid collection between the mesh and the skin which is inherent to some degree in almost a lll hernia cases but usually resolves within 2 months. ...Read more

Dr. David Earle
1,453 Doctors shared insights

Hernia (Definition)

The ascendence of the gastroesophageal junction into the chest above the diaphragm through the ...Read more