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Doctor insights on: Prolene Mesh

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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.

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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Had rt inguinal open with prolene mesh surgery of large hernia 11hrs back, now have fever of 100.2 f. Is this normal? How much temperature is normal?

Had rt inguinal open with prolene mesh surgery of large hernia 11hrs back, now have fever of 100.2 f. Is this normal? How much temperature is normal?

Yes: Normally, temperatures under 100.5 f are considered normal post operative temps. However, the real question is how your wound looks -- is there redness around your wound that seems to be growing larger and larger? Is there fluid draining from your wound? More than likely you are just fine. Let your doctor know, since there are some questions that he/she should ask via a conversation. ...Read more

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Had open inguinal surgery with ethicon prolene mesh, on first day got fever which peaked 101f but came to 99 but taking panadol (acetaminophen) 500 mg x3, is this ok?

Had open inguinal surgery with ethicon prolene mesh, on first day got fever which peaked 101f but came to 99 but taking panadol (acetaminophen) 500 mg x3, is this ok?

Fever: The fever is concerning, ok to use tylenol (acetaminophen). Your team will monitor you for infection/seroma/hematoma. Continue to take your temperature daily and record it for your doc/surgeon. Call your surgeon if your fever recurs (above 102). Make sure you go to your post operative appointment and bring your temperature recordings. The mesh is standard for this operation. ...Read more

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M28, had inguinal hernia surgery with prolene mesh, 45 days back. At that time my ESR was 2 and now it is 31, could this be from reaction to mesh.

Very unlikely: Prolene is polypropylene, very inert and non reactive. Elevated ESR to that level can be caused by any inflammatory condition. You should look to another source for this lab test abnormality. ...Read more

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M31,which is better mesh option for inguinal hernia surgery. Ethicon prolene or Ethicon Ultrapro. Or any other you recommend. Thanks?

Either is acceptable: This is a question you need to ask your surgeon since I'm sure he doesn't have a dog in the fight and will give you an objective answer. Prolene mest has been around for a long time and has the longest tract record ...Read more

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My skin is growing over my stitches, they are prolene(non dissolving). Should I be worried?

My skin is growing over my stitches, they are prolene(non dissolving). Should I be worried?

Not really.: It's common for skin to grow over sutures. It may make them a little more difficult to remove, and the area may have to be numbed up a bit in order to remove them, but it's nothing to be concerned about. You may wish to call your surgeon and ask if he/she wants to take the sutures out a bit sooner than planned. ...Read more

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"it was circumferencially dissected with right angled forceps and then ligated with #0 prolene, 2 strands. The thrill disapearred upon ligating the pda." what does this discharge summary mean ?

"it was circumferencially dissected with right angled forceps and then ligated with #0 prolene, 2 strands. The thrill disapearred upon ligating the pda." what does this discharge summary mean ?

Correct treatment: Patent ductus arteriosus (pda) is a congenital disorder in the heart wherein a baby's ductus arteriosus (connection between two heart chambers) fails to close after birth. A "thrill" is a vibration that tells the doctor that a PDA is present. When the PDA was closed, the thrill disappeared, meaning that the treatment was successful. ...Read more

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How dangerous really is vaginal mesh?

How dangerous really is vaginal mesh?

Depends on type: Vaginal mesh slings, widely considered the standard of treatment for stress urinary incontinence, have a complication rate of less than 5-8% generally. Vaginal mesh "kits" used for pelvic organ prolapse surgery (to fix bulges within the vagina from the bladder/rectum or prolapse of the vaginal cuff after hysterectomy) have been found to have a complication rate of around 20-30%. ...Read more

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How can you clean an old mesh playpen ?

How can you clean an old mesh playpen ?

Get a steamer: A hand held steamer is an easy way to clean and sanitize irregular shaped objects or those with sensitive fabrics.The jet of steam cools quickly after contact but provides enough water to aid while wiping down the fabric with a clean towel.The models I use shoot out a stream of steam under pressure and make short work of toys and locations. ...Read more

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Is umbiblical surgery always done with mesh?

Is umbiblical surgery always done with mesh?

No: If the umbilical hernia is small enough then it can be repaired without the placement of mesh in the right low risk patient. However, mess is used more often because the hernias are usually larger and in the right cases the use of mesh reduces the risk of recurrence. Best is to discuss your particular case with your general or plastic surgeon. ...Read more

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What complications are associated with a vaginal mesh?

What complications are associated with a vaginal mesh?

Mesh Complications: Depending on the type of mesh used (i.e., sling for incontinence or larger mesh kits for prolapse) the symptoms can include: difficulty urinating, urinary infections, pelvic pain, pain during intercourse, bleeding with/after intercourse, vaginal mesh exposure, mesh erosion into other organs, pain with bowel movements. For slings, the complication rate is low ~ 5-10%. High for mesh kits ~30-35%. ...Read more

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Should I be worried if I had vaginal mesh placed in the past?

Should I be worried if I had vaginal mesh placed in the past?

Only if symptomatic: Generally, the majority of women who had a mesh sling or mesh for prolapse placed are doing fine without any issues. However, anywhere from 5-25% of patients can develop symptoms such as vaginal/pelvic pain, pain with sex, vaginal mesh exposure, bleeding, abnormal urination, or other issues which require further evaluation, and in some cases, vaginal mesh revision/ removal surgery. ...Read more

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There is so much info about complications from mesh for prolapse. Do tissue slings present same possible problems?

There is so much info about complications from mesh for prolapse. Do tissue slings present same possible problems?

Not exactly: Most of the news about mesh right now applies to large surgeries for pelvic organ prolapse. In these surgeries large pieces of mesh are used to fix large defects. For a urethral sling a very small piece of urethral mesh is typically placed in a very limited area. Mesh erosions for urethral slings are rare and not usually complicated to repair. ...Read more

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What are some non mesh alternatives for a sling. With all of the problems with intravaginal mesh, want to avoid its use?

What are some non mesh alternatives for a sling.  With all of the problems with intravaginal mesh, want to avoid its use?

Kegels/pessary/surg: Any or all of the above would be alternatives. Start with the easiest : perform daily kegel exercises. There are now surgical non sling options too consult gynecologist. ...Read more

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With continuing concerns re: intravaginal mesh, why is it still used frequently for slings. New slings to soon to determine long term safety?

With continuing concerns re: intravaginal mesh, why is it still used frequently for slings.  New slings to soon to determine long term safety?

Acceptable Risk: The "failure rate" of the intravaginal mesh is only about 4%. The commercials on tv advertising class-action lawsuits makes the failure rate seem much higher. There are risks to every surgery and surgical device use. It's best to discuss pros and cons with one's physician on an individual basis. ...Read more

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What are the chances of my hernia mesh failing.

What are the chances of my hernia mesh failing.

Low: Some variables of mesh and suturing. BUT the failures are commonly around the tissue! mesh attachment. Be sure to let it heal well before straining it Follow doctors orders! ...Read more

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How safe is hernia mesh?

How safe is hernia mesh?

Very safe when used: Mesh should be very safe if used properly and in situations that it is called for. The concern is the immune status and infection conditions of the person in whom the mesh is inserted. ...Read more

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Can surgical mesh come undone?

Can surgical mesh come undone?

Yes: Mesh can come undone under stress. If you gain weight or strain significantly, the mesh can come undone. ...Read more