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Using mesh in hernia repair surgery

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I have just returned from a 3 day stay at Shouldice Hospital in Toronto. I went to Shouldice because having done extensive research, I believed that the tension shouldice method of repair seemed most reliable and free of compilcations. I had a small umbilical herniaj ust above my belly button. I had a number of consults prior to surgery and no mention of mesh repair. After surgery I discovered that my surgeon had elected to use mesh to repair my hernia. I was very upset. My file contained no operating notes so they couldn't tell me why they opted for mesh repair. I was aware of the controversy surrounding mesh repair and would not have consented to the surgery otherwise. As soon as the second set of clips were removed this morning I left Shouldice immediately. They wanted me to stay another day (another night's room rental I suppose) I am very concerned about the mesh repair. Is there anything I can do to mitigate the damage? HOW and WHY can they change surgical methods mid-stream?


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replied July 20th, 2010
Hernia Answer A14443
Hi and welcome to the forum! I am glad that I can help you.

You want to know why the surgeon used mesh in hernia repair surgery.

Mesh is wired material which is placed between the muscular wall and the subcutaneous tissue. It irritates the surrounding tissue and causes non-infective inflammation that later results in formation of fibrous tissue that strengthens the abdominal muscular wall. Usually the surgeon explains to the patient about the procedure and the type of surgical method that would be used. In certain cases, for example, in cases of hernia repair, if the weak spot on the abdomen has a rather large size and there is great probability the hernia may reappear, the surgeon may change the method of treatment and use mesh.

Please keep in mind that I provide medical information only. I am not able to diagnose medical conditions online. Please contact your doctor for further advice and information about diagnosis and treatment options.


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