Our Summary

This research paper looks at two different types of mesh used to repair hernias. One type is called synthetic mesh and the other is acellular dermal matrix. The researchers wanted to see which one is more cost-effective and beneficial for patients. They looked at 14 different health situations where these meshes were used and asked 300 people about their experiences with them.

They found that the synthetic mesh costs around $15,776 and gave people about 21 years of good health. The acellular dermal matrix costs more, at about $23,844, and gave people about 21 years of good health as well. When they compared these results to what would happen if people did nothing, they found that both types of mesh were cost-effective, but synthetic mesh was the better option.

They tested these findings again using a method called Monte Carlo simulation. The results were the same: synthetic mesh was the better choice in nearly all the tests, even when they changed how much people were willing to pay.

So, the researchers concluded that fixing hernias with synthetic mesh is a better deal than using acellular dermal matrix.

FAQs

  1. What are the two types of mesh used in hernia repairs discussed in the research?
  2. Which type of mesh was found to be more cost-effective in the study?
  3. What methodology was used to validate the cost-effectiveness results of the two types of mesh?

Doctor’s Tip

A helpful tip that a doctor might tell a patient about hernia repair is that using synthetic mesh for the repair is more cost-effective and beneficial in the long run compared to using acellular dermal matrix. It can provide good health outcomes for a longer period of time at a lower cost. It is important for patients to discuss their options with their doctor and consider the benefits and costs before making a decision about their hernia repair.

Suitable For

Patients who are typically recommended hernia repair are those who are experiencing symptoms such as pain, swelling, or a bulge in the affected area. Additionally, patients with hernias that are causing complications such as bowel obstruction or strangulation are also candidates for hernia repair. It is important for patients to consult with their healthcare provider to determine the best course of treatment for their specific situation.

Timeline

Before hernia repair:

  1. Patient experiences symptoms such as pain, discomfort, and bulging in the affected area.
  2. Patient consults with a healthcare provider who diagnoses the hernia and recommends surgery.
  3. Patient undergoes pre-operative testing and preparation for the surgery.

After hernia repair:

  1. Patient undergoes the hernia repair surgery, which typically involves the placement of a mesh to strengthen the weakened abdominal wall.
  2. Patient may experience some pain and discomfort in the immediate post-operative period.
  3. Patient follows post-operative care instructions, including rest, pain management, and wound care.
  4. Patient gradually resumes normal activities and experiences relief from hernia symptoms.
  5. Patient follows up with their healthcare provider for monitoring and follow-up care.

What to Ask Your Doctor

Some questions a patient should ask their doctor about hernia repair include:

  1. What type of mesh will be used for my hernia repair surgery?
  2. What are the potential risks and complications associated with using synthetic mesh or acellular dermal matrix?
  3. How long is the recovery time for hernia repair surgery using each type of mesh?
  4. What is the success rate for hernia repair surgery using synthetic mesh versus acellular dermal matrix?
  5. Are there any long-term effects or considerations to keep in mind with each type of mesh?
  6. How much will the surgery cost with each type of mesh, and will my insurance cover it?
  7. Are there any specific factors about my hernia that make one type of mesh more suitable than the other?
  8. How many hernia repair surgeries have you performed using each type of mesh, and what is your experience and success rate with each?
  9. Are there any alternative treatments or options besides using mesh for hernia repair?
  10. What is the overall recommendation for which type of mesh to use based on my individual situation and needs?

Reference

Authors: Fischer JP, Basta MN, Krishnan NM, Wink JD, Kovach SJ. Journal: Plast Reconstr Surg. 2016 Feb;137(2):647-659. doi: 10.1097/01.prs.0000475775.44891.56. PMID: 26818303