Our Summary

This research paper discusses the effectiveness and benefits of using mesh (biologic and bioabsorbable) in the surgical treatment of paraesophageal hernias. These are a type of hernia that occurs when part of the stomach pushes through the diaphragm and into the chest. The paper reviews previous studies and trials on this subject. The results from these studies are mixed, with some finding benefits from using mesh in surgery, while others do not. Overall, the paper concludes that there isn’t enough evidence to definitely say that using mesh in surgery for paraesophageal hernias is beneficial. The authors suggest that more research is needed to fully understand the long-term effects and potential benefits of using newer materials.

FAQs

  1. What is a paraesophageal hernia and how does it occur?
  2. What are the potential benefits of using mesh in paraesophageal hernia repair surgery?
  3. Why does the research paper conclude that there isn’t enough evidence to definitively support the use of mesh in paraesophageal hernia repair?

Doctor’s Tip

A helpful tip a doctor might tell a patient about hernia repair is to follow post-operative care instructions carefully, including avoiding heavy lifting and strenuous activities for a certain period of time to allow the hernia repair to heal properly. It is also important to maintain a healthy lifestyle, including regular exercise and a balanced diet, to help prevent future hernias from developing. Additionally, attending follow-up appointments with your healthcare provider is crucial to monitor your progress and address any concerns or complications that may arise.

Suitable For

Patients who are typically recommended hernia repair include those experiencing pain or discomfort, those with a noticeable bulge or swelling at the hernia site, and those at risk of complications such as incarceration or strangulation. Additionally, patients with hiatal hernias, inguinal hernias, femoral hernias, umbilical hernias, or incisional hernias may also be recommended for hernia repair surgery. Ultimately, the decision to undergo hernia repair surgery is made on a case-by-case basis by the patient’s healthcare provider after considering factors such as the size and location of the hernia, the patient’s overall health, and the presence of any symptoms or complications.

Timeline

Before hernia repair:

  1. Patient experiences symptoms such as pain, discomfort, and bulging in the affected area.
  2. Consultation with a healthcare provider to diagnose the hernia and discuss treatment options.
  3. Pre-operative testing and evaluation to assess the patient’s overall health and suitability for surgery.

After hernia repair:

  1. Patient undergoes surgery to repair the hernia, which may involve the use of mesh to strengthen the affected area.
  2. Recovery period, which includes pain management, activity restrictions, and follow-up appointments with the healthcare provider.
  3. Gradual return to normal activities, with a focus on preventing future hernias through lifestyle modifications and proper lifting techniques.
  4. Long-term follow-up to monitor for any complications or recurrence of the hernia.

What to Ask Your Doctor

  1. What are the risks and potential complications of hernia repair surgery, particularly when using mesh?
  2. How long is the recovery time after hernia repair surgery, and what can I expect during the recovery process?
  3. Are there any alternative treatments or surgical techniques that could be considered for my specific type of hernia?
  4. What is the success rate of hernia repair surgery with mesh in comparison to traditional hernia repair methods?
  5. How experienced are you in performing hernia repair surgery with mesh, and what is your success rate with this technique?
  6. Are there any specific post-operative care instructions or precautions that I should follow after hernia repair surgery with mesh?
  7. Are there any long-term implications or potential complications associated with using mesh in hernia repair surgery?
  8. How will my quality of life be affected after hernia repair surgery with mesh, and are there any lifestyle changes I should consider?
  9. Will I need to undergo any follow-up appointments or tests after hernia repair surgery with mesh, and if so, how often?
  10. Are there any ongoing clinical trials or research studies that I should be aware of regarding the use of mesh in hernia repair surgery?

Reference

Authors: Panait L, Novitsky YW. Journal: Surg Technol Int. 2017 Jul 25;30:182-187. PMID: 28693045