Our Summary

This research paper focuses on the use of mesh in hernia repair surgeries. It is based on data collected from a single institution, analyzing the outcomes of patients who had hernia repair with mesh from 2010 to 2020. The majority of these surgeries were for inguinal hernias (hernias in the groin area).

The researchers found that the rate of complications related to the mesh used in the surgery varied depending on the type of hernia. Mesh infections were less common for umbilical (belly button) and inguinal hernias and more common for incisional hernias (hernias that occur through an incision or scar in the abdomen). Similarly, the need to remove the mesh was less common for umbilical and inguinal hernias and more common for incisional hernias.

Using two different measurement systems, the researchers found that overall, patients’ quality of life significantly improved after surgery. However, a small but noticeable percentage of patients reported severe or disabling symptoms even years after the surgery.

In conclusion, while the use of mesh in hernia repair surgery can have benefits and improve the quality of life for many patients, it is important to note that the type of hernia can impact the risk of complications. Additionally, a significant number of patients may experience severe or long-term symptoms after the surgery.

FAQs

  1. Does the type of hernia affect the rate of complications when using mesh in hernia repair surgeries?
  2. What percentage of patients reported severe or disabling symptoms years after undergoing a mesh hernia repair surgery?
  3. Does the use of mesh in hernia repair surgeries improve the patients’ quality of life?

Doctor’s Tip

One helpful tip a doctor might tell a patient about hernia repair is to follow post-operative care instructions carefully to reduce the risk of complications. This may include avoiding heavy lifting, staying hydrated, eating a healthy diet, and taking prescribed medications as directed. It is also important to attend follow-up appointments with your surgeon to monitor your recovery and address any concerns. By following these recommendations, you can help ensure a successful outcome from your hernia repair surgery.

Suitable For

Patients who are typically recommended for hernia repair surgery are those who have symptoms such as pain, discomfort, or a visible bulge in the affected area. Inguinal hernias are the most common type of hernia and are often recommended for repair due to the potential risk of complications such as bowel obstruction or strangulation. Umbilical hernias, especially in children or pregnant women, may also be recommended for repair to prevent potential complications. Incisional hernias, which can occur after a previous abdominal surgery, may be recommended for repair if they are causing symptoms or increasing in size. Overall, patients who are in good health and able to undergo surgery are typically recommended for hernia repair to prevent potential complications and improve their quality of life.

Timeline

Before hernia repair:

  • Patient may experience symptoms such as pain, discomfort, and a visible bulge at the site of the hernia
  • Consultation with a healthcare provider to discuss treatment options
  • Pre-operative evaluations and tests to assess the patient’s overall health and suitability for surgery

After hernia repair:

  • Recovery period that may involve pain management, restrictions on physical activity, and follow-up appointments with the surgeon
  • Gradual return to normal activities as advised by the healthcare provider
  • Improvement in symptoms and quality of life for many patients
  • Some patients may experience complications related to the mesh used in the surgery, such as infections or the need for mesh removal
  • Long-term follow-up to monitor for any recurring symptoms or complications

What to Ask Your Doctor

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

  1. What are the potential risks and complications associated with using mesh in hernia repair surgery?
  2. How will the type of hernia I have impact the likelihood of complications related to the mesh?
  3. What is the likelihood that I will need to have the mesh removed in the future?
  4. What alternative options are available for hernia repair, and why is mesh recommended in my case?
  5. How will hernia repair with mesh impact my quality of life in the long term?
  6. What can I expect in terms of recovery time and post-operative care after hernia repair with mesh?
  7. Are there any specific lifestyle changes or precautions I should take after the surgery to minimize the risk of complications?
  8. How often will I need to follow up with you after the surgery, and what signs should I watch for that may indicate a problem with the mesh?
  9. Can you provide me with information about the experience and success rate of your practice in performing hernia repair surgeries with mesh?
  10. Are there any specific factors about my medical history or condition that may increase the risk of complications with mesh in hernia repair surgery?

Reference

Authors: Attaar M, Forester B, Chirayil S, Su B, Wong HJ, Kuchta K, Linn J, Denham W, Haggerty S, Ujiki MB. Journal: J Am Coll Surg. 2021 Jul;233(1):51-62. doi: 10.1016/j.jamcollsurg.2021.03.006. Epub 2021 Mar 18. PMID: 33746110