Our Summary

This study aimed to understand the experiences and feelings of patients who had complications from mesh used in their hernia repair surgeries. The exact number of patients who experience long-term complications from mesh used in such surgeries is not known, partly because of the low anticipated rate of these complications and lack of systematic long-term follow-up of patients.

To gather information, the researchers interviewed eight patients who had experienced complications from mesh used in their hernia repair surgeries. These complications required additional procedures or medical treatment. The interviews were conducted over the phone and the researchers identified five main areas from the interviews: signs of mesh-related complications, knowledge about potential surgical complications, satisfaction with the surgeon and surgical team, the psychological and social impact of the hernia repair and complications, and the effect on the patient’s ability to function.

The results of this study highlight the need for more understanding of the patient experience when complications arise from the use of mesh in hernia surgeries. This information can be used to develop methods to measure how often these complications occur and how they affect patients’ quality of life.

FAQs

  1. What are the five main areas identified from the interviews with patients who had complications from mesh used in their hernia repair surgeries?
  2. Why is the exact number of patients who experience long-term complications from mesh used in hernia repair surgeries not known?
  3. How can the information gathered from this study be used in the future?

Doctor’s Tip

One helpful tip a doctor might tell a patient about hernia repair is to be aware of the potential signs of mesh-related complications, such as persistent pain, swelling, or redness at the surgical site. It is important to promptly report any new or worsening symptoms to your healthcare provider so that they can be addressed in a timely manner. Additionally, staying informed about the potential risks and benefits of hernia repair surgery, as well as discussing any concerns or questions with your healthcare team, can help ensure a successful outcome.

Suitable For

Patients who are typically recommended hernia repair are those who have been diagnosed with a hernia, which is a condition where an organ or fatty tissue protrudes through a weak spot in the surrounding muscle or connective tissue. Hernia repair is recommended for patients who experience symptoms such as pain, discomfort, or a visible bulge in the affected area. Additionally, patients who are at risk of complications from their hernia, such as incarceration or strangulation of the herniated tissue, may also be recommended for hernia repair surgery. It is important for patients to discuss their individual case with a healthcare provider to determine the best course of treatment for their hernia.

Timeline

Before hernia repair:

  • Patient experiences symptoms such as pain, discomfort, bulging, and potentially complications like bowel obstruction or strangulation.
  • Patient visits a healthcare provider for evaluation and diagnosis.
  • Patient undergoes imaging tests to confirm the presence of a hernia.
  • Patient discusses treatment options with their healthcare provider and decides to undergo hernia repair surgery.

After hernia repair:

  • Patient undergoes hernia repair surgery with mesh placement.
  • Patient experiences post-operative pain, swelling, and discomfort.
  • Patient follows post-operative care instructions and attends follow-up appointments.
  • Patient may develop complications from the mesh used in the surgery, such as infection, chronic pain, or mesh migration.
  • Patient may require additional procedures or medical treatment to address these complications.
  • Patient experiences psychological and social impacts from the complications, such as anxiety, depression, and limitations in daily activities.
  • Patient’s quality of life may be affected by the complications, leading to challenges in functioning and overall well-being.

What to Ask Your Doctor

Some questions a patient should ask their doctor about hernia repair, specifically regarding the use of mesh, include:

  1. What are the potential complications associated with using mesh in hernia repair surgery?
  2. How common are complications from mesh used in hernia repair surgeries?
  3. What signs or symptoms should I watch for that may indicate a complication from the mesh?
  4. How will you monitor me for potential complications after the surgery?
  5. What are the alternative options to using mesh in hernia repair surgery?
  6. How experienced are you in performing hernia repair surgeries with or without mesh?
  7. What is your approach to managing complications if they arise from the use of mesh?
  8. Can you provide me with information on the long-term outcomes and potential risks associated with using mesh in hernia repair surgery?
  9. How will the use of mesh in my hernia repair surgery impact my recovery and overall quality of life?
  10. Are there any specific lifestyle changes or precautions I should take after the surgery to minimize the risk of complications from the mesh?

Reference

Authors: Hooper MA, Renshaw SM, Poulose BK. Journal: Surgery. 2022 Apr;171(4):994-999. doi: 10.1016/j.surg.2021.09.022. Epub 2021 Nov 10. PMID: 34774293