As you know, I have been against the use of mesh to repair hernias for 30 years. I am happy to report that the governments are starting to realize that mesh is a serious problem.
Australia is the first government to respond to complications and often debilitating complications related to the mesh.
In December, all surgical mesh – including hernia mesh – was reclassified from “medium risk” to “high risk” for potential adverse reactions.
All patients with surgical mesh operations must now be given a leaflet and implant card warning about the mesh’s potential risks.
I hope patients will use this information to push for more pure tissue repairs.
Contact me if you have any questions about your hernia.
Bill Brown, M.D.
Sports Hernia Patients and Classic Hernia Patients and Hernia Mesh Removal
Autoimmune diseases occur when the body’s defense system mistakenly attacks the normal cells of the body. This can result in chronic fatigue, myalgias, joint pain, irritable bowel, rashes, and more. It has been suggested that the inflammation caused by the implantation of mesh causes the body’s white body cells and foreign body cells to become overly active and thereby causing autoimmune disease. There are several studies that followed patients after mesh hernia repair. These surgical patients did not develop autoimmune disease at a rate any higher than the general population. This would suggest that mesh is not a cause of autoimmune disease. But the studies did report that if a patient has multiple allergies before surgery they are at increased risk to suffer autoimmune disease after mesh hernia repair. If you already have an autoimmune disease, then you should…
Last month I removed some interesting pieces of mesh
In Photo 1, the patient had had a laparoscopic hernia repair about 12 years ago. Lightweight prolene mesh was used. He started to have pain 8 months after the operation. He tolerated the pain until he fell with a twisting motion late last year and then the pain became debilitating. Rest, Steroid injections, and analgesics were not helpful. As you can see from the photo then flat mesh had scarred into a complicated three-dimensional mess. No wonder he was having so much trouble with that lump of mesh. So far he is doing well.
In Photo 2, the patient had a laparoscopic hernia repair 4 years ago. Six months after the operation he noticed a bulge and pain. Physical examination and ultrasound documented a recurrent inguinal hernia. At the time of surgery, the mesh did not completely cover the inguinal floor.…
Dr. Brown strongly feels that since the risk of chronic pain from the mesh is so much higher than the recurrence rate, that hernias should be repaired without mesh.
Learn more about Dr. Brown’s approach to hernia repair without mesh, contact Dr. Brown today.
Read: Mesh or No Mesh Hernia Repair.
If you review the literature, you will find that there are over 20 different ways to fix a hernia. No wonder many surgeons do not know what is going on and it makes almost impossible for the patient to fully understand the options and to make an informed decision.
To simplify the situation try to think of a hernia as simply a hole in the muscles. All the hernia repairs can be then organized into two basic types:
- The Pure Tissue Repair. The surgeon uses the patient’s own tissues to repair the hole.
- The Mesh Repair. The surgeon uses a piece of mesh to cover or patch the hole. The mesh can be placed on top of the hole to patch the hole from the outside or the mesh can be placed deep to the hole to patch the hole from the inside.
Most surgeons prefer The Mesh…
Pain From Mesh
Here is a photograph of mesh being removed from a woman who had chronic pain after a Lichtenstein hernia repair. The pain was debilitating and she asked Dr. Brown to remove the mesh. At the time of the operation, the ilioinguinal nerve was densely scarred to the mesh. After removal of the mesh she felt 100 percent better.
You can read more about Mesh or No Mesh Hernia Repair. Dr. Brown strongly feels that since the risk of chronic pain from the mesh is so much higher than the recurrence rate, that hernias should be repaired without mesh.
Learn more about Dr. Brown’s approach to hernia repair without mesh. Contact Dr. Brown today.