Mesh Complications

Chronic pain after mesh repair of inguinal hernia: a systematic review.

Nienhuijs S, Staal E, Strobbe L, Rosman C, Groenewoud H, Bleichrodt R.
Am J Surg. 2007 Sep;194(3):394-400. Review.
PMID:17693290

Note: discusses the incidence of pain after mesh hernia repair

Hernia repair: why do we continue to perform mesh repair in the face of the human toll of inguinodynia?

Fischer JE. Am J Surg. 2013 Oct;206(4):619-23. doi: 10.1016/j.amjsurg.2013.03.010. Epub 2013 Jul 17.
PMID: 23871324

Note: Dr. Fishcer (Harvard Medical School) makes a strong argument against the use of mesh.

The GroinPain Trial: A Randomized Controlled Trial of Injection Therapy Versus Neurectomy for Postherniorraphy Inguinal Neuralgia.

Verhagen T, Loos MJA, Scheltinga MRM, Roumen RMH.
Ann Surg. 2017 Apr 26. doi: 10.1097/SLA.0000000000002274. [Epub ahead of print]PMID:28448383

Note: Compares injection therapy to neurectomy to treat pain after mesh hernia repair.

Ultrasound-guided ilioinguinal/iliohypogastric nerve blocks for chronic pain after inguinal hernia repair.

Thomassen I, van Suijlekom JA, van de Gaag A, Ponten JE, Nienhuijs SW.
Hernia. 2013 Jun;17(3):329-32. doi: 10.1007/s10029-012-0998-y. Epub 2012 Sep 27.

Note: Discusses the use of nerve blocks to treat pain after mesh hernia repair

Management of chronic testalgia by microsurgical testicular denervation.

Heidenreich A, Olbert P, Engelmann UH.
Eur Urol. 2002 Apr;41(4):392-7.

Note: Discusses skeletonization of the spermatic cord to treat testicular pain.

A Pathology of Mesh and Time: Dysejaculation, Sexual Pain, and Orchialgia Resulting From Polypropylene Mesh Erosion Into the Spermatic Cord.

Iakovlev V, Koch A, Petersen K, Morrison J, Grischkan D, Oprea V, Bendavid R.
Ann Surg. 2017 Jan 6. doi: 10.1097/SLA.0000000000002134. [Epub ahead of print]PMID:28067674

Note: discusses the treatment of sexual dysfunction after hernia repair.

“The ideal mesh?”

Klinge U, Park JK, Klosterhalfen B.
Pathobiology. 2013;80(4):169-75. doi: 10.1159/000348446. Epub 2013 May 6.
PMID:23652280

Note: Contains more detailed information about meshes.

A mechanism of mesh-related post-herniorrhaphy neuralgia.

Bendavid R, Lou W, Grischkan D, Koch A, Petersen K, Morrison J, Iakovlev V.
Hernia. 2016 Jun;20(3):357-65. doi: 10.1007/s10029-015-1436-8. Epub 2015 Nov 23.
PMID:26597872

Note: Discusses nerve damage by mesh.

Mesh penetrating the cecum and bladder following inguinal hernia surgery: a case report.

Asano H, Yajima S, Hosoi Y, Takagi M, Fukano H, Ohara Y, Shinozuka N, Ichimura T.
J Med Case Rep. 2017 Sep 14;11(1):260. doi: 10.1186/s13256-017-1435-8.
PMID:28903762

Note: damage to bladder and colon from mesh

A comparative study of Desarda’s technique with Lichtenstein mesh repair in treatment of inguinal hernia: A prospective cohort study.

Gedam BS, Bansod PY, Kale VB, Shah Y, Akhtar M.
Int J Surg. 2017 Mar;39:150-155. doi: 10.1016/j.ijsu.2017.01.083. Epub 2017 Jan 25.
PMID:28131917

Note: discusses the excellent results of a non mesh repair.

Herniotomy in young adults as an alternative to mesh repair: a retrospective cohort study.

van Kerckhoven G, Toonen L, Draaisma WA, de Vries LS, Verheijen PM.
Hernia. 2016 Oct;20(5):675-9. doi: 10.1007/s10029-016-1529-z. Epub 2016 Aug 13.
PMID:27522362

Note: Excellent results in younger patients for tissue repairs.

Laparoscopic plug removal for femoral nerve colic pain after mesh & plug hernioplasty.

Ohkura Y, Haruta S, Shinohara H, Lee S, Fukui Y, Kobayashi N, Momose K, Ueno M, Udagawa H.
BMC Surg. 2015 May 17;15:64. doi: 10.1186/s12893-015-0046-9.
PMID:25980410

Note: Femoral nerve injury after mesh hernia repair.

William Brown, MD
Hernia Specialist

Dr. Brown has been repairing inguinal hernias for over 30 years, taking care of Athletes with Sports Hernia injuries since 1999.  Dr. Brown has been taking care of patients with complications from mesh for so long that his hair is gray. Luckily he still has some hair.

His patients include players from the San Jose Sharks and the San Jose Earthquakes as well as athletes from the NFL, AFL, NBA, and the local college teams. As well as Athletes from 15 foreign countries.

Location:
Fremont Office
William H. Brown, M.D.
39470 Paseo Padre Pkwy
Fremont, CA 94538
(510) 793-2404
Fax: (510) 793-1320

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