A hernia can happen to anyone at any time – and it can’t heal without effective treatment. Simply put, a hernia is a hole that occurs because of a natural weakness in the muscles that cover your internal organs inside your abdomen. Reports estimate the more than 20 million hernias are treated worldwide every year.
When it comes to effective hernia repair, surgical mesh is almost always part of the treatment. But if you’ve seen the television commercials and heard the negative news about surgical, you’re probably wondering if it’s safe. It’s a common question and concern for people need hernia repair. Dr. Robert Jean, general surgeon at University Surgical Associates’ Hernia Center, shares how he talks with patients about this often-misunderstood approach to hernia repair and why it’s vital to effective treatment.
“Due in part to the pervasiveness of TV commercials that have warned of the dangers associated with surgical mesh, nearly every patient I see is hesitant to use this approach,” says Dr. Jean. “But using surgical mesh in hernia repair is the highest standard of care. It’s used as a reinforcement to provide strength to the repair and has been shown to produce better long-term results and decrease the risk of the hernia returning.”
Understanding the Risks
There have been a number of lawsuits about the misuse of surgical mesh and the complications that can occur when it’s used improperly. The major complications include severe pain, serious infections around the mesh, mesh adherence to internal organs (called erosion), and bowel obstruction. But thanks to improved surgical techniques and product design, these risks are steadily decreasing.
“Any product that’s placed inside the body has associated risks, but the benefits greatly outweigh those risks in most situations. In recent years, surgical mesh manufacturers have taken flawed products off the market and developed different materials or coatings designed to prevent erosion,” explains Dr. Jean. “Surgeons are also implementing different surgical approaches and keeping mesh away from a patient’s intestines and bladder, further reducing the risk of complications.”
For patients who have a predisposition to infection, there are a few types of mesh that offer a higher degree of infection resistance. Your surgeon should talk with you about whether these products are necessary for your individual medical condition. Although increasingly rare, effectively treating most infections can be as simple as using antibiotics or drains. Only in the most severe cases is corrective surgery required.
Building Relationships – Dr. Robert Jean, general surgeon with University Surgical Associates, takes time with each patient to share his professional approach, address concerns and answer any questions patients may have about an upcoming surgical procedure.
Safe and Effective Hernia Treatment
Hernias are often caused by lifting heavy objects – like during exercise or performing manual labor. Other medical issues or activities that may lead to a hernia include straining on the toilet, likely due to constipation, an enlarged prostate, smoking or a persistent cough. If you’re living with the discomfort, pain and heaviness in your abdomen that often goes along with a hernia, safe and effective treatment is available.
The board certified and highly trained surgeons at USA Hernia Center use minimally invasive techniques – including robotic surgery – to treat hernias of all sizes. For people with a large hernia, surgical mesh offers the best long-term outcome and the lowest risk of recurrence. Dr. Jean recommends against surgery for patients who are uncomfortable using surgical mesh to repair their hernia because of the substantially lower chance for success without it.
He also emphasizes that even if you aren’t sure you need surgery to repair a hernia, a consultation with a surgeon can be beneficial. “I don’t want to convince anyone they should have surgery if they don’t want it, but I do want people to know when surgery might be required,” says Dr. Jean. “If you have a severe onset of pain, nausea and vomiting or if the hernia’s size increases quickly, these could be reasons for an emergent hernia repair, and you should go to the ER immediately.”
USA Hernia Center
The Hernia Center at University Surgical Associates is one of the largest and most experienced hernia programs in the region, with specialized expertise in treating all forms of hernias to ensure the best outcomes for your surgery. Click here for frequently asked questions about hernia surgery or to request an appointment. If you’re ready to meet with one of our experience hernia surgeons, call (423) 267-0466 today.
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