Food for thought

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I am considering a hernia operation for three relatively small pain free hernias ,one inguinal and two incisional. After reading  the experience of  some hernia patients on this forum , am reconsidering the use of mesh . I have never been  able to wear a wrist watch or polyester shirt without an allergic reaction . Have consulted with two hernia surgeons and they both insist on mesh. I  would prefer to use a biologic mesh even if I have to pay  the extra expense  myself ,  However  I have been given no alternative options without plastic mesh in Australia . 

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4 Replies

  • Posted

    I am in the same decision making valley and cannot eat food, only liquids.  I have read so many terrifying stories of botched surgeries (medical error is the third killer in the US today) that I have decided to endure until I cannot make it without surgery.  There are commercials every single day on television saying "if you have used _____mesh, call the law offices of BLack and WHite."  I would research the very best surgeon for this procedure and go where ever they are.  I don't mean to scare you but you have to protect yourself.  There are so many people being harmed and left in far worse condition.  Choose a surgeon like you would choose a spouse.  You will be living with their work for the rest of your life.

    • Posted

      Thank you for that very sound advice Crystal. Even with all the  recent publicity surrounding mesh , the surgeons  I  talked  with   appeared to be completely oblivious to any  potential  side effects from plastic mesh .. It will be interesting to find  out  just how many people  have been suffering in silence ,for many years, when the individual  Class Actions start in the US  A great many more than , in many cases, sponsored corporate studies have  revealed- I suspect . I did manage to get one surgeon to place a small piece of mesh on my forearm, as expected a significant rash appeared after a week. . I then placed it on the other arm and exactly the same symptoms appeared .After I sent the photos down to him I received  no  further communication.. Of course an immune reaction will occur , and in fact is meant to occur as part of the healing process , the problem is to determine if this a hyper immune reaction . To that end, I have made an appointment with an Immunologist  who will hopefully request an histological  examination. This may be an approach for you to consider, if you are placed in a situation where you are obliged to have the operation. To be completely fair, I know half a dozen individuals who have had this operation without any problems at all. I think a pre –operative protocol should be  made compulsory for surgeons, to determine, if certain people are likely to have a  hyper reaction .given as you so adroitly described .,“ you will be living with their work for the rest of your life”.
    • Posted

      What a brilliant test to try the mesh reaction on your arms!  That was so smart.  The frightening thing is that so many doctors receive some form of personal gain from using medical implant products.  It makes it very frightening to trust anyone to be honest.  Is there any alternative to the mesh for you?  We see so many products getting pushed through the FDA with minimal testing, later to find that they have caused great harm or death and are being recalled.  It is terrifying.
  • Posted

    . Christa , this is a redacted version of my original post   ,because it appears we have some Prima Donnas on this site and  therefore  my previous post was removed  After reading as many research journals as possible, it appears that a new technique that coats a synthetic mesh with   stem cells has been used with success to reduce  inflammation, and   is highly promising . Although I doubt that that this mesh would be available to mere mortals such as ourselves, at this time ! ..  As described by one specialist hernia surgeon on the SAGES  forum the highest rate of success with a  biologic is when the hernia defect  can be completely closed , he had only an 3% failure rate over  4 years .If the tear cannot be closed then you would probably  have to use a bridging technique with a  synthetic  mesh .. There are problems, using the  current biologics  available because they  degrade over time by the action of  enzymes , and you generally  just have the hernia reappear again . There is one surgeon in Australia who is using a technique on, previously inoperable very large hernias, with Botox, which enables him to make the defect smaller, but I believe he still uses synthetic mesh. I am frightened myself, because I have two ventral Incisional  hernias  , which are particularly prone to failure . But  at some stage you have to make the best informed decision  that  you  possibly can.with the information available..Personally, I will try to go with the very latest synthetics, which have a higher tensile strength   and    degrade into the body over three years , Theses meshes   have demonstrated reduced inflammatory action, but you then have to find a hernia surgeon   who  is prepared  to use this  particular mesh .As  you stated financial preference   by particular doctors may then  play a part in their decision making process. I have no financial interest at all in any mesh product and have written only as one who is suffering from this condition.I hope this has helped you in some small way in your final difficult decision ,Do as much research as possible yourself ,and good luck!

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