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Mesh removal after hernia repair
Great question.
In pathology, if the mesh is removed, the pathologist can view signs of acute vs chronic inflammation under a microscope.
In MRI, inflammation can be seen if it is quite a lot.
We do not have any sensitive laboratory values to show inflammation from mesh. Blood tests such as ESR may or may not be elevated.If the inflammation is causing pain, anti-inflammatory medications or steroids, in more extreme cases, may be helpful. For chronic pain due to inflammatory status from the mesh, there is little to help. Some may require mesh removal as a cure, and that is also for extreme cases.