MemberSeptember 2, 2015 at 3:52 pm
Auto immune disease and mesh rejection
Those are excellent points groundfaller. I try to teach this to our residents often. Just because the surgeon doesn’t find a hernia recurrence, doesn’t mean the operation was a success. It’s only a success if the patient thinks so. That is why the informed consent process is so important. Not to rattle off a long list of possible complications, but to find out what it is the patient is trying to solve and what their expectations are. It is then our job to listen, and give our opinion on how likely we can solve their problem. The go over the downsides of the options in plain language. I’m very sorry to hear you had a bad outcome from mesh, even it was from a hernia repair. Having said that, there are many other factors involved, and there are many large studies demonstrating the low risk of mesh related complications. I’ve attached one such study. Hope this helps!