Reply To: Hernia Journal Special Issue on Chronic Pain

Hernia Discussion Forums Hernia Discussion Hernia Journal Special Issue on Chronic Pain Reply To: Hernia Journal Special Issue on Chronic Pain

Good intentions

Here is the next. For some reason the authors decided to consider pelvic prolapse mesh, aka transvaginal mesh, pain along with inguinal hernia repair mesh. An example of how generalized the knowledge of mesh is for so many surgeons.

This one looks at results after revision surgery for pain. Another after-the-fact study with no recommendations for prevention. Business is good, many return customers.

The Conclusion only mentions inguinal hernia repair but seems very illogical. 70 months is almost six years. Are they suggesting that a suffering patient wait six years before having surgery? The fact popped out from the statistical analysis apparently. Does not seem of much use. They do use it to suggest that pain relief is still possible after many years. That is the logical conclusion.

Prediction of successful revision surgery for mesh-related complaints after inguinal hernia and pelvic organ prolapse repair
K. L. C. Van Rest, M. J. C. A. M. Gielen, L. M. Warmerdam, C. R. Kowalik, J. P. W. R. Roovers & W. A. R. Zwaans
Hernia (2023

With this retrospective case series, we aim to identify predictors for reduction of pain after mesh revision surgery in patients operated for inguinal hernia or pelvic organ prolapse with a polypropylene implant. Identifying these predictors may aid surgeons to counsel patients and select appropriate candidates for mesh revision surgery.

A longer duration of at least 70 months between implantation of inguinal mesh and revision surgery seems to give a higher chance on improvement of pain. Caregivers should not avoid surgery based on a longer duration of symptoms when an association between symptoms and the location of the mesh is found.”

New Report


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