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I strongly recommend against mesh removal at this time. It is not the mesh. Removing it will open a whole other can of worms.
If the nerve blocks helped, why not pursue that? More blocks or perhaps nerve transection if it’s a neuroma.
If it’s no longer the nerve, then maybe it’s a recurrence or too tight of a repair. A 4.5x10cm mesh is on the smaller side, so these options are not unexpected.