Reply To: To Mesh or not to Mesh
In most hernia repair, including inguinal hernia, the mesh is intended to form a strong barrier by causing adhesion to the surrounding tissues and to prevent recurrence as a result, although I do not agree to use it.
However, in my opinion, the role of the material in the incisional hernia repair, where the material may be brought into direct contact with the bowel, is to relieve the force exerted on the sutured defect margin, not by adhesion, but by sharing the force. It’s like reinforcing a worn-out outfit with a new fabric.
I think Gore-Tex Dual is what I said.
But if the peritoneum/barrier could be closed and the direct contact between the bowel and the material would be blocked, then you can use any material for reinforcement including polypropylene mesh.
I hope you shall have a good result.