Absorbable and bio-meshes for indirect inguinal hernia and recurrence risk?
I am a relatively thin, active person with a right side 30mm indirect inguinal hernia and chronically sore/painful. Feel like I am walking on eggshells not to disturb it and up and down pain – sometimes as low, sometimes high, no rhyme or reason.
I do not fancy a permanent mesh although I’ve read about PVDF meshes from Germany as being quite inert and elastic.
I have read about this Tigr matrix that absorbs in 3 years and also biomeshes made of bovine pericardium, a hybrid sheep-dissolvable or permanent synthetic mesh, and also a pig submucosa mesh. Some seem more difficult to handle laparascopically and the mesh is bigger than in the open case though and was wondering if open or lap-tep is possible with these products and if in reality the recurrence rate would be higher . Is the risk worth taking to counter the risks or possible issues of using a regular mesh?
From what I understand the problem is fatty tissue bashing up against the internal inguinal ring and enlarging it causing pain and discomfort. On the other side i have testicle that retracts upward form time to time, not sure if that is an antidote to hernia formation or just a random difference between left or right.
I also saw a japanese study that tried to use pediatric technique on adults with good results for this simple indirect case using a hybrid laparascopic-extracorporeal technique which looks even more minimally invasive then any standard method currently used. Will this work?
My concern is finding surgeons open minded or even who have used these products at all.
Are current methods good enough or is it worth pursuing some of these alternatives?
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