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Chronic pain risk lower in no-mesh repair or mesh?
Is the risk of chronic pain lower in no-mesh inguinal hernia repair, or is it lower in mesh inguinal hernia repair? Is there a real difference?
I see a lot of people wanting to get a no-mesh repair because they feel there might be a lower risk for chronic pain, but is this valid? Does data and expert surgeon experience back this up?
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2 Replies
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Chronic pain risk lower in no-mesh repair or mesh?
No perfect answer to this question
For most, mesh repair is best
For some, nonmesh repair is best
Not all mesh repairs are the same. The risk profiles for pain are technique dependent, mesh-dependent, and patient-dependent.
At this time we don’t know what is the perfect repair for each individual. We can Naif surmise based on population data. Dr Ramshaw is leading the cause to perfect this tailoring.
And yes, there is significant risk for non-mesh repair as well. It just wasn’t reported in the past. And is more obvious in the modern data. -
Chronic pain risk lower in no-mesh repair or mesh?
I think I asked the question before. Mesh has up to and maybe more post surgical pain of 30% but a much lower chance of recurrence. No mesh much lower chance of pain but higher recurrence. Myself I would risk the no mesh if you can find an excellent no mesh surgeon, which in the US is very hard. I lost two years in my middle age would rather have it when I am older and less active. No good answer but find the best surgeon and go with what they do best.
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