-
Getting second opinion about getting non mesh
How does someone call themselves a hernia specialist, when they only
Will do a hernia procedure one way with mesh, and won’t give you an option
Without really even evaluating the size of the hernia thru imaging
I am not real smart, but I thought a specialist in a field could look
At doing a procedure multiple ways, if the situation dictates.
I believe he said he could do it but wouldn’t feel comfortable
Just asking anyone’s thoughts
I am going to get another opinion and see what he says
The inguinal hernia might be to big to not use mesh
I dont know, he physically looked at it and felt it and said it was small
But the bulge is the size of an egg to me -
13 Replies
-
Placing mesh outside the abdomen would that be a satisfactory repair
-
Doc, if they place mesh outside abdomen since I have Crohn’s would that still be
A satifactory repair for the inguinal hernia
Are most inguinal hernias repaired outside or inside abdomen
Thanx -
– unfortunately, many use the term “hernia specialist” as a marketing ploy and are not true specialists.
– in Crohn’s disease, make sure the mesh is never place inside the abdomen (intraperitoneal). Otherwise, it should be fine. But I agree with @drbrown that I would prefer a non-mesh repair in patients with Crohn’s, if possible, to reduce risk of disease exacerbation by the inflammation from the mesh. -
@colt
Try to find an older surgeon. He/she would have been trained before mesh was available.
Regards.
Bill Brown MD -
Thanx doc
I wish u weren’t so far
I am here in Alabama
Everyone around here just does mesh
Some of them claimed to me non mesh repair is inferior -
@colt
You will get an inflammatory response to any mesh that is implanted. That could aggravate the Crohns. I advise you to have a non mesh repair. Depending on the type of inguinal hernia there are many options for the suture repairs.
Regards.
Bill Brown MD -
My life as I knew it is over
I can’t believe modern day doctors are not trained to do tissue repair with sutures -
If I had to believe what the doctors told me about mesh I would have one in me even without a hernia!…jokes apart the body is most definitely not a set of boxes isolated one from another…
-
Is there any doctors on forum read my situion that can help me
Figure something out some GI doctors say the Crohn’s is in bowel
And shouldn’t interfere with mesh repair -
Can someone tell me how to delete a post
-
There is a lot more for you to read on the forum. All of your questions have been addressed over the last few years. Don’t think of all of the mesh-based procedures as “mesh” and all of the non-mesh procedures as “non-mesh”. There are countless variations for both. You can at least avoid the worst of them. Like the plug procedures. Even the supposed experts recommend avoiding the plug, even though there are “top-notch” doctors who still use it.
Have you talked to any Crohn’s disease specialists about mesh-based repairs? They would know more than the hernia repair doctors about the odds of problems since they see more Crohn’s patients. Placing an inflammatory material in the vicinity of already inflamed intestines seems like a very bad idea.
If you do the math on traveling to get a non-mesh repair versus staying in your insurance plan and getting a mesh repair you might be surprised at how close the costs are. The insurance system inflates costs then they are negotiated back down, but they still end up very high, for the patient, in the end, especially those with high deductibles. Spend some time and write down the actual out-of-pocket costs, if you can. Don’t overlook facility fees and anesthesiology and other odds and ends. A good hernia repair shop will be able to estimate total costs for you after talking to your insurance company.
Finally, don’t overlook the most important thing of all – if you get a suture repair (AKA pure tissue) and it fails they can still place mesh to repair the recurrence. If you get mesh and have chronic pain problems they can only try to fix that by removing the mesh. Unless you try “pain management” pharmaceuticals. Think about the cost of your Crohn’s disease drugs on top of pain management drugs.
Mesh is very high risk in terms of chronic pain. 10-15% seems to be the accepted number. Suture repairs are not. Many professional studies seem to show that both are comparable in terms of recurrence odds. If a person does a thorough cost-benefit, risk-reward analysis I think that choosing suture repair as the first attempt is obvious. And that is for a healthy person without your complications.
Today’s hernia repair field is skewed towards simple, quick procedures. Not long-term health. The long-term problems are handled by pharmaceuticals and pain management, and/or more surgery.
-
-
I would be worried about mesh interfering with the Crohn’s.
In today’s world of specialization, you’ll find that people have expertise in only a very narrow area,and will defend that expertise. Hernia repair doctors will focus on the hernia repair. Not the Crohn’s. Don’t choose to listen to the wrong expert.
Log in to reply.