Getting second opinion about getting non mesh

Hernia Discussion Forums Hernia Discussion Getting second opinion about getting non mesh

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    • #21744
      Colt
      Participant

      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

    • #21745
      Colt
      Participant

    • #21746
      Good intentions
      Participant

      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.

    • #21747
      Colt
      Participant

      Can someone tell me how to delete a post

    • #21748
      Colt
      Participant

      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

      • #21751
        Good intentions
        Participant

        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.

    • #21750
      Alephy
      Participant

      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…

    • #21755
      Colt
      Participant

      My life as I knew it is over
      I can’t believe modern day doctors are not trained to do tissue repair with sutures

    • #21765
      DrBrown
      Participant

      @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

    • #21766
      Colt
      Participant

      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

    • #21773
      DrBrown
      Participant

      @colt
      Try to find an older surgeon. He/she would have been trained before mesh was available.
      Regards.
      Bill Brown MD

    • #21802
      drtowfigh
      Keymaster

      – 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.

    • #21807
      Colt
      Participant

      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

    • #21879
      Colt
      Participant

      Placing mesh outside the abdomen would that be a satisfactory repair

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