Insight please

[Jnomesh]

Yes I’d be curious to know whether the mesh was implanted laprocpically or open and how it is being removed.
id also be curious if you could mention the name of your removal surgeon.
i had my mesh removed (implanted lapro and removed the same way) and have been in touch with a good amount of people who have had mesh removed by the same surgeon and I haven’t come across anyone in this group that have had to have multiple surgeries to remove the mesh by this surgeon. We have all had our mesh removed in one surgery-some have had 10O% of their mesh removed and some have had some chards of the mesh left on arteries or structures deemed to dangerous to completely remove -but in any case it was done in one surgery.
Your case could be a unique one but I’m also interested in if you sought out one of the few top mesh removal surgeons.
i have come across others who haven’t had as successful removals as they have gone with surgeons with less experience-usually because they couldn’t or wouldn’t travel to see them or due to lack of insurance etc.
If you feel you need a second or third opinion there is dr. Igor Belyanski, dr. Sherwin Towfigh, dr. Billings, and a few others who people are having good results with their mesh removal.There is a more extensive list of removal surgeons on this list.

[Good intentions]

[USER=”2814″]Bswilson[/USER] forgot to add a notification.

[Good intentions]

Different surgeons use different methods for removal. It is not something that they like to talk about and share, it’s not a popular topic, even though it is more impactful, in a positive way, than a hernia repair, to the patient. I suggested recently that mesh removal should be a major topic at the big surgeons’ meetings but it seems unlikely to happen. And the huge range of materials and methods possible, and combinations, mean that the potential problems cover a wide range.

In principle, the body is “rejecting” the mesh forever. It never gets “incorporated” in to the body although that phraseology is used all the time to support its use. It gets encapsulated at a fiber level with low inflammation if a patient is lucky. Maybe your surgeon(s) mean that they need to give the body tissues time to restrengthen before continuing? So that the strong tissue can be distinguished from the damaged tissue. The tissue around mesh can be full of fluids from the damage of the mesh.

Can you give more details about your situation? The type of defect repaired, type of mesh, method used? And the method being used to remove it? Some surgeons that use an open method to remove mesh can get more done in a shorter time than a surgeon using laparoscopy. Either way, I think that it is a very tedious time-consuming process, and the internal parts of the abdomen can only be exposed for so long before damage occurs. Tissues dry out and the possibility of adhesions increases. If you have mesh entangled with important structures they might be taking their time to save those structures.

Good luck.