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Laparoscopic mesh repair nerve damage
I was just looking to get some understanding of how a laparoscopic hernia repair with mesh can cause nerve damage by chance? Especially how does TEP and TAPP repair play a role in nerve damage because I thought when it is done laparoscopic the nerves aren’t really by the mesh. Also if it is done TEP does your spermatic cord lay on top of the mesh? Is it because over time the mesh builds the scar tissue over the area so the nerves and spermatic cord get caught in it?
Also I had 3D max mesh used bilaterally fixated with tacks into my pubic bone and at about 17 months out I was trying to stretch my legs out and kind of felt a pop sort of around the area of the adductor longus but more in the inner thigh. Could it be possible that since the 3D max is a heavyweight mesh that the scar tissue that forms is more dense with less flexibility so it would be putting more pressure on the area when trying to stretch it out and it could have caused the adductor to get inflamed or as I said it felt like it stretched bad?
Do you think I should maybe get an MRI now just to see whats going on in the area?
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1 Reply
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The nerves more commonly at risk from a laparoscopic hernia repair include the genitofemoral and lateral femorocutaneous nerves. Also, the nerves surrounding the vas deferens. If tacks are used, the ilioinguinal and iliohypogastric nerves may also be at risk. These are all, of course, not common.
The 3D Max regular weight mesh is heavier than the lighterweight counterpart. That does not make the scar tissue any denser.
MRI can help differentiate adductor strain from other diagnoses.
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