Mesh removal options

Hernia Discussion Forums Hernia Discussion Mesh removal options

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    • #28952
      dh305
      Participant

      Kicking around mesh removal. Had both sides placed laparoscopically.

      Was given the option of removing one at a time instead of both in the same surgery. Concerned about the length of the surgery.

      Is it a bad idea to split them up into two surgeries? Is this common practice?

    • #28953
      Good intentions
      Participant

      Removing mesh is tedious work if the surgeon wants to take extra care to not damage any nerves or critical structures. I asked my surgeon about doing both sides in one go and he said it was really just too hard on him, he needed a break in between. Each side took 2-3 hours, I think. Plus I don’t think it’s good for the patient to be unconscious for so long.

      I’d give the person removing the mesh as much time as they need.

    • #28954
      dh305
      Participant

      Thanks. I was told both sides would take between 3 to 3 1/2 hours. It seems like it was really my call. Concerned about the length of being under, but also concerned about multiple invasions of the abdomen, considering I already did it once.

    • #28955
      drtowfigh
      Keymaster

      If the mesh was placed laparoscopically, then the mesh removal should be done lap or robotically.

      I do both sides at the same time. The scars are the same. The OR time is longer but less than double the time of only doing one side. Extra anesthesia time in an otherwise healthy patient is not an issue. The recovery is better with both sides done.

      If open: that’s a lot more recovery per side. So, I stage those. Usually do one side first.

      Make sure your surgeon does a lot of these, and successfully.

    • #28956
      dh305
      Participant

      Thanks Dr. T. Yes, would be done robotically by a Doctor that you’ve had a guest on your weekly show. Sounds like both at once is the way to go.

    • #28957
      Scarletville
      Participant

      I hope everything goes well for you dh305. Out of interest may I ask how your hernias will be repaired after the mesh is removed? Will you have an open tissue repair at a later date?

    • #28958
      dh305
      Participant

      Thanks. That’s a great question. Haven’t thought that far ahead. Believe it or not, I’m not adverse to mesh if it’s done right by a specialist.

    • #28977
      drtowfigh
      Keymaster

      Sounds like a good plan.

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