Mesh repair

[drtowfigh]

Mesh repair was introduced in late 1970s and became popular in 1980s and 1990s.

So, yes.

[dave]

I am now 76 years old. I had a Desarda repair done by Prof Desarda (in India) on a right inguinal hernia in 2008. Reason: I though I would live longer and better without synthetic mesh inside me.. I was very happy with the repair including the next 13 years but then in 2022 it felt like I had a recurrence. The 2nd tissue repair was done by Dr Joachim Conze at the Starnberg clinic near Munch in March 2023. He, like me, was convinced that it was a recurrence. But when he operated (open surgery for a new tissue repair) he found that the original Desarda repair, done 14 years earlier was still intact. My problem was in fact a femoral hernia.

Here is his report: Attached you will find your pictures of todays findings: During the first exploration we found an impressive hernia bulge lying in front of the inguinal ligament, but taking its offspring from the femoral canal… quite an impressive hernia sac, covered with pre-peritoneal fatty tissue. After dissection and removing of the fatty tissue we found a peritoneal hernia sac, quite thick as I think it has been there for quite some time. Neverthelees we opened the canal to explore the posterior wall of the inguinal canal. After mobilisation of the spermatic cord (=funiculysis), we found a pre-peritoneal lipome running alongs side the cord that was resected. The inner inguinal ring was enlarged but there was no recurrence there to be found. Also the Desarda looked fine, the posterior was slightky dilated but no defect to be detected.. so no recurrence after Desarda! Where the femoral hernia came from and how long it has been there, we probably will never know! We performed a tissue repair in a modified Fabrizius Technique, narrowing the femoral opening with non resorbable Prolene sutures (2-0), after a purse string suture at the base of the hernia sac and resection. Now everything should be fine!!

[Good intentions]

Thanks for the story Dave @mrhernia So, so far, two success stories. One for the original Desarda repair, and one for Dr. Conze.

Do you know if the 2008 Desarda was done with permanent sutures or absorbable? I have seen a drift toward absorbable sutures in various methods, but as far I can understand, that’s probably a bad idea. Nothing wrong with permanent if the repair is done correctly, I think.

Good luck.