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October 20, 2021 In hernia surgery By Dr. Vikas Singhal

Mesh Hernia Repair: Types of Mesh for Hernia Repair

Mesh Hernia Repair is a popular method of treating hernias nowadays. For long-lasting therapy, several physicians in the field of hernia repair advocate the use of meshes.

Prior to that, it is critical to have a thorough understanding of what a hernia is and what are the different treatment options along with the different types of Mesh for Hernia Repair.

  1. So, What exactly is a hernia?

A hernia is a condition in which there is a weakening or opening in the muscle or connective tissue in certain areas of the body. Internal organs can push through these holes, causing significant pain and discomfort in Hernia patients. People who have a hernia may see a small bulge on the outside where the hernia opening is located. The primary complication of hernia is that the opening or weakness can enlarge with time, leading to serious consequences such as the intestines becoming trapped in the hernia. Organs and even fatty tissues can squeeze through this weaker opening in severe situations.

  1. What causes a hernia?

A combination of pressure or weakening in muscle or connective tissue in the body wall is one of the most prevalent causes of hernia. This constant pressure pulls organs and tissue towards the weak hole, causing them to squeeze through it.

Obesity, carrying very heavy objects, diarrhoea, constipation, overexertion, and poor nutrition are all common causes of abdominal strain that can contribute to hernia development.

What are the different forms of hernias seen in the body?

The following are some of the most frequent forms of hernias seen in the human body:

  • Inguinal Hernia which happens inside the inner genital area
  • Femoral Hernia which is seen in the outer genital and upper thigh regions
  • Ventral hernia where the overall abdominal or ventral wall is damaged
  • Incisional Hernia: Any incision or scar in the abdomen causes the creation of a hernia.
  • Hiatal hernia which occurs inside the abdomen at the upper stomach or diaphragm
  • Umbilical hernia which is located at the belly button

What are some of the common hernia treatment options?

Because hernias are such a prevalent condition, there are several surgical and non-surgical mesh hernia repair methods available.

  • The non-surgical alternative is keeping a careful check on the hernia and its growth to ensure that it does not get larger and create problems. Some hernias are modest in size and do not cause any problems; thus, surgery may not be necessary for these people. In such instances, such individuals and their symptoms are closely monitored.

Surgical alternatives: For the surgical correction of a hernia, there are two primary surgical choices.

  • Abdominal laparoscopy surgery: In this treatment, the doctor makes several incisions in the belly and then repairs the hernia location. Traditional hernia surgery is performed by suturing the site together, however, with current developments, the surgical mesh hernia repair can also be utilised. In this procedure, a surgical mesh is used.
  • Another surgical option is open repair surgery, which involves making incisions near the hernia and repairing the muscle region. Open repair surgery is more extensive and difficult. 

What is the surgical mesh which is used during mesh Hernia repair?

Surgical mesh used during mesh hernia repair is a type of medical device used in place of sutures to repair hernias. It works by bridging the damaged or weak tissue gap in the abdominal wall. Surgical meshes composed of synthetic fibres or animal tissues are the most popular materials on the market today.

Because of the positive results, surgical mesh hernia repair is one of the most widely utilised alternatives in hernia treatment. 

The surgical mesh is available in a number of various forms, with variances in their types, the material from which they are made, and their absorption.

The use of meshes during the surgery increases the likelihood of success of the mesh hernia repair surgery, reduces operation time, and shortens recuperation time.

What are the different types of mesh available for mesh hernia repair surgery?

The types of mesh for hernia repair comes in three major forms:

  • Hernia mesh comes in the form of patches that are particularly intended to be put on damaged and weaker tissues to offer strength to the mesh hernia repair procedure.
  • Hernia mesh is also available in the form of plugs, which are specifically intended to fit into the hole in the intestine caused by hernia.
  • A mesh hernia repair sheet is another type of implant. These are lengthy mesh sheets that may be trimmed to fit the patient perfectly.

What is the best mesh type for mesh hernia repair surgery?

The perfect types of Mesh for Hernia Repair has a variety of characteristics, including:

  • It should be chemically inert so that it does not react with the several reactions that occur in the body.
  • It has no adverse effects and should not be carcinogenic.
  • It should also have high tensile strength and endurance to withstand mechanical stress while remaining sturdy.
  • The material chosen should be easily sterilizable and adaptable to the needs of the patients.
  • Because the body has a predisposition to reject any foreign material, the material from which the hernia mesh is made should not cause any immunological reaction.

What are some of the most often utilised materials in the manufacture of hernia mesh products?

Hernia mesh for mesh hernia repair can be composed of a variety of materials, both synthetic and animal-derived. Other types of hernia mesh include composite and coated meshes. Both synthetic and animal-derived meshes can be coated or uncoated in nature.

What is the purpose of synthetic mesh in mesh hernia repair?

The surgical sheets for mesh hernia repair are made of synthetic materials.  These products are constructed of plastic or other artificial materials. Synthetic materials are used in some of the most prevalent types of Mesh for Hernia Repair

The following are some popular compounds used in the manufacture of mesh for mesh hernia repair:

  • Polypropylene is a strong and flexible synthetic plastic material that is often used to make hernia mesh. Another common reason for the usage of polypropylene is its ability to resist infection. It is readily sectioned and incorporated into the surrounding tissue.
  • Polyester is another material used to create a mesh for mesh hernia repair surgery. Polyester mesh can be used to treat a number of different hernias.
  • Polytetrafluoroethylene is another chemical substance that is also utilised in the manufacture of mesh for mesh hernia repair.
  • Expanded polytetrafluoroethylene is a kind of PTFE that is more homogeneous, fibrous, and robust.

Because of their flexibility and inert nature, Synthetic mesh materials are frequently manufactured and used in mesh hernia repair.

Meshes produced from animals: Meshes developed from animals that are utilised for mesh hernia repair are biocompatible in nature. Typically, animal tissues are utilised to develop animal-derived mesh; the most popular animal sources are pig and cow, although human tissues can also be used to create meshes. Animal-derived mesh repair surgery is still a relatively new development in the field of mesh hernia repair surgery, although more study is being conducted on it.

Hernia mesh that is coated or composite: Typically, the hernia mesh comes into contact with the organs on which it is implanted. In rare situations, the mesh may get adhered to the tissue. It has the potential to cause serious problems. Certain coatings are available, and hernia meshes manufacturers employ these coatings to avoid adherence. Fatty acid, cellulose, and collagen are examples of frequent coatings.

Hernia meshes are also classified as absorbable or non-absorbable types of Mesh for Hernia Repair:

  • Non-absorbable mesh is similar to a permanent implant in that it can remain in the body until surgically removed. They are readily customised based on the patient’s needs and the amount of hernia surgery. This gives a long-term remedy to the hernia problem as well as stability and strength.
  • The absorbable mesh category often refers to meshes that are formed by chemicals that can be absorbed in the body over time. The mesh can potentially deteriorate and be absorbed by the body.

What are the benefits of mesh for mesh hernia repair surgery?

There are several benefits to utilising mesh during hernia surgery, including:

  • Prior to the improvements in the mesh repair method, hernias were treated by suturing them closed. However, the sutures open owing to the pressure, resulting in a recurring hernia. Hernias are difficult to cure, but because of the support and stability given by hernia mesh, the recurrence rate has been decreased.
  • Sutures are unable to hold the border region (that surrounds the hernia hole) in place because they are too weak. Using a hernia mesh provides support to the border and keeps it from shifting.
  • Hernia mesh offers long-term support to the tissue while also permitting tissues to grow.
  • There are various forms of tissue and hernia mesh available in a variety of shapes and elasticity that integrates nicely with the abdominal walls.
  • The usage of hernia mesh lowers the likelihood of fibrosis and the development of seroma in the afflicted region.

The major reason for using a hernia mesh is to reduce the possibility of hernia recurrence. Hernias have a tendency to resurface even after repair surgery, however, when precautions are taken, the odds of hernia recurrence are significantly reduced.

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    Comments (2)

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