Can I Replace My Hernia Mesh After 6 Years? Options

Hernia mesh replacement after surgery?

Hello, I had a hernia repair with mesh about six years ago, but recently I've been experiencing discomfort in that area.
I noticed that there are now fully absorbable meshes available.
I would like to know if it is possible to undergo surgery to replace the mesh.
Thank you.

Mr. Huang, 30~39 year old female. Ask Date: 2020/11/04

Dr. Chen Jiaming reply Surgery

After the placement of a hernia mesh, it integrates with the body tissues to form a reinforced layer of the abdominal wall and cannot be replaced.
Surgery to remove it is not performed unless there is a postoperative infection issue.
Since you have had the mesh placed for six years, your recent discomfort may not be related to the mesh itself.
Instead, it is important to consider the possibility of hernia recurrence (while the use of mesh reduces the chances of recurrence, it does not eliminate the possibility).
It is advisable for you to return to the original hospital where the surgery was performed for further evaluation.
Fully absorbable meshes do not provide superior prevention against hernia recurrence compared to standard meshes.
As for the sensation of a foreign body from the mesh, this is typically more noticeable shortly after placement, while later on, it may be influenced by factors such as mesh displacement due to recurrence.

Reply Date: 2020/11/04

More Info

When considering the replacement of hernia mesh after six years, it’s essential to understand both the nature of the mesh used and the symptoms you are experiencing. Hernia repair using mesh is a common surgical procedure, and the type of mesh used can vary significantly. Some meshes are designed to be permanent, while others are absorbable, meaning they are intended to dissolve over time.
If you are experiencing discomfort or unusual sensations in the area where the mesh was placed, it is crucial to consult with your surgeon or a specialist in hernia repair. Symptoms such as pain, discomfort, or a feeling of tightness can arise from various factors, including the mesh itself, scar tissue formation, or even a recurrence of the hernia.
1. Assessment of Symptoms: The first step is to have a thorough evaluation. Your doctor may perform a physical examination and possibly imaging studies (like an ultrasound or CT scan) to assess the condition of the mesh and the surrounding tissues. This will help determine if the mesh is intact, if there is any inflammation, or if a recurrence of the hernia has occurred.

2. Options for Replacement: If it is determined that the mesh is causing problems, there are options available. In some cases, the mesh can be removed and replaced with a new one, particularly if the original mesh is non-absorbable and is causing discomfort. If the mesh is absorbable and has already dissolved, the focus may shift to repairing the hernia without mesh or using a different type of mesh.

3. Types of Mesh: As you mentioned, there are now absorbable meshes that are designed to be integrated into the body and eventually dissolve. These newer options can reduce the risk of long-term complications associated with permanent meshes, such as chronic pain or infection. Discussing these options with your surgeon can provide insight into whether a switch to absorbable mesh is appropriate for your situation.

4. Surgical Considerations: If surgery is deemed necessary, your surgeon will discuss the risks and benefits of the procedure. Factors such as your overall health, the reason for the discomfort, and the type of hernia repair previously performed will influence the surgical approach.
5. Recovery and Follow-Up: After any surgical intervention, recovery protocols will be established. This may include pain management, activity restrictions, and follow-up appointments to monitor healing. It’s essential to adhere to these guidelines to ensure a successful recovery.

6. Long-Term Management: If you opt for surgery, it’s also important to consider long-term management strategies. This may include lifestyle modifications, such as weight management and avoiding heavy lifting, to reduce the risk of hernia recurrence.

In conclusion, while it is possible to replace hernia mesh after six years, a thorough evaluation by a healthcare professional is necessary to determine the best course of action based on your specific circumstances. Discussing your symptoms and concerns with your surgeon will help you make an informed decision regarding your treatment options.

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