Why mesh is used
Before mesh became standard, hernias were closed by pulling the edges of muscle and tissue together with stitches. This puts tension on the repair, and a substantial number of hernias returned. Mesh works like a patch that spreads the load across a wider area, allowing tissue to grow into it and form a strong, lasting repair.
For very small hernias, such as some small umbilical hernias, stitches alone may be enough. Dr. Arsenous will tell you whether mesh is recommended in your case and why.
Types of mesh
Most hernia meshes are made from synthetic materials such as polypropylene or polyester and are designed to stay in the body permanently. Some are lightweight with larger pores to improve flexibility and comfort. Coated meshes are used when the mesh will sit inside the abdomen, next to the intestine. Absorbable and biologic meshes are reserved for specific situations, such as contaminated wounds.
Talk with Dr. Arsenous about your options.
Benefits and risks
The main benefit is a lower chance of the hernia coming back. As with any implant, there are possible complications, including infection, chronic pain, mesh shrinkage or movement, and, rarely, the need for further surgery. Careful patient selection, the right type of mesh and correct placement keep these risks low.
- Tell us if you have had problems with previous mesh or implants
- Tell us about diabetes, smoking or immune problems, which affect healing
- Ask any questions you have about mesh; Dr. Arsenous is happy to discuss them in detail
Recovery
Recovery after mesh repair is the same as for the hernia repair itself: usually same-day surgery, a return to light activity within days, and several weeks of avoiding heavy lifting while the tissue grows into the mesh.