Mesh or No Mesh for Adult Inguinal Hernia Repair

This talk was presented by Semeret Munie, MD during the “Masters Hernia: Inguinal Hernia through the Years, from Infants through Adolescence to Adulthood” session at the SAGES 2021 Annual Meeting on September 2, 2021

[@donmulder8061]

Excellent briefing. Patient feedback -- I wish they could recommend a standard template for adults to use for rehab and return to physical activities. The recommendations I got from my attending and resident surgeons and on the internet are all over the map. Just a template for how long to wait, a glidepath to follow for walking, then certain activities, then strength training etc......

[@eravelo]

Sounds like a first year med student lecture.

[@bluewave7120]

Is there a study of 10 years or more showing recurrence in shouldice vs mesh repair? Can polypropylene mesh last 20 years or more 8n human tissue and retain its structural integrity?

[@LookNook2020]

Good question

[@YourChannelOnYouTube]

I have the same doubt. Maybe the Titanium coated polypropylene meshes last that long. But I think some of the normal pp can fail because its strength fall over time and a cough could cause hernia again.

[@bluewave7120]

@@YourChannelOnCZcams Another factor is surgeons readily admit that synthetic mesh will shrink over time

[@paulthomas9911]

at this point, what do you think is safer? Mesh or non mesh ?

[@YourChannelOnYouTube]

@@bluewave7120 They seem to be more aware of shrinkage these days, more than 10 years ago. The heavier meshes cause more shrinkage, so now they're using lighter meshes to prevent too much shrinkage, inflammation and foreign body response.

[@TheNewYorker360]

You're presenting information from a study that examines "30-day outcomes and 1-year recurrence rates"? Are you kidding? What about ten years out? Or twenty years after surgery? How is the "mesh" doing then?
What's that you say? "We have no answer for that"?
Yeah. And this presentation is a joke.