Surgical Mesh in Hernia Repair

Surgical mesh is a medical device that is used to provide tension-free hernia repair.  The use of mesh has greatly improved the recurrence rate of hernias by providing additional support to weakened or damaged tissue.  Recurrence and most mesh-related complications can be avoided by selecting the type of mesh and the surgical technique that is appropriate for the type and size of the hernia and patient's characteristics. 

Meshes can be divided into two broad classes: synthetic and biologic. Synthetic meshes are either non-absorbable or absorbable while

biologic meshes are all absorbable. Synthetic non-absorbable mesh is further divided into heavy and lightweight. Lightweight mesh causes a less inflammatory response which results in better tissue incorporation and decreased patient discomfort and pain. 

Before selecting a mesh and surgical technique for an individual patient, we take into account patient characteristics such as: age, type of hernia, defect size, patient's weight, medical conditions, previous surgery, smoking history, and the presence of infection.

Minimally invasive hernia repair with non-absorbable lightweight, large pores mesh has an extremely low rate of mesh-related complications and is our preferred choice for the majority of our patients. 

 Absorbable meshes whether synthetic or biologic have unacceptable high recurrence rate and their use is limited to hernia repair in the presence of wound infection.