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Anyone had 'open mesh' hernia repair surgery??

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Posted: Sun Dec 26, 2010 12:37 pm
Hi.  Has anyone had surgery to their hernia which involved them putting the mesh in and then allowing it to close itself as tissue grow over it??

I believe this is one technique they use .... how long does it take and  is it as successful as closure when in surgery?

Rach xx
Posted: Sun Dec 26, 2010 2:18 pm
Hello Rach, I do not know the answer..yet! But I have been researching the mesh surgery as I will face this surgery at some point. I thought I would pass along my latest find on the subject, if you have not heard of it already Smile
Biomerix Ventral Hernia repair mesh is a new mesh they are trying to get approved through our FDA here in the states and they are tough cookies in approving anything..lol
I guess the mess is different in oneside is designed to promote tissue ingrowth and a resorbable protective film on the otherside, designed to minimize tissue attachment to the device incase of direct contact with the viscera. Now if you can translate that all into lament terms you are gonna need to tell me..hahaha
I get the jist of it and see there are high failure rates with the ones used today. So I will wait to see how this new one does past the clinical trails they have already done with this mesh.
It is so hard to think of going under the knife again, but I know the hernia only gets worse over time...and since I am the A type person...yes kinda anal.. I always do a ton of prep work as to calm my spinning head with fear!
By the way I like reading your posts and comments...you have a lot of compassion for people and I admire this Smile
Take care
Karen~
Posted: Sun Dec 26, 2010 3:13 pm
Hello Rach,  I had hernia surgery using mesh on August 10.  After a month several seromas developed and the surgeon made a couple of cuts into the abdomen to drain them. Pockets of infection occur in areas where the body does not accept the mesh or there is some type of irritation which inhibits healing. Looking at one of the cuts in the mirror I could see the mesh. It was white and had no indication of tissue growth and attachment. The infection seems to be getting better so every thing can heal over however this is the second time the repair has been tried.  The surgeon seems to have no idea what to do except try the surgery again(!?) so he is taking a wait and see approach with his fingers crossed. If the infection abates and the wounds heal I will be much better than before the surgery and will go back to a normal life.   Ha!! who am I kidding....I forgot, I still have the bag.
Posted: Sun Dec 26, 2010 3:58 pm
HELLO RACH,I WAS READING YOUR POST,I HAVE HAD 26 HERNIA AND THE SURGERYS,I HAD SURGERY LAST FEB.16 OF THIS YEAR,I'M HAVING SURGERY FEB.8 OF 2011 FOR 2 MORE HERNIA'S,THE LAST SURGERY I HAD I HAD 7 MESHES TAKEN OUT FOR THE WHERE DECEASED AND IT ALSO GOT 11 IN.OF MY COLON,THAT GOT DECEASED FORM THE MESH,NOW THE SAID THEY USED PIG SKIN IN ME THAT IS SUPPOSED TO NEVER DECEASEAND SHOULD NEVER HAVE ANY TROUBLE,WELL I WILL LET U KNOW HOW WELL IT GOES AFTER THE 8TH OF FEB,AND I HOPE THE TIME IT WORKS FOR THIS WILL BE MY 36TH SURGERY,DON'T NEED NO MORE.I HAVE EVEN HAD HERNIA'S IN MY BACK,ONE OF MY DOCTORS SAID HE NEVER HEARD OF THAT BEFORE. WELL I QUESS ANY THING IS POSSIBLE, TAKE CARE I ALSO LIKE YOUR POST U PUT ON THE SITE. TAKE CARE HAVE A BLESSED NEW YEAR. SHERRYBEAR
Posted: Sun Dec 26, 2010 7:37 pm
Awww, thank you Karen!

Yes I sort of 'get' the general idea too - think it sounds like the original mesh maybe has adhesion problems which they are trying to alleviate?

I do need this surgery - but am really not wanting to go through with it ... I will also have to have either a reversal or a permanent stoma done at the same time and I really don't know what to do ....

Decisions, decisions .....

Rach xx
Posted: Sun Dec 26, 2010 7:47 pm
Oh wow - Badancer so you have had an open wound on your abdomen for 4 months - which presumably needs specialist dressings daily?? Was your stoma resited at the same time? If so, was that left open or closed too?

As for you Sherrybear 36 hernias??? Good Lord, I can barely stand with the one! And in your back - how on earth can that happen? Looks like the mesh surgery ain't so brilliant after all with 7 revisions ..... I wish you the very best of luck with the next one my dear - horrendous .... thought I was doing well wioth 21 anaesthetics over the last few years, but you are certainly well in front of me! Are you able to work at all or has this just been too much like it has been for me?

Hoping you both had a lovely Christmas ...?
Rach xxxxx
Posted: Sun Dec 26, 2010 8:06 pm
Hello Rach, permanent vs reversal?
  Past Member
Posted: Sun Dec 26, 2010 11:46 pm
Yup. I have. I have had most of the mesh removed. They couldn't get it all out and now I suffer from adhesions and will forever. I have had the mesh replaced with cadaver tissue but that ripped to shreds when I had a biking accident. So they have to go in again.
I'm just gonna wait to do with my revision next year.
Gosh we all do suffer about the same things and then some! xo
Posted: Mon Dec 27, 2010 12:24 am
When I had the operation to bring Sally Stoma into my life, the surgeon said they used pig skin on me to reinforce it. He said they didn't know if it works or not. I think I will refer to it as hogs hide from now on as that has a more manly ring to it. So far I've been lucky as I wear a hernia belt daily and haven't had any problems. I've been avoiding working out and manual labor though after reading about all the hernias osomates have. I read somewhere it isn't if..... it is when you get a hernia
Good Luck Mike
Posted: Mon Dec 27, 2010 6:37 am
                                 
Traveling Lady wrote:
Hello Rach, permanent vs reversal?



Oh gosh ~ long story, I suppose what I need to do is finish my blog!

I will try and do in bullet points -
  • 2004, had an ileostomy formed in order to divert stool awawy from a healing fistula
  • 2010, after 10 attempts, it looks so far as though the repair has been successful
  • because I have had my pelvic floor rippred to shreds 10 times and had my anus rebuilt at least 3 times that I know of - I am now no longer sure if it will be effective
  • my colon is currently impacted with faeces and has been for months where my loop ileo has been malfunctionning - I am concerned that after 6 years it is no longer 'patent' as nothing is moving down there
  • when I had my ileostomy - I was quite fit and healthy - just had an inconvenient hole where there shouldn't have one causing me to be incontinent when the ieo malfunctionned - now 6 years later after 20 anaesthetics etc I am now diabetic, have sleep apnoea, fibromyalgia, pernicious anaemia, osteoarthritis and a degenerative spine where I have several tears and bulges and nerve roots are being compromised (all due to a huge parastomal hernia) and some changes in my brain - not sure what that means but nothing dodgy as yet apparently! (but half the time I cannot remember what I have had for breakfast or if I have taken my multitude of medication - and if it isn't written on my computer, it doesn't happen!)
So ............ with fibromyalgia comes IBS, sometimes with diabetes you can get diabetic diarrhoea ~ now I would far rather have a leak with my bag than have to run to find a toilet and find that I cannot hold on to it and have an accident - that to me would be far far worse than the bag coming off - a dignity thing.....

I suppose for me its the opposite of where most of you have come from who now have the pouch and have spent years running to the loo several times a day .... and have found having a pouch much easier to handle ...... what you guys have been through with UC etc I am trying to avoid ....

So when they go in to repair the hernia, they will either reverse the ileo or give me a permanent stoma .... I really want this to be my last surgery, I have had enough, my body has had enough so just want to take the right route. I don't really want the surgery at all, BUT - if I don't, I will probably end up in an emergency situation where I will be operated on by some general surgeon in Swindon, whereas if I have it done electively, it will be with the best surgeons in London ..... I am terrified this time, none of it has bothered me particularly before, but this one is a biggie and its scaring the life outta me! The thought of them leaving me with open wounds on my abdomen is awful too, which was why I was asking about the mesh surgery ....

So any thoughts on that would be really appreciated, just be devils advocate for me - hope it makes sense??
Rach xxxxxx
Posted: Mon Dec 27, 2010 6:40 am
[quote="bagr"]When I had the operation to bring Sally Stoma into my life, the surgeon said they used pig skin on me to reinforce it. He said they didn't know if it works or not. I think I will refer to it as hogs hide from now on as that has a morMaye manly ring to it


That was funny! Maybe they can make me a silk purse out of a sow's ear?

Rach xxx
Posted: Mon Dec 27, 2010 4:15 pm
Yes I've had hernia repair surgery and then about 11 months later the doc had to go in again and remove the mesh.  The mesh had become infected with MRSA and VRE!  I spent a week in the hospital and then another four weeks in an acute care hospital getting intravenous antibiotics.... the only way medicare would pay for the extraordinary costs of the drugs!

I have been home since November and now have a c-dif infection as well as numerous bladder infections.  I feel like a walking germ.  I also have nausea nearly continuously and have lost gobs of weight.

In spite of the "problems" I say thank-you God each and every day for the gift of being alive.

Good luck.

Baglady
Posted: Mon Dec 27, 2010 6:44 pm
~ Oh Baglady you have had a shit time - pardon the pun ..... I think your tale is why I am being totally put off the idea .... however I too feel nauseous most of the time nowadays but I am unsure at the moment whether that is my abdomen playing up or a drug reaction - seem to get a sort of migraine headache with it too when it is at its worst ...

Hope to God you begin to feel a lot better very soon - when I had my previous fistula repairs I went through various infections and wound breakdowns - but never all at once like that, I am so sorry that is happening ...

Rach xxx
Posted: Tue Dec 28, 2010 2:23 am
sorry i dont know any body but i left my hernia to long even tho i did show doctors and they said it was ok one morning i woke up being sick twice with severe pain in my hernia and ileostomy went to hospital they found to twists which caused 2 holes in the bowel a few surgerys later and 14 weeks in hospital and more surgery next year iam just saying any changes or pain around the hernia go and found help dont leave it                                        
                                       thanks poppie
Posted: Tue Dec 28, 2010 3:41 am
Hey rach i had my stoma resited did i spell that right ? they left a big hole on the right hand side but no infection i got it dressed ..No prob freaky though ..I work at our ASSOC. Every second person who decised to pick up supplies has a hernia (i though only the elderly got them ) ahhhh Now i have 2 now i know why on the on the right hand side feels like somone is trying to pull my viens out glad i found out and hav one on the other side I dont want surgery but u r in a predicament  i got reversed 3 times have 2 say run 2 toilet Crohns just wanted to stay pric ...so very hard situations could they keep the stoma somehow  and u use bowel stoma  waiting JUST IN CASE ?? Shit i should be working for the OSTO reserches hehe i hav asked the craziest stuff to get out of havin a stoma but hav 2 embrace cheza not her fault she out of the belly lol..I havnt heard any good stories about hernias sorry luv..............mare And yes i muck up my medication aswsell i just drop to the floor or head butt my laptop not good heheh all this tablets we need to live hope all goes well rach x
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