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Successful Hernia Repair: Is It Possible Without Mesh?

Successful Hernia Repair: Is It Possible Without Mesh?

With more than 1 million performed each year, hernia repair is one of the common surgical procedures in the United States. 

You develop a hernia when an organ or tissue protrudes through a weak spot in your abdominal wall. Hernia repair aims to replace the tissue and close the hole.

Many surgeons use mesh to reinforce your abdominal wall. It’s a popular method because it reduces the risk of future hernias. But the question remains: Is successful hernia repair possible without mesh?

Elvira Klause, MD, FACS, and our team offer hernia repair in Laguna Hills, California, and we’re here to help answer your questions. Understanding the different approaches to hernia repair can help you make a more informed decision about your treatment.

How hernia repair works

Hernia repair surgery typically involves repositioning the protruded tissue back into place and reinforcing the weakened area to prevent future occurrences. The procedure can be performed using open surgery or minimally invasive techniques like laparoscopy.

In open surgery, the surgeon makes a single, large incision to access your hernia, reposition the tissue, and repair the muscle wall.

Dr. Klause specializes in laparoscopic hernia repair surgery. With this technique, she makes several small incisions and uses a camera and specialized instruments to repair  your hernia. 

Laparoscopic repair is minimally invasive, so it usually results in less postoperative pain and a quicker recovery.

Why surgeons use mesh in hernia repair

Mesh is a medical device made from synthetic or biological materials. It’s common in hernia repair surgery because it reinforces the weakened area. Its primary benefits include:

Because hernias develop when organs or tissues protrude through a weak spot in your abdominal wall, there is a possibility that it will happen again.

Using mesh can lower this risk compared with sutures alone. That’s because mesh provides added strength to the repaired area, making it more durable and resilient against physical stress.

Hernia repair without mesh

Using mesh in hernia repair can offer significant advantages, but it’s possible to have a successful hernia repair without mesh in some cases.

Dr. Klause may not need to use mesh for small, simple hernias, particularly in younger patients with strong tissue quality. Even older patients with excellent tissue quality and minimal risk factors for recurrence might be suitable candidates for repairs without mesh.

Some patients may also prefer to avoid mesh due to concerns about foreign materials in their bodies or the potential for mesh-related complications, such as infection or chronic pain.

In non-mesh repairs, Dr. Klause uses sutures to bring the edges of the hole together and reinforce the area. Techniques like Shouldice repair, which involves multiple layers of suturing, can be effective for certain types of hernias.

Which hernia repair method is best for you?

The right approach to hernia repair requires a thorough evaluation of your specific condition and medical history. Scheduling a consultation with a skilled and experienced surgeon like Dr. Klause can help you understand your options and make an informed decision.

During your consultation, Dr. Klause evaluates your hernia and reviews your medical history. She considers the size, location, and complexity of your hernia to determine the most suitable repair method.

We provide detailed information about the potential risks and benefits of each approach, and we take the time to understand your concerns and preferences regarding mesh versus non-mesh repair. 

We then develop a personalized treatment plan that aligns with your medical needs and lifestyle.

Successful hernia repair is possible both with and without mesh, but the best choice for you depends on your situation and your personal preferences. 

Schedule a consultation with Dr. Klause to learn more about your options. Call our office in Laguna Hills, California, at 949-245-6910 or request an appointment online now.

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