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Complications, particularly infection of the incision, frequently occur because of the large size of the incision required to perform this surgery. A mesh infection after this type of hernia repair most frequently requires a complete removal of the mesh and ultimately results in surgical failure.
Laparoscopic mesh surgery, as compared to open mesh surgery Advantages Disadvantages Quicker recovery [66] [67] Less pain during the first few days following the procedure [66] Fewer postoperative complications [67] such as infections, bleeding and seromas [66] Lower risk of chronic pain [66]
Post herniorrhaphy pain syndrome, or inguinodynia is pain or discomfort lasting greater than 3 months after surgery of inguinal hernia. Randomized trials of laparoscopic vs open inguinal hernia repair have demonstrated similar recurrence rates with the use of mesh and have identified that chronic groin pain (>10%) surpasses recurrence (<2%) and is an important measure of success.
Surgical mesh is a medical implant made of loosely woven mesh, which is used in surgery as either a permanent or temporary structural support for organs and other tissues. Surgical mesh can be made from both inorganic and biological materials and is used in a variety of surgeries, although hernia repair is the most common application.
A laparoscopic hernia repair is when the hiatal hernia is corrected using a covering for the mesh that is used to repair the weakened area. The defect is then measured and the mesh is stapled into place. [6] A benefit of performing Laparoscopic hernia repair is shorter recovery times compared to other methods.
The risk of mesh complications appears to be low regardless of what mesh material is used. [21] However, biologic mesh may have a lower risk of complications compared to synthetic mesh. [ 23 ] When suturing synthetic mesh to the rectum, the use of absorbable sutures leads to lower risk of complications compared to non-resorbable sutures. [ 5 ]
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