When your doctor tells you that you have a hernia, he or she may also tell you that a "mesh" will be inserted during the operation. When you hear this, you may feel a little scared, "What is this mesh? Is it okay if it's inside the body?" Many questions may come to mind. Don't worry, this is very common. Today, let's talk about what this surgical mesh, or `(Surgical Mesh)`, is.
Simply put, what is this surgical mesh?
A surgical mesh is a piece of strong mesh fabric. It is used to strengthen weakened or damaged tissue in our body, especially in the abdomen (belly) or groin. Think of it like when we have a small crack in our wall, we put some mortar in it, and sometimes we put something like a mesh to strengthen it and then plaster it. In other words, when we pour concrete, we put a wire mesh to strengthen it, right? That's what happens with this mesh.
During an operation, a surgeon makes an incision in your body and inserts this mesh. Then, as your body heals, your tissue gradually grows into the mesh. Like a tree growing through the wire of a fence. Then, the weak spot is greatly strengthened. This is sometimes called an ``Abdominal mesh'' or ``Hernia mesh''.
What kind of materials are these nets made of?
These surgical meshes can be made from a variety of materials. Some are synthetic, some are made from animal tissue. Your doctor will choose the most appropriate type based on your condition.
| Type of mesh | Simple description |
|---|---|
| Synthetic mesh that does not absorb into the body (Non-absorbable synthetic) | These are the most commonly used. This mesh is permanently attached to the body. It is made of materials such as (Polypropylene) . |
| Absorbent synthetic mesh (Absorbable synthetic) | This type of mesh dissolves and is absorbed by the body over time. In its place, the body grows new, stronger tissue. |
| Biological nets (Biological) | These are made from purified tissue from animals like cows or pigs. These are also absorbed into the body over time. |
| Mixed nets (Composite) | Nets made by combining one or more of the above types. |
The way these meshes are woven also varies. Some are flexible, like a sweater we knit (`(knitted)`). Some are woven (`(woven)`). They are very strong. Your surgeon will decide which type you need.
How is this mesh inserted into the body during surgery?
This is what usually happens during a hernia operation:
1. Making an incision: In open surgery, a single incision of several inches is made. In laparoscopic surgery, several smaller incisions are made.
2. Hernia repair: The herniated tissue or organ is put back in its original place.
3. Suturing the weak spot: The weakened muscle layer is closed with stitches (`(sutures)`).
4. Placing the mesh: Next, the mesh is placed over, under, or between the muscles to strengthen the area where the stitches were sewn.
5. Closing the incision: Finally, the skin incision is closed with stitches.
The most important thing is that this mesh is used to reduce the risk of hernia recurrence. If you just put stitches without the mesh, over time the stitches can come loose and the hernia can come back.
What are the benefits and risks of using surgical mesh?
As with any medical treatment, there are both benefits and minor risks.
The main advantage is that this is a very effective and safe treatment for hernias. Also, once a mesh is inserted, the chances of the hernia recurring are very low.
| Risks of using a net (very low) | |
|---|---|
| Infection | As with any surgery, there is a small risk of infection. |
| Hernia Recurrence | Very rarely, a hernia can recur if the nonabsorbable mesh breaks or does not connect properly with the tissue. |
| Damage to other organs | Very rarely, the mesh can damage organs such as the intestines or bladder. |
| Chronic pain | Sometimes, damage to a nerve at the surgical site can cause long-term pain or numbness. |
These risks are very low. Your doctor will weigh these risks against the other risks of not having the operation (for example, an emergency such as intestinal obstruction) to make the best recommendation for you.
What should I do to get well soon?
There are several things you can do to help you recover faster after surgery.
- Avoid straining when going to the toilet. Drink plenty of water, eat vegetables, and eat foods high in fiber to avoid constipation.
- Drink plenty of water. It is very important to drink at least 8-10 glasses of water a day.
- Take the painkillers prescribed by the doctor as prescribed. Don't tolerate the pain.
- Take a short walk every day. Walking improves blood circulation, helps wounds heal faster, and makes bowel movements easier.
- Avoid lifting weights. Avoid lifting weights or doing strenuous exercise for a few months until your doctor tells you to.
When should I see the doctor again?
If you have any of the following symptoms after the operation, call your doctor or go to the hospital immediately.
- If there is severe, unbearable pain .
- If you see signs of an infection . For example:
- Severe redness and swelling around the incision.
- Fever .
- If a yellow or green pus- like fluid is draining from the cut.
- Severe abdominal discomfort such as constipation, diarrhea, and bloating .
It's normal to feel scared when thinking about hernia surgery. But remember, surgical mesh is a safe and effective device that is widely used worldwide to prevent hernias from coming back. Your doctor will recommend the best solution for your situation.
Take-Home Message
- Surgical mesh is a commonly used protective device used to strengthen weakened tissues in conditions such as hernias.
- This significantly reduces the risk of hernia recurrence.
- Your surgeon will determine the type of mesh (absorbable or non-absorbable) that is best for you.
- For a speedy recovery after surgery, it is very important to avoid heavy lifting, drink plenty of water, and follow medical advice.
- If you have symptoms such as excessive pain, fever, or pus draining from the wound after surgery, see your doctor immediately.
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