Salisbury Foundation Trust

FOI_4768

Internal Reference Number: FOI_4768

Date Request Received: 11/12/2018 12:12:14

Date Request Replied To: 17/12/2018 11:10:13

This response was sent via: By Email

Request Summary: Repairing hernias with mesh implants and complications caused

Request Category: Private Individuals

 
Question Number 1:
Can any of your Hospital Trust Surgeons repair hernias without using mesh implants?
 
Answer To Question 1:
1. The only recognised alternative to a mesh repair for inguinal hernias (I have assumed that this is the type meant) is a Shouldice repair. We can perform these, but they are recognised not to be as effective as a Laparoscopic repair, except possible in a few specialist centres. We therefore for preference would advise Laparoscopic repair in the great majority of patients.
 
Question Number 2:
Can any of your hernia surgeons remove mesh that is causing complications?
 
Answer To Question 2:
2. Mesh removal is very rarely required after Laparoscopic repair; about 1:1000 in our experience. Since we very rarely perform open mesh repair (Lichtenstein operation), we rarely need to undertake mesh removal. I would estimate we have done half a dozen in the last ten years. The majority of these patients had had their surgery elsewhere and complained of chronic groin pain. This is major problem of open repair and main reason we would recommend Laparoscopic technique.
 
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