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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Our staff at Salisbury District Hospital have long been well regarded for the quality of care and treatment they provide for our patients and for their innovation, commitment and professionalism. This has been recognised in a wide range of achievements and it is reflected in our award of NHS Foundation Trust status. This is afforded to hospitals that provide the highest standards of care.