Hernia is a common health problem which if left untreated can sometimes cause life threatening complications. A hernia occurs when a part of intestine or any abdominal organ pushes through the muscle layer due to tear or defect in the muscles. There are many types of hernia but the most common are found in groin (inguinal and femoral) and umbilical area. Other types of hernia include epigastric, ventral or incisional hernia, obturator hernia and hiatus hernia.
Hernia can grow over a period of time and may even become painful. Sometimes the bowel or intestine can get blocked after they get stuck in the hernia defect resulting in severe pain in the abdomen, nausea and vomiting.
Expect for small umbilical hernia in new born children, hernia needs to be repaired surgically which can be either done laparoscopically, robotic or open method.
Irrespective how the repair is carried out, most of the cases require mesh to plug the hole or defect. Most patients have queries regarding the use of mesh and its necessity. Here we answer frequently asked questions about the mesh used to repair them.
What is mesh
Mesh is a flat piece of prosthetic material used to cover the defect or hole. They are made of non-reactive material and are usually permanent.
What is the advantage of mesh
Mesh usually acts as a patch to cover the defect and thus provides a tension free repair. Larger the defect more is the indication for use of mesh. The mesh can cover the defect completely and provide support to surrounding tissues.
What are the different types of mesh
With advancement in technology, different types of meshes are available in market today. There are normal prolene mesh, light weight mesh, composite or dual mesh, self-fixation meshes. According to Dr. Kapil Agrawal, senior consultant, Indraprastha Apollo hospital, New Delhi use of light weight meshes during laparoscopic inguinal hernia repair is associated with faster recovery and minimal discomfort post-surgery. Dr. Kapil Agrawal who is one the best hernia surgeon in Delhi, India says that there are anatomical meshes available for repair of inguinal hernia which adapt automatically to body contours giving you best comfort following robotic or laparoscopic surgery..
Cost of mesh in hernia surgery
There are different types of mesh available in market. The cost of mesh can range from Rs. 1500 to Rs. 40000. Every patient has different requirements, different indications and it depends upon the site, size of hernia and type of hernia repair which mesh is going to be the best for a particular patient.
The best mesh for inguinal or femoral hernia if carried out laparoscopically or robotically can cost approximately Rs 12000. But in ventral, or umbilical hernia the cost of mesh can vary from Rs 22000 to Rs.38000 depending upon the size and company of mesh.
According to Dr. Kapil Agrawal, who is one of the best laparoscopic hernia surgeon one most not compromise in the quality of mesh.
Is mesh required in every hernia repair
No, mesh is not indicated in every hernia surgery. Dr.Kapil Agrawal who is one the best hernia surgeon, the use of mesh should be case specific. According to him, the size of defect, age of the patient and even type of hernia should be taken into consideration before the use of mesh. For example, young children and teenagers undergoing inguinal hernia repair do not require the use of mesh.
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