![]() This mesh seems safe regarding the risk of chronic post-operative pain in patients with lateral inguinal hernias, but the risk of hernia recurrence should be further studied. Using slowly degradable mesh in the repair of medial inguinal hernia is not safe due to an increased recurrence risk. In patients operated with the endoscopy technique, the recurrence rate for lateral inguinal hernias was 8.8%.Ĭonclusions: Peritoneal tissue can be kept viable in contact with mesh during weeks in a human ex vivo model. ![]() The recurrence rates in patients operated with the open technique were 44% for medial inguinal hernias and 0% for lateral inguinal hernias. Safety Studies: At 3-year control, no patient experienced CPP. Our surgeons treat hernias that range from routine to complex, such as recurrent hernias. 12650 World Plaza Ln Fort Myers, FL 33907. Ten physicians (licensed by the College of Physicians and Surgeons) are on the staff and make less than 200,000 salary each year. According to the FDA, over one million Americans undergo some type of hernia surgery annually. Our hernia program offering the Shouldice repair, directed by Samer Sbayi, MD, is unique in the United States. Hernia repair is one of the most common surgeries in the United States. Results: Ex-vivo model: Peritoneal tissue in contact with a mesh could be kept viable between 26 and 56 days. A hernia may be repaired using an open or laparoscopic technique. Methods: Four publications are included in the doctoral thesis: an experimental method study with peritoneal tissue and three prospective clinical safety studies using a slowly degradable mesh in the repair of patients with inguinal hernias. Theoretically, a degradable mesh could reduce the risk of chronic pain.Īims: Explore the possibility of keeping viable human peritoneum in contact with hernia meshes in an ex vivo model for several weeks.Įvaluate the feasibility and the safety of a slowly degradable mesh in open and endoscopy inguinal hernia repair. Background: Synthetic non-degradable mesh used in inguinal hernia surgery can cause chronic inflammation, which in turn can lead to chronic post-operative pain (CPP).
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