Surgical mesh is a screen-like material that reinforces weakened or damaged tissue, usually in your abdomen (belly) or groin. It’s typically human-made (synthetic) but can also come from animal tissue. A surgeon inserts the mesh after making a cut (incision) in your body. As your body heals, tissue grows into the mesh — think of how a tree can grow into a chain-link fence or how cement fills in around rebar — and makes it stronger.
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Other names for surgical mesh include:
Healthcare providers may recommend surgical mesh to treat a hernia. A hernia is when an organ or tissue pushes through a weak area in your muscle or tissue walls. Surgeons can sew these weakened areas closed. But often, the tissues will slowly come apart again due to wear and tear. Surgical mesh can help strengthen the closure so that the weakened muscle stays together.
Surgical mesh can consist of synthetic polymers or biopolymers. Synthetic polymers are human-made and come from petroleum oil. Biopolymers come from the cells of living organisms.
The materials may include:
The mesh comes in different forms: knitted or woven.
Knitted surgical mesh is one long thread that continuously loops around itself. It looks similar to a knit sweater. Knit mesh is more flexible and porous — it allows a lot of tissue to grow into the material.
Woven surgical mesh has interlaced threads that criss-cross over and under each other, up and down and side to side. It looks like a chessboard and acts like the steel bars that reinforce concrete in buildings and roads. Woven mesh has more consistent mechanical properties — each square in the mesh can handle stretching and pressure the same.
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Non-absorbable mesh permanently strengthens and reinforces your muscle or tissue. Absorbable mesh isn’t permanent. Your body slowly takes it in and replaces it with new tissue or muscle over time.
Each mesh has advantages and disadvantages. A surgeon will explain the pros and cons of each type and answer any questions you have.
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It depends on the type of hernia repair surgery you need. But in general, a surgeon will:
It depends on where your hernia is and its severity. A surgeon may place surgical mesh:
They’ll explain where they’ll place the mesh during a pre-surgery consultation.
The primary benefit of surgical mesh is that it’s generally a safe, effective and common hernia treatment. It’s also less likely that a hernia will come back.
Surgical mesh risks include:
These risks are low. But like all medical procedures, you and your healthcare providers will discuss the risks of an operation against not having surgery or not using mesh. In most cases, the surgeon chooses to fix the hernia and uses mesh when the risk of not fixing the hernia and not placing mesh leaves you at a greater risk. For example, a hernia can lead to bowel obstruction, bowel strangulation (the blood supply to your bowels is cut off) and emergency surgery if left alone. That said, most people have a provider fix their hernia because it causes pain and limits their quality of life.
Other general surgery risks include:
It depends on the type and severity of your hernia and what type of surgery you need. But in general, you should be able to return to work or school after about a week. You may need to take more time off if you have a more physically demanding job, or if your hernia is large. Your surgeon will discuss this with you at your appointment.
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You can engage in light exercise, like walking, as much as you can tolerate a day after surgery. Wait at least two weeks to run, ride a bike or swim. Don’t engage in high-impact exercises, like sprinting, sports or weightlifting, for at least a few months.
After receiving surgical mesh, you can help make your recovery easier by:
After receiving surgical mesh, reach out to a healthcare provider if you have:
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