Quote:
Originally posted by Zeke
What's the deal on the mesh? I'm sure SoCal would like to know as well.
|
Before the advent of Gortex fabric in surgery, we were pretty much limited to re-approximating and reinforcing a patients own (sometimes crappy) tissue. The tissue repairs would frequently fail later for the same reasons they got the original hernia.
Gortex is amazingly tough. You can repair BIG defects and hernias with good results. Gortex doesn't get weaker with time. The downside? Well, Gortex IS a foriegn body and although most people do well with it, sometimes the fabric can erode into adjacent areas causing tissue reaction and damage or discomfort.
If it were MY hernia?
1) Lararoscopic procedure unless containdicated.
2) No fear of Gortex if needed.
3) When given the option, I will always take a general anesthetic. Very good to be sleeping during surgery. Modern anesthetics are very safe and have almost no hangover. If you are awake with a local, the sedation meds they will give you leave you feeling as bad or worse than a general anesthetic. Just my opinion.
