Mesh Hernia Repair
All About Mesh
Mesh has transformed hernia repair over the past several decades, significantly lowering the risk of hernia recurrence. We recognize, however, that mesh use has raised concerns for some patients. That’s why we offer a range of options—including no-mesh repairs, biologic or reinforced biologic mesh, and traditional synthetic mesh.
The right choice depends on your unique situation and should be made in close consultation with your surgeon. To help guide your decision, we recommend using the SCAFFOLD Guide to learn more about each approach.
Mesh History
Hernia repairs have historically carried a high risk of failure. Since the 1980s, the use of mesh to reinforce repairs has steadily grown, leading to a dramatic drop in recurrence rates. Mesh can also help reduce post-operative pain. Today, more than 90% of hernia repairs worldwide use some form of mesh reinforcement, reflecting its effectiveness and reliability in surgical practice.
Which Hernia Mesh Is Right for You?
There are four main hernia mesh types—traditional synthetic (plastic), absorbable synthetic, biologic (animal-derived) and hybrid (a blend of synthetic and biologic materials). While most repairs worldwide use reliable, long-standing synthetic mesh, each patient’s needs differ, and newer reinforced biologic options may be worth considering.
Is It All True? Understanding Hernia Mesh Concerns
If you’ve researched hernias online, you’ve likely seen alarming headlines and ads questioning the safety of mesh. While there is some truth behind these concerns, much of the fear has been exaggerated.
Like any surgical material, mesh can cause complications. Some earlier mesh products linked to higher complication rates have since been recalled by the FDA. That said, even modern mesh can rarely cause issues such as pain, infection, scar tissue formation (which may lead to bowel blockage or fistulas), or hernia recurrence due to mesh shrinkage or migration. Fortunately, these complications are uncommon—and for most patients, the benefits of mesh far outweigh the risks. Mesh significantly reduces the chances of a hernia returning and provides long-term support.
What About No-Mesh Repairs?
In certain cases, it’s possible to repair a hernia without using mesh. This option can be safe and effective for select patients. However, no-mesh repairs are usually performed with open surgery, which may result in more post-operative pain, longer recovery, and a much higher risk of the hernia coming back.
When we talk with patients about their concerns, we often find it’s not the mesh itself they fear—it’s the idea of having a permanent foreign material inside their body. In these cases, biologic or reinforced biologic mesh can be a great alternative. These materials are gradually absorbed and replaced by the body’s own tissue, providing support while minimizing the long-term presence of foreign material.
Ultimately, choosing the right repair method is a personal decision that should be made with your surgeon. We encourage you to explore the resources on this website and have an open conversation with your care team to make the best decision for your unique situation.
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Hernia Repair at CRMC