Hernia Mesh

There is a lot of press surrounding mesh. What is it? Why do we use it? Is it safe?

We know more about mesh, the different types and their indications than most hernia surgeons. This is because we are very uniquely in tune with the needs of our patient. We only want the best. Also, we are at the forefront of technology–companies come to us to seek our input on their mesh product. So, we always have the most advanced technology available to our patients. Let’s define what mesh is: It is a physical barrier that we use to bridge or cover or support a hernia. Some form of mesh product has been used since early 1900’s. It has evolved a lot since then, and it continues to evolve. That is what is so exciting about the hernia field! Mesh products may be synthetic, biologic (non-synthetic), or a combination (hybrid). They may be permanent or absorbable. They may be microporous or macroporous. They may come in sheets or braided. They have different densities and weights. Each mesh product has its own profile and each patient may benefit from a different aspect of a product. We don’t believe in one mesh fits all. In fact, we promote non-mesh repairs when appropriate.

Dr. Towfigh debates use of Biologic Mesh for hernia repair

What is Mesh Implant Illness?

Just as not all mesh are created equal, not all patients react the same to mesh products. Mesh Implant Illness (MII) is a subtype of ASIA (Autoimmune/Autoinflammatory Syndrome Induced by Adjuvants) which describes the systemic (total body, not local) reaction a patient may have to mesh as a foreign body. Dr. Towfigh is at the forefront of studying MII, including who may be at risk, which meshes and sutures are least reactive, and thus tailoring hernia repair to your needs with the goal of reducing MII. You can read more about MII here. If you feel you may have MII or any other type of reaction to a foreign body, we encourage you to participate in our anonymous study so that we can help others:

Take Survey Here

Dr. Towfigh discusses Mesh Implant Illness.