Biological mesh

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Regular Member

Date Joined Jun 2013
Total Posts : 93
   Posted 10/2/2013 7:41 PM (GMT -6)   
Is biological mess always used in hiatus hernia repairs? Is it safe enough?

Veteran Member

Date Joined Nov 2012
Total Posts : 532
   Posted 10/3/2013 6:27 AM (GMT -6)   
Hi Hopegood,

No biological mesh is not always used in hiatus hernia repairs, in fact my surgeon refuses to use it as he has seen so many complications from it. I do believe that mesh is used in very large hernias, and in the UK Bovine mesh is used as the tissue is supposed to grow over it.
I would have thought bovine mesh would be the way to go for mine, but my surgeon is adamant they cause trouble - in saying that I have a friend who had heart surgery 16 years ago and they used bovine mesh for that and he has been perfect! So I guess it's down to your surgeon's preference.
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Regular Member

Date Joined Jun 2013
Total Posts : 93
   Posted 10/3/2013 8:35 AM (GMT -6)   
Thanks GC1pink.

I don't know what type of mesh is often used in US. Anyone knows?

I heard pig bowels are also used in UK as mesh with good results.

Veteran Member

Date Joined Oct 2009
Total Posts : 4970
   Posted 10/3/2013 10:09 AM (GMT -6)   
I have a couple of pig mesh repairs, but my hiatus hernia was repaired with my own tissue. I asked my surgeon about it and he said he never uses mesh in hiatus hernia repair any more. In this location there is to much chance or erosion into other tissues. I suspect it may have something to do with the constant motion of the diaphragm.

Regular Member

Date Joined Jun 2013
Total Posts : 93
   Posted 10/3/2013 10:43 AM (GMT -6)   
Thanks Alcie,

How is the stability and effectiveness of hernia repair by using your own tissue?

Forum Moderator

Date Joined Dec 2008
Total Posts : 4961
   Posted 10/4/2013 1:36 AM (GMT -6)   
It works very well. My hernia repair has lasted from my 1st nissen in '06.

It's been through 2 more nissens, a torn esophagus and tore apart wrap, severe dry heaves multiple times.

Take care,
Moderator: GERD/Heartburn, Kidney disease

Nissen 6/06 and 5/09
#3 8/24/11

Regular Member

Date Joined Jun 2013
Total Posts : 93
   Posted 10/4/2013 6:33 AM (GMT -6)   
Opnwhl4, you also used your own tissue to repair your hiatus hernia like alicie? Or you used biological mesh ?

Post Edited (hopegood) : 10/4/2013 8:51:24 PM (GMT-6)

Forum Moderator

Date Joined Feb 2009
Total Posts : 7180
   Posted 10/4/2013 9:42 AM (GMT -6)   
Hi hopegood,
My hernia was repaired with surgeon said that he considered adding mesh, but because "that can cause its own problems" he added a few more stitches, instead.  I had very fragile internal tissue due to steroid usage (I had bad lungs prior to my surgery), and because of that, he took the precaution of adding more stitches for strength. 
I coughed severely and nonstop during my recovery, and my stitches held, even with the steroid-effected tissue.  I believe that mesh can rub on the esophagus and cause erosions.  I'm no expert/doctor, so don't go by my information.  I'm going by my own experience and discussing the issue with my surgeon.
I have had cadaver/biologic mesh used, though, during foot surgery, and had no problems with it.
Good luck with your search for answers!
Take care,
GERD/Heartburn Moderator
Nissen Fundoplication 2/09

"Whatever you fight, you strengthen, and what you resist, persists.”

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“Accept - then act. Whatever the present moment contains, accept it as if you had chosen it. Always work with it, not against it.”
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