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Patient perceptions on mesh use in hernia repair: A prospective, questionnaire-based study
Raha AlMarzooqi1, Clayton Petro1, Shahed Tish1
1Cleveland Clinic Center for Abdominal Core Health, Digestive Disease and Surgery Institute, Cleveland Clinic Foundation, OH.
Surgery
|February 17, 2020
Summary
Most patients are open to hernia repair with mesh, despite media controversy. Physician communication about mesh advantages and safety can improve patient comfort, while addressing concerns about complications is crucial.
Area of Science:
- Surgical Innovation
- Patient-Reported Outcomes
- Medical Device Perception
Background:
- Growing media attention surrounds mesh use in surgery, yet its impact on patient perception remains unstudied.
- This study addresses the gap by investigating patient views on mesh in hernia repair.
Purpose of the Study:
- To assess patient perceptions of mesh use in hernia repair surgery.
- To identify factors influencing patient opinions regarding mesh in hernia repair.
Main Methods:
- A 16-item questionnaire was administered to 200 patients (100 hernia repair, 100 other surgeries).
- Key outcomes measured included comfort, aversion, and belief in mesh safety for hernia repair.
Main Results:
- Media was the primary influence for both groups (37-40%).
- Comfort with mesh repair was linked to belief in safety and hearing about advantages from medical professionals (P < .001).
- Factors like male sex, higher socioeconomic status, and personal experience positively influenced belief in mesh safety, while female sex and hearing about complications or pain negatively influenced aversion.
Conclusions:
- Most patients are not opposed to mesh in hernia repair, despite widespread non-medical information.
- Physicians should proactively address patient concerns regarding mesh complications to improve acceptance.
