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Perceptions and understanding about mesh and hernia surgery: What do patients really think?
Sharbel A Elhage1, Otto N Thielen1, Javier Otero1
1Division of Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC.
Surgery
|January 19, 2021
Summary
Patient concerns about surgical mesh in hernia repair are common, especially among those who research online, females, and recurrent hernia patients. Preoperative education significantly eased anxiety and improved mesh acceptance.
Area of Science:
- Hernia Surgery
- Surgical Mesh
- Patient Perceptions
Background:
- Surgical mesh for hernia repair faces public scrutiny due to litigation and patient testimonials.
- Understanding patient perceptions is crucial amidst widespread media coverage.
Purpose of the Study:
- To evaluate patient perceptions of surgical mesh in hernia repair.
- To identify factors influencing patient concerns regarding mesh use.
Main Methods:
- A 16-question survey administered to 202 patients pre-operatively at a tertiary hernia center.
- Data collected by trained analysts before surgeon interaction.
Main Results:
- 45.1% of patients believed mesh caused complications, and 38.2% expressed concerns.
- Independent research, female gender, and recurrent hernias correlated with increased mesh concerns.
- Patients with recurrent or incisional hernias had more negative outlooks on complications and recovery.
Conclusions:
- Patient awareness of mesh complications is high, with specific demographics showing greater concern.
- Preoperative education and discussion about mesh choice effectively reduced patient anxiety and facilitated mesh repair acceptance.

