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Incisional Hernia Recurrence Risk & Post-Surgery Concerns


Question
I had an incisional hernia repair on Jan.9, 2007.  I saw my surgeon for follow up today and of course when I got home, I had questions.  I hope you can help me.  He said I had multiple "swiss cheese" defects and that he put in a large piece of mesh, I think 20 cm.  My question is this.  What will be my risk of recurrance?  I am a nurse in a hospital setting and I am very afraid as once back to work I will be doing heavy lifting on a regular basis.  I like the idea of the large piece of mesh.  It seems that this would actually protect me from further hernia, moreso, than just a smaller piece in one area.  Another question I have is this?  What causes the swiss cheese effect?  Was it the continuous lifting?  Is this caused by separate incidences or is this a phenomonom that pretty much happens all at once when an area is weak?


Thanks so much for the wonderful service you provide!
Cindy

Answer
I am a nurse in a hospital setting and I am very afraid as once back to work I will be doing heavy lifting on a regular basis.  I like the idea of the large piece of mesh.  It seems that this would actually protect me from further hernia, moreso, than just a smaller piece in one area.  What will be my risk of recurrance?  
Answer, with such a large piece it is near to zero

Another question I have is this?  What causes the swiss cheese effect?  
Answer: likely you are in poor physical conditioning

Was it the continuous lifting?  Is this caused by separate incidences or is this a phenomonom that pretty much happens all at once when an area is weak?
Answer: probably over time but due to being so severely out of shape etc.