Name of the Procedure:

• Common Name: Mesh Implant Surgery
• Technical/Medical Term: HCPCS Procedure Code C1781 - Mesh (implantable)

Summary

Mesh implant surgery involves placing a special type of surgical mesh into the body to provide support for weakened or damaged tissue. This type of procedure is commonly used for hernia repairs where the mesh helps reinforce the affected area.

Purpose

• Medical Conditions Addressed: Hernias (inguinal, umbilical, ventral), pelvic organ prolapse.
• Goals: To provide additional support to the weakened or damaged tissues, reduce the risk of recurrence for hernias, and improve structural integrity of the affected area.

Indications

• Symptoms/Conditions: Noticeable bulge in the abdomen or groin, pain or discomfort in the affected area, increased pressure or weakness.
• Patient Criteria: Patients with diagnosed hernias or pelvic organ prolapse, particularly those who have had a recurrence or whose condition does not respond to conservative treatments.

Preparation

• Pre-Procedure Instructions:
  • fasting for 6-8 hours prior (if general anesthesia is used),
  • stop certain medications as advised by your doctor,
  • arrange for transportation post-procedure.
• Diagnostic Tests: Physical examination, imaging tests such as an ultrasound, CT scan, or MRI may be required.

Procedure Description

1. Step-by-Step Explanation:
   • Anesthesia is administered (local, regional, or general).
   • An incision is made at the site of the hernia.
   • The herniated tissue is pushed back into place.
   • The surgical mesh is placed over the weakened area and secured with sutures, staples, or adhesives.
2. Tools & Equipment: Surgical mesh, sutures, scalpels, clamps, possibly staplers.
3. Anesthesia: General or regional anesthesia, depending on the case specifics and patient’s health condition.

Duration

• Typical Time: The procedure usually takes about 1 to 2 hours.

Setting

• Location: Performed in a hospital operating room or an outpatient surgical center.

Personnel

• Healthcare Professionals: Surgeons, anesthesiologists, surgical nurses, possibly surgical technologists.

Risks and Complications

• Common Risks: Infection, pain, swelling, bruising at the incision site.
• Rare Risks: Mesh migration, adhesion formation, bowel obstruction, mesh rejection, chronic pain.
• Management: Antibiotics for infection, pain management strategies, and follow-up surgeries if necessary.

Benefits

• Expected Benefits: Strengthening of the weakened area, reduced risk of hernia recurrence, relief of discomfort associated with the hernia.
• Timeline: Benefits may be realized immediately post-surgery, with ongoing improvement during recovery.

Recovery

• Post-Procedure Care: Follow doctor's instructions regarding wound care, avoid strenuous activities, and attend follow-up appointments.
• Recovery Time: Generally, 1 to 2 weeks for returning to normal daily activities; complete recovery may take up to 6 weeks.

Alternatives

• Other Treatment Options:
  • Non-Surgical: Physical therapy, lifestyle changes, supportive garments.
  • Surgical: Suture-only repair (without mesh), laparoscopic repair.
• Pros and Cons: Non-surgical options may be less invasive but can be less effective for severe cases; suture-only repair may have a higher recurrence rate compared to mesh implants.

Patient Experience

• During Procedure: The patient will be under anesthesia and should feel no pain.
• After Procedure: Some pain and discomfort are expected; pain management will be provided through medications. Sensations of pressure or mild pain at the surgical site may linger, which will gradually ease.