Does hernia mesh need to come out the same way it goes in

No. I have seen several bloggers say that it does and that other doctors are saying so. This is mostly just bloggers but if other doctors are saying this it is the voice of inexperience. I have heard of many serious disasters and near deaths from attempted laparoscopic removal of laparoscopic mesh. I do a formal laparotomy with the incision from the belly button to the pubic bone. My blogger critics that this is unethical which is rediculus. Laparoscopic or robotic surgery is not safer than open surgery with an incision. Even this being open surgery it is ambulatory surgery. Takes an hour and a half, not 4 hours. My main concern is saftey, not appealing to lizard brains.

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