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British Medical Journal – recent study about hernia mesh complications
Recent study of non suspicious BMJ (British Medical Journal) about mesh surgery chronic pain (up to 30% incidence):
Hernia mesh complications may have affected up to 170 000 patients, investigation finds – BMJ 27 September 2018
https://doi.org/10.1136/bmj.k4104 -
4 Replies
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quote paco:Many of my friends who have had hernia repair on the early days before the advent of meshes are all perfect and without recurrence or pain after years. So after all such techniques maybe are not so bad.Anecdotally, and I will preface this by saying that none of them are particularly overweight, but everyone who I personally know who had a classic non-mesh repair has never had any pain or recurrence, granted most of those repairs were done 15+ years ago when it was still routine to use a tissue repair. That could suggest that back when non-mesh repairs were routinely taught in medical school and practiced regularly, it was a perfectly acceptable solution for most patients who are/were not obese, with very low complication rates.
The tissue repairs are very complex, it is an art and a skill that undoubtedly requires practice and extensive experience to learn and master. Clearly it is still relevant and desired by many patients, so it’s a shame that it is not as widely available today.
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quote paco:The transvaginal mesh is a crime for many women, as like than hernia meshes, since their removal is maybe more complex and difficult to accomplish.
I’ve read “doctors suggesting anal intercourse as a solution”. A total lack of humanity.I think that all surgeons must consider seriously waste some time performing previous screening tests (allergies, immunologic…) and evaluating age, youth, weight, is patient overweight? skinny?…, physical condition, athlete vs non athlete and carefully choice the type of mesh or “non-mesh at all alternative” accordingly, as well back to faculty and re-learn anatomy and classical anatomical repair techniques before put indiscriminately the first piece of “orange plastic mesh bag” they found.
Many of my friends who have had hernia repair on the early days before the advent of meshes are all perfect and without recurrence or pain after years. So after all such techniques maybe are not so bad.
A question: Would a surgeon allow a mesh to be placed inside its own body? Much as like many ophthalmologist wear glasses, or hair dermatologists are bald like a fucking orange?
Humanity and empathy please. Wish they work on it.
Dear paco NO!!! A question: Would You allow profit driven surgeon to place mesh inside your own body? Who cares about him.
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The transvaginal mesh is a crime for many women, as like than hernia meshes, since their removal is maybe more complex and difficult to accomplish.
I’ve read “doctors suggesting anal intercourse as a solution”. A total lack of humanity.I think that all surgeons must consider seriously waste some time performing previous screening tests (allergies, immunologic…) and evaluating age, youth, weight, is patient overweight? skinny?…, physical condition, athlete vs non athlete and carefully choice the type of mesh or “non-mesh at all alternative” accordingly, as well back to faculty and re-learn anatomy and classical anatomical repair techniques before put indiscriminately the first piece of “orange plastic mesh bag” they found.
Many of my friends who have had hernia repair on the early days before the advent of meshes are all perfect and without recurrence or pain after years. So after all such techniques maybe are not so bad.
A question: Would a surgeon allow a mesh to be placed inside its own body? Much as like many ophthalmologist wear glasses, or hair dermatologists are bald like a fucking orange?
Humanity and empathy please. Wish they work on it.
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Related in terms of mesh, unrelated in terms of the same surgery, is an interesting new article from BMJ titled: [h=1]”How mesh became a four letter word”[/h] https://www.bmj.com/content/363/bmj.k4137
“When it was introduced in 1998 as a novel surgical treatment for stress urinary incontinence, the polypropylene mesh sling was hailed as a quick and easy remedy for women and eagerly adopted by surgeons. Twenty years later, amid claims that it has left many thousands of women around the world irreversibly harmed, mesh is at the centre of a storm of protest that has launched tens of thousands of compensation claims, divided the medical profession, exposed major flaws in regulatory procedures, and raised serious questions about the financial relations between clinicians and researchers and the manufacturers of devices that outraged campaigners say are not fit for purpose.”
This is for vaginal mesh…. but does this not sound familiar in terms of hernia mesh issues?
I wonder if women are just much better at organizing around an obvious problem to get it addressed? Perhaps a similar movement will eventually organize around hernia complications.
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