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Good article re removal, complications, reason mesh became the “standard”
Good article, hopefully it will be of interest
https://harpers.org/archive/2021/03/in-the-net-hernia-mesh/
How mesh became the norm (easier/less time in hospital, money saving), from the start makers chevron Phillips knew problems and issued notice saying some types shouldn’t be used in body.
25% after mesh removal may still have problems. But still most glad it’s gone.
Speaking out, going out against grain not easy for doctors.
Relationship between manufacturers and groups and research etc.
Apologies if posted before
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2 Replies
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“All the ‘pros’ about hernia mesh would have been the same for vaginal mesh. Eventually the ‘cons’, or risk of them, outweighed the ‘pros’ and it was banned. Suspect same will happen with hernia mesh.”
Actually transvaginal mesh is only banned in certain parts of the world. The mesh makers continue to sell it wherever they can.
As far as money goes, there’s no conspiracy. It’s just simple free, poorly regulated, market principles. The mesh makers have the funds to support mesh procedure training via funding schools and professional meetings, and professional marketing and sales teams. There is no similar level of funding for pure tissue repairs. The regulatory agencies in the USA have been hollowed out, and are influenced by politics and large corporations. So, the mesh makers have the advantage and they have financial incentives to promote mesh, despite the risk to the welfare of the patients.
A comparable situation is asbestos contaminated talc, used for baby powder. Johnson & Johnson continues to sell it in other countries and spends a portion of the profits on attorneys for legal defense against the law suits. Corporations have no souls.
https://www.hkjgom.org/sites/default/files/pdf/v22n1-37-vaginal.pdf
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When it works it works well but when it goes wrong it’s absolute hell.
But there is more to it than recurrence rate, it’s also easier to learn and do. So time and money saving.
Those are the reasons it’s being used plus it’s a money spinner.
All the ‘pros’ about hernia mesh would have been the same for vaginal mesh. Eventually the ‘cons’, or risk of them, outweighed the ‘pros’ and it was banned. Suspect same will happen with hernia mesh.
Used in needed cases not as norm.
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