Alternatives to mesh

John,
My apologies for the delay. The two products that Dr. Earle has mentioned are 2/3 that I was referring to. I have not put either of those products in for an inguinal hernia. The 3rd product that I was referring to is one by a new company called TelaBio that Dr. Towfigh, Dr. Stephen Ferzoco from Boston, and myself have all used and recently just had a poster at the American Hernia Society regarding. This particular product combined biologic with a sewn in macroporous permanent synthetic mesh. In my experience it was pliable and we did not see any ill affects. Dr. Ferzoco put the largest number in inguinal hernias out of the 3 of us I believe and he reported no issues up to this point at about a year out. I will say that these meshes are unproven for long term results as Dr. Earle so eloquently pointed out. I will say that I will be launching this mesh again in my practice in the next 2-4 weeks. The first product will be completely resorbable/remodeled without synthetic mesh at all. I plan to combine this with a traditional tissue repair for added strength. In the 4-8 week time frame I will be once again using the bio+sythetic mesh again hopefully. If you know anyone needing a hernia repair that is interested in this type of mesh and being part of the initial experience please have them contact me. In addition if you would like to speak with Dr. Ferzoco directly about his patients experience in more detail let me know and I will see if I can arrange with him. Indiana Hernia Center 317-660-5326 pszotek@gmail.com