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Mesh Sutures
Thanks. I know, as do the other experts on the discussion feed, Dr. Dumanian well and am aware that he his developing these sutures and technique. I personally have not used these sutures in a live OR setting. I have tested them in various laboratory scenarios. I suspect there is a very select number of surgeons that would have tried these sutures and even in that case I would recommend going straight to Dr. Dumanian for repair with this technique if you are interested in this repair as he is the founder of the operation and the sutures. The idea is that the larger surface area of the mesh sutures will integrate into the tissue and prevent the sutures from cutting through the tissue and or pulling out. I think in many ways the concept makes sense but I do not suspect that the sutures alone will replace a sheet of mesh in the repair of a hernia although this is merely speculation without long term data. In general I would recommend turning directly to Dr. Dumanian for the best results and more information on his particular technique as he has the best knowledge related to the use of these sutures.
I hope that helps a bit and sorry about the lack of experience with these sutures in particular and the lack of long term equivalence/superiority/inferiority data on these sutures.
Dr. Szotek