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Finding no-mesh inguinal hernia surgeons on west coast?
There is no study that shows polypropylene or other mesh can cause autoimmune disorder. There is also no study to confirm that those with autoimmune disorders do worse with mesh.
Anecdotally, I have treated patients whose autoimmune disorder flared up or presented with an autoimmune disorder soon after mesh implantation. In some, removal of mesh reduced their symptoms. In others, there was no change.
In short, we don’t know enough to answer this question. In my practice, I tend not to place mesh in patients with lupus, rheumatoid arthritis, fibromyalgia.