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By definition I think that he is being disingenuous when he talks about mesh repairs. An honest assessment of his pure tissue repairs would talk about the quality of life for the 40 years that he had with a pure tissue repair, not just the recurrence at the end. Ignoring the quality of life issue is willful ignorance of the main problem of mesh.
But, it would interfere with his goal of having his name tied to laparoscopic mesh implantation as one of the “inventors”. His legacy.
I sometimes wonder if his high level of activity, traveling the world spreading the 10 Golden Rules, is because it takes his mind off of the discomfort of the mesh implants. Who knows. Maybe he’ll become a convert someday.