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thanks for the advice. I have read so many bad stories of that 3D Max mesh, I hope it has been pulled from sale. One thing I hate about this is the constant changes they make for marketing purposes to add unnecessary gadgets and gizmos like multiple layer “systems”, plugs, shaped or rigid mesh, expansion springs, etc. None of this was ever for patient benefit.
The lack of suture options is frustrating. Shouldice hospital is one of the last bastions of high volume suture repair left, that is amazing to me. If not for them, there may have been no high volume data left that could demonstrate that a suture can be effective in the right hands. It makes me feel like I must be crazy for considering a mesh-free repair.