Mesh – Is it the Cause of the Problem? SAGES 2019
Here’s another presentation from the same meeting. Dr. Orenstein is a teacher at OHSU, one of the premier medical universities in the Pacific Northwest. So, the things he is presenting here are probably the things that he is teaching his medical students.
I saw the title and the presenter and was really hoping for more objectivity. But, as you can see, he has hand-picked a few, a very sparse selection, of the many publications out there in the world, to support the use of mesh. But ignored the ones that show that mesh usage correlates with chronic pain. His final slides are really hard to watch.
He also showed a slide with the legal issues that people find on the internet, implying that it’s the lawyers causing fear of mesh.
People that use the legal profession as the reason for mesh fear never seem to ask why there are no large number of lawsuits for pure tissue repairs, or appendectomies, or gall bladder removals. Or the rods and screws used to repair broken bones. Hundreds of thousands of medical procedures performed with insignificant lawsuits. Yet, somehow, the lawyers have chosen mesh as a target. It’s not rational to assume that lawyers have created this issue. But it makes a good foil, I assume. I feel embarrassed for the professionals that do that. They must know better. But it’s normal to find a reason to keep doing what you’re invested so much time working on.
Finally, he showed a plug removal slide, and said “plugs are bad” and should be avoided. but did not show any flat mesh removal work, at all, even though they do those at OHSU also. Just avoided that inconsistency entirely.
This is from 2019 so you can see that mesh has very solid support behind it and will continue to be used at high volume, no matter what the data shows.
- This discussion was modified 2 years, 6 months ago by Good intentions.
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