Mesh removal is becoming a mainstream procedure

Hernia Discussion Forums Hernia Discussion Mesh removal is becoming a mainstream procedure

  • This topic has 3 replies, 2 voices, and was last updated 1 week ago by MarkT.
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    • #30422
      Good intentions
      Participant

      I might have posted something similar in the past but i can’t find it. Here is a study comparing different ways to remove mesh. The problem has become big enough that it cannot be ignored anymore. SAGES has given the topic a platform. Looks like just an abstract, probably a poster in the exhibit hall, but still a start.

      https://www.generalsurgerynews.com/In-the-News/Article/01-22/Mesh-Removal-How-Much-Does-Surgical-Approach-Matter-/65785

      Excerpt –

      “Dr. Huynh noted that mesh removal is safe and effective for treating chronic postoperative inguinal pain in the right patients, regardless of the approach taken. “Due to the reoperative setting and distorted anatomy, these cases should be approached judiciously by surgeons who are practiced in it,” Dr. Huynh said. “Based on our group’s own experience and trends in this data set, we prefer a robotic approach when appropriate. However, we continue to regularly employ the open and laparoscopic techniques when necessary.” “

    • #30423
      Good intentions
      Participant

      Here is a publication by the authors on the subject. More good places to consider for mesh removal. Dr. Towfigh is a co-author.

      Unfortunately, despite the efforts to make patients responsible for being “informed” so that they can take responsibility for their decisions, the main article is a pay-per-view article. Everything comes back to money.

      https://link.springer.com/article/10.1007/s00464-021-08963-4

      Three of the authors are from Cedars-Sinai Medical Center, and two are from the Beverly Hills Hernia Center.

      Here is the head author’s address:

      Desmond Huynh, Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA

    • #30424
      Good intentions
      Participant

      The first comment to the GSN article is interesting. The doctor missed the opportunity to describe the method and materials that have worked over the years for him though. But his point is valid.

      https://www.generalsurgerynews.com/In-the-News/Article/01-22/Mesh-Removal-How-Much-Does-Surgical-Approach-Matter-/65785

      “Rafaellugomd wrote on: 1/11/2022 3:21:02 PM (EST) 2 days ago.
      I looked at the numbers and what stands out to me is that in 23 years doing inguinal hernias in the same city and practice, I have never removed a single mesh and this group has all these patients to remove meshes. The question I have is why? Why so many? Is there a problem with the technique when these are placed? “

    • #30425
      MarkT
      Participant

      A quick note on study ‘paywalls’…

      If you know anyone who attends a university (or has a kid in a university), you can ask them to try and pull a copy of the study through their school library’s online database. It is free for them, takes literally a few minutes to find and download/print, and they can do this from home. Not *all* studies will be accessible by students at any given school.

      Alternately, virtually all studies include contact info (email + school/institution) for the authors and a primary contact is often indicated for correspondence (otherwise, contact the first author). More often than not, they will be willing to email you a copy of the study and they are typically happy to learn that someone is interested in their work. They might even point you to some additional resources.

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