Plugs are evil, should be avoided, surgeon invents the “mother of all plugs”
This article just popped up, coincidentally to a recent post I made. I have posted about Dr. Amato in the past. He designed a new plug and patch device, but doesn’t call it a plug and patch. He owns the patent on the design. And, what seems to be a peer-reviewed journal has published what looks like an advertisement for the new product. It’s hard to comprehend.
It’s a plug and patch. With a large springy plug instead of a flower-shaped folded plug. The large springy bundle of polypropylene is sitting next to the spermatic cord. Supposedly the springiness of the plug causes the body to treat it differently. Hard to imagine.
There are pictures. At least one patient got three devices in one procedure.
“Fixation free laparoscopic obliteration of inguinal hernia defects with the 3D dynamic responsive scaffold ProFlor
Giuseppe Amato, Antonino Agrusa, Pietro Giorgio Calò, Giuseppe Di Buono, Salvatore Buscemi, Adriana Cordova, Guido Zanghì & Giorgio Romano
Scientific Reports volume 12, Article number: 18971 (2022) ”
No details about long-term chronic pain. A single statement that says none was “reported”. No evidence of an actual survey, no data referenced (should have been called out by a referee). Sketchy. They must know how to do a proper pain survey. But they apparently did not do one.
“No sense of foreign body, discomfort, or chronic pain was reported among the operated patients, even long term. In a follow up, from 36 to 6 months, no recurrence occurred in any patients of the cohort. All data of the postoperative outcomes are detailed in Table 3. Postoperative pain, assessed with the VAS scale, showed very low-pain scores starting from the first post-operative day.”
Dr. Giuseppe Amato is the developer and patent owner of the device being discussed in the article, despite in the recent past he had financial/commercial relationships, such connections are not present at the moment. Drs. Antonino Agrusa, Pietro Giorgio Calò, Giuseppe Di Buono, Salvatore Buscemi, Adriana Cordova, Guido Zanghì and Giorgio Romano have no conflict of interest or financial ties to disclose. Overall, except those disclosed by Dr. Giuseppe Amato, there are no other relationships or activities to declare that could have potentially influenced the outcomes of the submitted work.”
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