TelaBio – ReBAR – Ovitex

Hernia Discussion Forums Hernia Discussion TelaBio – ReBAR – Ovitex

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    • #32468
      Good intentions
      Participant

      Here are some interesting new things from TelaBio, the developers of Ovitex. People who have been around for a few years might remember that Ovitex was fairly well promoted on this forum, with Dr. Towfigh mentioning it often. Not so much anymore, it’s not even clear if she still uses it.

      Regardless, TelaBio has developed a new method of repair, that seems to be focused on finding a new way to use Ovitex. As is similar with their other studies the time frame is relatively short, with just 157 “hernias”. Not clear how many patients. The method apparently uses robotic laparoscopic techniques to suture the hernia defect from the inside then cover the sutured defect with Ovitex. It makes you wonder if the sutures alone would be enough. Where is the control study? Why does the “standard” method of mesh implantation not work with Ovitex? Can this new method be used with synthetic meshes? There does not seem to be a publication of any kind beyond this press release. Anything goes, it seems, in inguinal hernia repair.

      Anyway, it’s fascinating to try to keep up with these technology companies’ efforts to grow their markets. I wonder if anyone will attempt a pure tissue repair via Robotic TAP. that would be impressive.

      https://ir.telabio.com/news-releases/news-release-details/tela-bio-highlights-results-bravo-and-rebar-studies-benefits

      From the press release –

      “Robotic Reinforced Biologic Augmented Repair (ReBAR) of Over 150 Inguinal Hernias: 2-Year Outcomes
      AHS presentation on Wednesday, September 14th, 11:20-11:30 a.m.ET
      This retrospective study examined the two-year recurrence rate of the robotic-assisted reinforced biologic augmented repair (ReBAR) of inguinal hernias from June 2018 to April 2022. All repairs employed the standard robotic transabdominal preperitoneal (rTAPP) approach combined with the novel ReBAR technique, which consists of suture closure of the defect followed by a biologic mesh reinforcement. After two years, only three recurrences were identified from the 157 inguinal hernias repaired using the ReBAR technique – a rate of 1.9%, and only two SSOs were identified in this cohort.”

    • #32471
      William Bryant
      Participant

      https://www.drugwatch.com/hernia-mesh/

      This is quite a good list of manufacturerd and products. Tela is, apparently, one of the smaller players in the “highly lucrative” market.

      The article says a lot of problems with mesh can occur up to 5 years after.

      Is there such a thing as a best mesh?

      There’s been talk if mesh register, it would seem it’s a common sense idea considering there’s so many mesh options.

      Least problematic to most should be easy to identify.

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