I have been noticing a lot of synthetic dissolvables making their way onto the scene lately: Tigr Matrix, Phasix, Bio-A, etc. These are very promising & exciting products for those of us patients that didn’t want a permanent foreign object in them. In fact I even inquired & requested a fully resorbable product before my surgeon put my mesh in, but he told me: “your very well informed but those are years away from being an available option”. If I had been given one of these options I wouldn’t be seeking out removal surgeons now.
Anyhow, I wonder if all of these have been found to dissolve at equal rates in different patient populations?
Most of them seem to dissolve by way of hydrolysis metabolism, like dissolvable sutures do. So when the ingrowth of fibrosis & scar tissue form onto these dissolvables in the first few months, doesn’t it encase the mesh to the point where hydrolysis/metabolism can no longer take place? I mean doesn’t it block bodily fluids from getting to it & metabolizing it at that point when its encased in scar tissue? (leaving it in pieces/fragments looking like a ‘Deep Fried partially Dissolvable’?)
This would only matter because these Dissolvables are designed to take over a year(up to 3 yrs for some) to fully resorb & the scarring/ingrowth process occurs long long before that in most cases…
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