Which Mesh System
In my practice, I treat patients with known autoimmune disorder differently than others. These are patients with diagnoses such as lupus, rheumatoid arthritis, fibromyalgia. I have noticed that they respond with a heightened inflammatory repost we to injury (or surgery). Since mesh typically exerts an inflammatory response as part of the healing, I either perform a pure tissue repair or I implant mesh that has the lowest risk for inflammatory response. These include some biologic mesh, some new hybrid mesh products, and new PTFE or PVDF based mesh products.