[MinnBobber]

quote Good intentions:

I got Unapproved, Green-screened again, above. I wrote quite a bit of stuff. [USER=”935″]drtowfigh[/USER]

……

• Recurrence rates and long-term performance of biologics do not justify their high cost. However, if the cost were more manageable, recurrences arising from use of biologics would be significantly easier to re-operate on in the long run than reoperations of complications arising from failed synthetic meshes

…….

…………………………………………………………………………………………………………………………………..
a hospital I contacted mentioned the cost of Ovitex being a reason/one reason they don’t use it.

What does Ovitex cost? What does the traditional mesh cost?
Curious minds want to know….

[MinnBobber]

To play “Angel’s Advocate” (not Devil’s) and support Ovitex use: I’ll list what appear to be strong positives for it.

1. The 5% permanent polypropolene polymer that is left after the bio liner goes away sure looks like it’s much better than
the big perm mesh. Dr Tomas in Fort Myers showed me a mesh—if that was what they all looked like—it was a lot of plastic.
I also found a hernia repair study and it basically said, the less mass/less material that is left perm inside you, the more likely you will not have chronic pain/ not have the feeling that there is something foreign inside you.

2. It’s certainly more flexible, would feel more natural in there.

3. From Ovitex:
The biologic material, derived from ovine rumen, is optimized to reduce foreign body response, minimize inflammation, and enable functional tissue remodeling. The interwoven polymer helps provide long-term strength, along with improved handling and load-sharing capability.

I look at Ovitex vs regular mesh and wonder, why isn’t Ovitex the majority product, why would anyone use the big mesh?

Anyone know what Ovitex costs?
I’m inquiring from long distance (FL), back to my home state (MN) about surgery and big hospital with daVinci said Ovitex is too expensive and not used for their surgeries.

Ovitex looks like it would be a big improvement in making mesh surgery much better.

What are the downsides of it? Is it just that there is a very short track record with it??
Interested in hearing discussion, thanks

[MinnBobber]

quote DrBrown:

Dear Pinto.
…..
I would advise a non mesh repair.
Regards.
Bill Brown Md

what do you think of hybrid mesh patches, like Ovitex Reinforced Bio Scaffold (RBS)? It is 95% resorbable.
On the surface, it seems like it might be the best of both worlds—-laproscopic small incisions and only leaves the
mesh framework behind. I believe it can also be done with daVinci.

I was looking at Descarda non-mesh but didn’t like that it depends on a strong external oblique aponeurosis
to serve as a patch to cover floor. What condition is my 69 year old EOA likely to be in? What happens if you’re
in surgery and EOA is not in good shape?

Do you know how much Ovitex patch costs? My local daVinci hospital uses traditional mesh, sewn in place.
They said Ovitex was too expensive. How expensive is it??

Do you perform Desarda or Shouldice or Bassini? By hand or daVinci?
There are so many variables???
Thanks for your help

[MinnBobber]

quote drtowfigh:

Hi there! Welcome to our Forum.
Ovitex offers a hybrid mesh. I use it in patients who are poor candidates for synthetic mesh but require mesh repair. I have had excellent results with it. It is not currently standard for inguinal hernia repair.

Thanks, to me the hybrid 95% resorbable mesh seemed like a much better option. For a senior athlete, would you opt for synthetic mesh OR a hybrid 95% resorbable?
?? With chronic pain case problems, is it more likely caused by tacking in the mesh vs sewing it in??

At home it looks like I have found a daVinci assisted, synthetic mesh, sewn into place. How does that stack up?

Surgeon messaged that they don’t use Ovitex as too expensive and results/studies have been funded by Ovitex maker so
more experience is needed.
How expensive is Ovitex?
Is it worth it as it sounds superior except for cost?

Thanks

Is there any meaningful difference for mesh placed behind the abdominal wall vs over the hole/outside the abdominal wall?

There are a whole lot of variables going on, it seems.