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This study: Long-term Follow-up of a Randomized
Sent to Health Experts January 07 05:22 PM

This study: Long-term Follow-up of a Randomized Controlled Trial of Suture Versus Mesh Repair of Incisional HerniaJacobus W. A. Burger, MD; Roland W. Luijendijk, PhD; Wim C. J. Hop, PhD; Jens A. Halm, MD; Emiel G. G. Verdaasdonk, MD; Johannes Jeekel, PhD

Ann Surg 240(4):578-585, 2004. © 2004 Lippincott Williams & Wilkins,
says in Germany 85% of the repairs were suture variety not the mesh which seems by all measures superior. Why is this?
Is there something questionable about the plastics in the mesh that bother German Science? What chemicals leach out of these mesh repairs that could be dangerous on a long term basis? Are they reactive to tea tree oil or DMSO oft used as home remedies?

 

Customer (name blocked for privacy)
Status:  Closed   Value: $15
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January 7 8:27 PM (3 hours and 5 minutes and 50 seconds later)
         
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All foreign bodies have a potential to produce an inflammatory response in individual patients.

Here is a link to a study related to mesh implants used for incisional hernia repair. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Abstract&list_uids=10452261

From article: "Inflammation around alloplastic materials used to repair defects in the abdominal wall persists for many years. There was evidence of long term wound complications as a result of persistent foreign body reactions. Further studies are required to evaluate the long term tissue response to these materials."

There is less adhesion formation with polytetrafluoroethylene and oxidized cellulose. Large pore-sized and low-weight meshes are presently available which are partially absorbable and have more favorable biological properties than the previous types of mesh. The size of the incisional hernia influences the decision as to which technique is used e.g. a small incisional hernia can be easily closed using 2 continuous back and forth sutures (Shouldice technique) however, for a larger incisional hernia this could lead to swelling and discomfort for a patient so that the newer mesh techniques are used. Suture repair of incisional hernia results in higher recurrence rates than mesh repairs. In larger more difficult incisional hernias a wide preperitoneal inlay of a conforming mesh is usually the technique of choice to prevent a large scar and patient discomfort.

As far as specifically reacting to tea tree oil or DMSO, I could not find a study related to this.



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Dr. Hanson -- Doctor (MD)99% Positive Feedback on 820 Health Accepts
Diplomate, American Board of Quality Assurance & Utilization Review Physicians
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January 8 8:42 AM (12 hours and 14 minutes and 15 seconds later)
         
Reply to Dr. Hanson's Post: i'M trying to make a decision on an umbelical repair, I'm 59 years old, and had reservations on the mesh. your information gives me a handle on questions to ask the surgeon. I note the reference you give was from a German study. Are there any additional studies in the US or elesewhere that are directed as specifically as the German study? Perhaps the companies that produce these have published their research?
I'd also like to find info on DMSO and tea tree oil and the plastics mentioned that are used in the meshes.   Actually my question on the plastics is also that there is some question about the chemicals in them mimicing hormones and that is a negative as well.
I'm accepting your first answer as a very nice help in starting this inquiry of mine. If you can direct me to any other studies (the first was excellent, thankyou) on the problems with these implants and in addition the more esoteric issue of hormone mimics and interaction with DMSO tea trea oil or other potential somewhat common things, please let me know.   Sincerely,
Ken Burdick
Customer (name blocked for privacy)
Answer
January 8 9:26 PM (12 hours and 44 minutes and 13 seconds later)
         
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Dr. Hanson -- Doctor (MD)99% Positive Feedback on 820 Health Accepts
Diplomate, American Board of Quality Assurance & Utilization Review Physicians
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