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January 1996

The Reccurrence Rate in Hernia Surgery

Author Affiliations

Harlan, Ky

Arch Surg. 1996;131(1):107. doi:10.1001/archsurg.1996.01430130109026

I have reviewed the excellent Commentary by Rutkow in the June 1995 issue of the Archives.1 I agree with much of what Rutkow says; however, I must say that I have heard him speak and his own support of "mesh-based" repairs I believe to be overdone.

In spite of the extensive use of mesh in the last 15 years I still am not sure that we know what the effect of a piece of mesh implanted for periods of 30, 40, and 50 years will be in substantial populations numbering in the thousands.

I marvel that statistics on thousands of patients are presented for which there do not appear to be any severe infections due to the mesh, even though this has been a serious problem in the past. Granted, these infections are infrequent but they are extremely disabling and can render the person unable to work for years

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