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
Morfesis FA. The Reccurrence Rate in Hernia Surgery. Arch Surg. 1996;131(1):107. doi:10.1001/archsurg.1996.01430130109026