Mesh Surgery Awareness: Risks, Complications, and Treatments Revealed
Discover the hidden truths about mesh surgery, with insights on the risks, complications, and alternative treatments. Learn about the need for informed consent, long-term monitoring, and advocating for patient safety. Make an informed decision before opting for mesh surgery.
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Presentation Transcript
An Exercise in Awareness... 23% of mesh patients polled following mesh surgery had never been offered conservative treatment Many offered mesh for mild incontinence Pelvic Floor Muscle Training is proven to be an effective treatment for SUI PFMT significantly improves QoL https://www.ncbi.nlm.nih.gov/pubmed/29844662
A Permanent Problem Neither risks nor permanence are communicated Complications typically arise between 30 days and 5 years Examples in mesh community of issues arising much later Largest ever study of 98K women found 9,8% complication following SUI mesh 9,8% experience 1:10 is too High!! 1:10 is too High!! Impact to QoL is dramatic https://www.nature.com/articles/s41598-017-11821-w
Life after removal Pain resolves in approx. half cases following removal Risk of POP increased Incontinence can be severe, even if originally mild Patients should be informed Patients should be informed prior to implantation! prior to implantation! https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4055867/
Change is needed Risks have been known since 1995 Corruption in study data due to financial conflicts of interest Bigger problem than just mesh even Cochrane See Nov 8threlease on BMJ Peter C G tzsche (founding member) We believe YOU are part of the solution We believe YOU are part of the solution https://blogs.bmj.com/bmj/2018/11/08/peter-c-gotzsche-cochrane-no-longer-a-collaboration/
Vad vill vi? Moratorium. Utredning om s kerhet. Fler fysioterapeuter inriktade p b ckenbotten. Prolaps- och inkontinensn t endast som sista utv g. Diskussion om ALLA alternativ. B ttre information om samtliga risker f re operationen. Genuint informerat samtycke. L ngsiktig uppf ljning. B ttre enk ter.
Vad vill vi? Sp rbarhet. Register/databas. Streckkoder. Diagnoskoder. L kare som kan avl gsna n t. Tidigare kirurgiska metoder v ck liv i kunskaperna. Anm l till IVO och LMV. Patienter m ste f m jlighet att anm la v rdskador till IVO igen. G r det enklare f r patienter att anm la medicintekniska produkter till LMV. Lyssna p oss. Tro oss. Och hj lp oss.
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