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Re: Recurrent rectoceleFrom: ND84MD@aol.comThu Nov 30 10:02:04 2006
the data is out there to support either approach. the midwest group--michigan, loyola, mayo-- are anti mesh except for brubaker's sacrocolpopexy. they still have significant doubts about TOT vs burch vs TVT. northeast/southeast--- hopkins, emory,-- tend to be more open to augmented repairs. i realize this is a vast oversimplification, but there are two discrete camps. one point many will agree on is that there is definite potential for complications in the posterior compartment with polypropylene mesh; but if biologics, porcine, bovine, are "remolded" do they really offer any suport. favorite new complication-- "hisparunia" pain in male partner related to mesh. i think brubaker came up with that one.
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