Physiomesh Flexible Composite is a brand of hernia mesh. Johnson & Johnson subsidiary Ethicon manufactures it. Ethicon pulled a version of Physiomesh off the market in 2016. High failure rates led to hernias recurring.
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Recurrence was the most common complication before the hernia mesh’s invention. Research is mixed on how long a mesh hernia repair will last. A 2022 study followed 100 patients for ten years after a ventral abdominal hernia repair.
No recurrence was recorded after three years, while about 10% had a recurrence after roughly eight years. Two patients had a central breakdown of the mesh at about seven years. Mesh had stretched across the defect by an average of 21%. Mechanical testing showed that the mesh lost its elasticity at low forces.
Ethicon used to manufacture two versions of the mesh.
One version used in minimally-invasive hernia surgeries had high failure rates. In 2016, Ethicon removed that version from the global market.
Ethicon’s 2017 product catalog showed that the company still marketed a Physiomesh version for open hernia repairs. Open repairs are traditional surgery techniques.
What Is Physiomesh?
Physiomesh is a coated surgical mesh used in hernia repairs. The mesh is made from polypropylene, a type of plastic. It is sandwiched between two thick synthetic film layers. The patient’s body absorbs the laminated film coating over time.
The U.S. Food and Drug Administration approved Physiomesh in 2010.
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