Lately there have been several concerns about safety of synthetic mesh for surgery in the pelvis. Migration of the mesh, erosion into adjacent bowel, formation of dense adhesions and chronic pain have been described in several studies and there also have been some high profile legal cases. The alternative use of biological mesh has been tried, however the main problem with that is the extremely high cost of that mesh. Biological mesh also has less strength and shrinks more than synthetic mesh and its long term efficacy has not been reported yet.
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