I am a true believer in new medical technologies for the betterment of the patients.
These technologies are shattering the limits of medicine and bringing life-saving treatments to life that once seemed impossible.
We especially need them in situations that have no definite treatment options other than surgery like hernia.
Traditionally, hernia repairs relied on stitches alone. However, the demands of daily life caused these repairs to fail in some subset of patients leading to recurrences.
This challenge led to the introduction of mesh, a foreign body called implant made from non absorbable material.
Mesh improved repair strength and significantly reduced recurrence rates.
But, like any innovation, traditional meshes have their limitations:
They are not ideal for infections
In cases of infection or contamination—such as after a intestinal leak—they can pose risks of infection of the mesh.
Chronic pain risks
Permanent meshes can sometimes irritate tissues or nerves, leading to ongoing discomfort in very few patients.
Potential for infection
As a permanent foreign material, traditional meshes can be rejected by few bodies owning to immune reaction.
While traditional meshes are a reliable and widely used option at present, these limitations have spurred ongoing research on better alternatives.
And so today we have bioabsorbable meshes.
Here are 9 reasons why absorbable mesh is gaining traction as a promising alternative:
Fully absorbable
P4HB mesh is designed to do its job and then dissolve naturally within 12–18 months, leaving only healed tissue behind.
Suitable in infected environments
It can be safely used in cases of contamination or infection, expanding its applicability in high-risk situations.
Supports natural healing
The mesh helps your body rebuild strong, healthy tissue and dissolves without leaving permanent material behind.
Lower risk of chronic pain
Because it doesn’t stay in the body, P4HB reduces the likelihood of nerve irritation or long-term discomfort.
Reduces adhesions
Some versions of P4HB mesh feature a coating that helps prevent tissues from sticking together, minimizing complications.
Strong yet flexible
P4HB is designed to provide same strength while adapting to natural body movements.
Body-friendly
As it dissolves, P4HB breaks down into water and carbon dioxide, which the body eliminates naturally.
Promotes smoother recovery
With less inflammation and scarring P4HB supports a more comfortable healing process.
Adaptable to complex cases
From routine hernia repairs to high-risk scenarios, P4HB offers versatility for various surgical needs.
So bioabsorbable meshes are a big step forward, while traditional meshes are still effective and widely used.
I believe each has its place, depending on the patient’s needs, the type of hernia, and the surgeon’s judgment.
Bioabsrbable mesh can be an alternative option in cases like:
When patients do not wish a permanent implant in the body like repairing a umbilical hernia befor pregnancy planning.
If there’s a history of recurrence.
In high-risk or contaminated environments.
Yes, these are more expensive right now, but as it becomes more common, costs will likely to come down.
I am happy that we can offer our patients options which are available anywhere in the world.