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UK Mesh Report- A Whitewash?

Sling The Mesh rally at Parliament, July 18, 2017, CambTimes

Mesh Medical Device News Desk, July 26, 2017 ~ A report from the UK government stops short of calling for an outright mesh ban such as is underway in Scotland.

Anger is erupting at a newly released government report on transvaginal mesh.

The report released this week is here.

At least 7,800 women in the UK have been implanted with polypropylene transvaginal mesh used to treat incontinence and pelvic organ prolapse.

U.S. manufacturers export their meshes globally so mesh injuries are showing up in Australia and New Zealand, Israel, Scotland, Ireland, Britain, So. Africa, among other countries.

The Daily Mail reports the three-year investigation by NHS England calls for a helpline to support victims and concludes there are many more women then are known who have been injured by surgical mesh, but it rejects calls for a ban.

The report says surgeons should be adequately trained to implant pelvic mesh.  At the present time, any gynecologists can implant mesh. And it says women should receive informed consent. What is rarely discussed is what constitutes “Informed Consent” since no one agrees on an estimated number of injuries expected to occur from various mesh implant procedures.

 

Talks about informed consent, improving reporting and offering all appropriate treatments, non surgical mesh and non-mesh to patients.  But what is informed consent? And how can doctors deliver it when they don’t agree on the percentage of complications?

The summary talks about ideals, goals and best practices, the use of a national database and appraisal system- things not practically in force now. If anything it encourages surgeons to be performing at least 20 sub-urethral slings procedures every year to stay current.

The group still support the use of mesh for incontinence although encourages further research.

As far as mesh for pelvic organ prolapse or POP?

“The use of vaginal mesh in primary procedures to treat POP is not supported by the current evidence and this should not be offered routinely for the first surgical intervention.”

This is also the standing of the FDA because of the awareness of complications that arise later after the procedure, even up to ten years after a POP mesh implant.

 

MESH COMPLICATION REPORTING 

Teresa Hughes

The “Yellow Card” is a reporting system that is supposed to record adverse event, not unlike the MAUDE system that is part of the U.S. Food and Drug Administration.  Sling The Mesh campaigner, Kath Sansom tells Mesh News Desk no one is aware of it so it is not used.  This report urges women to make their complication reports to the Yellow Card.

The Daily Mail quotes Teresa Hughes who has been an active mesh campaigner after her implant in 2006. “All the doctors I’ve seen think this material should be banned. We wanted a proper register of how many meshes were implanted, how many were removed and mandatory reporting of problems to get a scale of the problem.  ‘This inquiry and the way we have been dealt with has been utterly disgraceful, and whitewash is the only word for this report.’

Hughes was one of seven representatives from victims group who reported to the Mesh Oversight Group, headed by the National Health Service.

The Daily Mail reports one year after the group was formed three years ago, the group stopped intake from involved doctors.

Dr. Suzy Elneil tells the newspaper she thinks the government hopes this problem will just go away.

“They insist the complications are only 1 to 3 percent, but that’s ignoring data showing complications averaging up to 40 percent in some studies.” 

Anti-mesh campaigns criticize the Mesh Oversight Group for having conflicts of interest with industry that makes mesh implants.

An interim report was issued by the Mesh Working Group in December 2015 here. 

While it encourages more reporting of adverse events and collection of that data, informed consent is important and should be reviewed every two years. Informed consent might take longer.  It does not call for any ban into the procedure or on the use of transvaginal mesh.

The question was would it be another whitewash as campaigners called the Scottish report on mesh, which is here. (March 2017).  ### 

7 Comments

  1. Doug smith says:

    This stuff ruined my wife and thousands of others lives, and has to be stopped. This report is a complete and blatant denial of this dangerous lethal poisons capabilities.

    • Jane Akre says:

      It really is quite unbelievable. If I told you ten planes will take off from the airport today. One if them will crash. Would that be okay to keep flying? Wouldn’t we want to find out why the one of ten crashed? Now what if it was two or three out of ten?!!! HUH??! Of course not. All flights would be stopped immediately. Why is it not the same for mesh? Stop implanting polypropylene permanently into bodies until the mechanical and chemical properties are understood. Doesn’t that make sense? Isn’t that the Precautionary Principle? Isn’t that humane?

  2. Disgusted says:

    They don’t care. It still makes money. Then they can blame high costs on torts. Claiming not illegal. Unbelievable. Mine is still being sold and one of their warnings is it May have to be removed. They know it was meant to be permanent. It now sounds like it’s removable. No mention of loss of life, sex life or any damages. Sickening!!

  3. Lynda P says:

    It is terrible what is happening to thousands of people .. not informed about mesh complications many are in pain
    and suffer unable to have a life,go work .. testing for safety is a joke we’re a few rats were only used was not tested for long term implants .. it’s made of synthetic polypropylene and chemicals which are not meant to be put into a human body it’s toxic crap was aloud to be sold ..because it easy to be implanted takes last time and hospital stays ..Drs are take hand outs from the manufactures to endorse their product
    People are suffering but no. One cares as long as it sold more people are going to suffer and it used in Hernia repairs … and their must be a lot who do not know that synthetic mesh has been used … All mesh needs to be band and investigated befor more people are used for profits … it a terrible thing that is happening
    or

  4. Lordhelpus says:

    I’m so sick of these monsters. If the mesh is so safe then why won’t they put them in their bodies. I challenge them to put their money where their mouth is. Go ahead and prove us all wrong!! Idiots…

  5. Teresa Hughes says:

    To say it is a whitewash is an understatement. We patient members those 2 that were left and who had not resigned should have had our views published. Instead they put into this report a statement from a non injured woman Lesley Briggs who is a patient member of The RCOG in the UK.

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