Dr. Cl?ona Murphy:

When describing options for complications of procedures, one has to give all of them, including conservative, interventional and so on. The types of procedures that can be done after a complication are, covering or division of the mesh, partial or full excision and complete removal. They are all options, if one reads any of the papers. With regard to pain, there is good evidence to say that if there is no mesh abnormality found, in that the mesh is not extruding and it is not in the wrong place, in fact, removal of the mesh can even have persistence of pain in up to 42% of people. It can depend on the presenting complaint and the best option. I would not say it is the fact the expertise is not there but it is along the lines that we know that anywhere between 15% and 20% of people can have further complications after removal of mesh. There is a duty of care, in the first instance, when one is doing a primary procedure in medicine, to offer all of the options and to counsel appropriately. There is also a duty of care not to make a situation worse or to offer-----