I've emailed the firm in the UK that makes Permacol (twice). No reply so far. I would be interested to know if they have a list of surgeons in my area (Brighton, UK) that use it. It is showing promise, although it's early days.
Of course, it's still mesh. It's presence still triggers the in-growth of scar tissue & resulting possible nerve entrapment -- which some surgeons are seeing as possibly a key cause of the crippling chronic pain syndromes linked to hernia repair. The advantage, as I understand it (I'm not a doctor--far from it!), is that it is eventually absorbed by the body. Thus at some point, no mesh material remains.
The concept of cutting the nerves has been mentioned very often. Not only does that sound barbaric, even worse, it is apparently NO GUARANTEE that the pain will end.
There needs to be a method that simply avoids all this. From what I've read, the CORRECT (as opposed to "modified") Shouldice method, as practised at the Shouldice Hernia Clinic in Toronto, has virtually NO incidence of this type of chronic pain syndrome. Correct me if I'm wrong, please.
This site is very interesting:
http://www.bmj.com/cgi/eletters/336/7638/2
69#190862
It's recent, from the UK, and it features a number of medical pieces on "watchful waiting" rather than immediate surgery. As one of the articles on this site shows, yes, the med's are indeed aware of the unacceptably high rate of chronic pain and other complications.
They need to come up with a much better, much safer method -- as well as researching possible viable alternatives to surgery. There is virtually NO research on this. It MAY be the case that, with proper care & appropriate medical supervision, not all hernias actually require surgery (??).
Sadly there is no real info on this, apart from a few non-medical sites discussing various "alternatives". Personally I do not dismiss this as silly quackery (but that's just my view). I do believe there MAY be successful long-term control (if not 100% healing) methods out there. However there is almost no documentation or info, because in recent times surgery became so routine.
The fact that some surgeons have denied that mesh could be rejected ("it's made from inert material....therefore it can't be rejected") is disproved by the existence of the phenomenon known as "meshoma". Dr Sedlack of the Capital Hernia Center in Washington DC has a website about "mesh removal", which has apparently become so prevalent that it is now a medical sub-specialty unto itself.
There is now more than enough evidence (tragically) that proves the URGENT need for new methods & alternatives. The more awareness out there, the quicker this MAY happen. I try to live in hope.......