Surgical training and research in mesh complications

Abstract

Objective:: To review and summarize the peer-reviewed literature for Surgical Training and Research in Mesh Complications. Methods:: An international author team reviewed available published literature. Results:: This paper reviews the current training situation and recognizes there are no fellowships globally which specifically train in mesh removal/ complications. The UK has recently launched a mesh complications training pathway pilot. New Zealand has recently implemented a credentialing framework for pelvic floor procedures including mesh removal and undertaken national credentialing of surgeons. A proposed training pathway is outlined including training sequence, the training setting, and a modular pathway of training.The authors acknowledge that there is very limited research and evidence for management of mesh complications. Several important research questions are suggested for future research. Future projects for collaborative research are proposed including registries, and development of improved patient education materials for pelvic floor conditions to improve shared decision making.

Keywords

• Mesh complications
• Mesh removal
• Outcomes
• Training
• Credentialing
• Surgical volumes