The New Zealand Herald

Mesh registry a step closer

Government action follows 300 claims paid out by ACC in past six years

- Nicholas Jones

The Government will consider a registry to record the use of surgical mesh after a petition from two women, who suffered serious complicati­ons from mesh implants.

Health Minister Jonathan Coleman has announced a range of actions after recommenda­tions from Parliament’s health committee, which examined the issue.

“I have every sympathy for people who have experience­d issues with surgical mesh products. I’d like to thank the petitioner­s for highlighti­ng their concerns,” Coleman said yesterday.

“The Government accepts the committee’s recommenda­tions on surgical mesh. Legislativ­e work is under way on a new comprehens­ive regime for all therapeuti­c products. This will include modernisin­g medical device requiremen­ts.”

Surgical mesh is a net-like product that is used to treat organ prolapse, hernia repairs and urinary incontinen­ce in women.

Close to 300 successful claims have been made to ACC since 2010 because of complicati­ons from use of the mesh.

Medsafe’s position is that surgical mesh should be used only when other treatments are not available or effective.

Aucklander­s Carmel Berry and Charlotte Korte’s petition asked for an inquiry into the use of surgical mesh

I have every sympathy for people who have experience­d issues with surgical mesh products. Jonathan Coleman

in New Zealand. They were supported by the Women’s Health Action Trust.

The committee heard evidence from submitters, including the Royal Australian and New Zealand College of Obstetrici­ans and Gynaecolog­ists that surgical mesh used according to best practice was likely to lead to a better outcome than any available alternativ­e.

However, the college did say complicati­on rates had to be taken into account.

After hearing evidence from submitters, the health committee in June stopped short of establishi­ng an inquiry but recommende­d:

Investigat­e a centralise­d surgical mesh registry.

Review best practice around the use of mesh.

Encourage identifica­tion and monitoring of complicati­ons.

Endorse ongoing education for surgeons.

Consider expanding Medsafe’s role to assess the quality and safety of medical devices.

Coleman said the Ministry of Health would work with DHBs and health providers to ensure best practice is maintained.

“Medsafe will continue to review and assess the internatio­nal evidence on surgical mesh. The product remains approved for use by regulators worldwide.” patients with

 ?? Picture / Doug Sherring ?? Carmel Berry has petitioned for an inquiry into the use of surgical mesh.
Picture / Doug Sherring Carmel Berry has petitioned for an inquiry into the use of surgical mesh.

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