Scotland

Call for US expert to operate on mesh implant victims

Reporter holding up a surgical mesh
Image caption The mesh implants are used to ease incontinence and to support organs

Campaigners have called for a specialist surgeon from the US to be allowed to help people with problems caused by vaginal mesh implants.

Hundreds of women say the procedure has ruined their lives.

Dr Dionysios Veronikis has offered to come to Scotland and operate on women who have suffered severe pain since the implants.

The Scottish government said it was open to discussions with health boards on the funding of additional training.

Mesh implants are used by surgeons to treat conditions which some women suffer after childbirth, with the synthetic substance used to repair damaged or weakened tissue.

The use of mesh in Scotland was suspended in all but "exceptional circumstances" in 2014 after it emerged some women had suffered painful side-effects but the procedure has still been used hundreds of times since.

Image caption Mary McLaughlin had been in constant physical pain following a Mesh procedure in 2008 but says its removal by Dr Dionysios Veronikis has transformed her life

Campaigners are calling on the Scottish government to allow Dr Veronikis, who has successfully removed hundreds of implants, to be allowed to operate on Scottish women.

Irish mesh campaigner Mary McLaughlin was operated on by Dr Veronikis in January after paying about £5,000 for the procedure. She said it had transformed her life.

"I don't like the word miraculous but the day after surgery I was able to stand up and was able to walk with a normal gait to the bathroom," she told the BBC's Good Morning Scotland programme.

"Since then I wake up every morning to see if the pains in my legs come back and they don't.

"There is no longer a wobble when I stand up, I can bend down to get stuff out of a cupboard which I couldn't do and I am driving again, which i couldn't do."

'The ball has been dropped'

Law lecturer Ms McLaughlin, from Belfast, said she found out about Dr Veronikis on the internet and claimed that his kind of surgical expertise is not available on the NHS.

She added: "The government has had 20 years for tea and sympathy conversations with patients with mesh, and it has to be admitted that the ball has been dropped.

"There are no full removals in Scotland, England, Wales or Northern Ireland

"The surgeons use a small piecemeal approach where they take a little bit of the mesh out, see how the patient fares and then take another little bit of the mesh out.

"Dr Veronikis does this operation in one."


What are mesh implants?

Image copyright Getty Images
  • Over the past 20 years, more than 100,000 women across the UK have had transvaginal mesh implants, which are used to treat pelvic organ prolapse (POP) and stress urinary incontinence (SUI), often after childbirth.
  • The mesh, usually made from synthetic polypropylene, is intended to repair damaged or weakened tissue.
  • While the vast majority of women suffer no side-effects, others have reported chronic and debilitating pain, with some being left unable to walk.

Mesh campaigners say thousands of Scottish women are suffering the effects of mesh implants and almost 600 are taking legal action over the procedures.

Last year a Scottish government-commissioned report was critical of the way a previous review of the procedure was carried out, saying it suffered "systemic" failings and potential conflicts of interest.

Image caption The mesh is made of polypropylene, a type of plastic

NHS England has recently curbed the use of mesh on safety grounds, although it is still available as a treatment of last resort for some.

If Dr Veronikis was going to operate in this country he would have to be registered with the General Medical Council as is the case with all British surgeons.

A Scottish government spokeswoman said: "We know there are many patients who have suffered pain and life-changing complications following mesh implant procedures - and we sympathise hugely with them and their families.

"Health boards are aware that Dr Veronikis has been reported as being willing to visit Scotland. While boards are directly responsible for surgical staff and their development, we would be happy to discuss with both boards and professionals funding of additional education and training where a specific need is identified.

"Full mesh removal, where this is the correct course of action, has already been provided by specialist staff working here in Scotland. The decision to remove mesh will be made by the patient in consultation with her clinician and will take into account her particular circumstances."