An algorithm for managing patients who have Composix Kugel ventral hernia mesh

Composix Kugel (CK) mesh is a prosthetic available since 2000 for ventral hernia repair. A recent voluntary, class I recall of CK has caused concern regarding implantable medical devices and has caused many patients to seek medical attention and advice related to their hernia repair. Surgeons are required to answer many patient inquiries and address their concerns. Although the Food and Drug Administration (FDA) warnings can help guide surgeons in dealing with events such as this recall, detailed information and algorithms are lacking. We present information regarding the composite mesh recall and propose an algorithm for the management of patients who have had this mesh implanted.