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Composix Kugel Hernia Patch

There are over 750,000 hernia repair surgeries per year in the United States. The Bard® Composix® Kugel Mesh Patch is used in hernia repair surgery. Developed by Dr. Robert D. Kugel, the patch was designed to repair ventral hernias caused by thinning or stretching of scar tissue that can occur around incisions after surgery, reduce recovery time and decrease the rate of hernias from recurring. The primary component of the patch is a memory recoil ring that causes the patch to spring open after the surgeon folds it flat to insert it into the body.

Unfortunately, this recoil ring has been known to break due to the stress of placing it in the body, causing some serious problems in many patients that have led to further surgeries to repair bowel perforations and the removal of the patch.

Complications that have arisen from the Bard Composix Kugel Mesh Patch include the following:

• Migration of recoil ring
• Breakage of recoil ring
• Abdominal pain
• Bowel perforation
• Chronic enteric fistulas
• Unnatural connections / tissue growth between bowels, intestines and other organs

In December of 2005, the FDA first recalled the Composix Kugel Mesh Patch. Since then, the FDA has had to issue another five recalls for various types of Kugel patches (see chart below).

According to the FDA, the reason for the recalls is:

"The 'memory recoil ring' that opens the Bard® Composix® Kugel® Mesh Patch can break under the stress of placement of the large sized products in the intra-abdominal (inside the belly area) space. This can lead to bowel perforations (rupture) and/or chronic (recurring) intestinal fistulae (abnormal connections or passageways between the intestines and other organs)."