TVM Litigation Replace: Transobturator slings AND protection specialists are updated

Dr. Greg Vigna

Seasoned defense professionals downplay or leave out the complaints of seriously injured women who come to care for them.

Our position is that the use of TOTs does not make sense because the risk of neurological injury is not uncommon and the risk is severe. “

– Dr. Greg Vigna

SANTA BARBARA, CALIFORNIA, UNITED STATES, April 8, 2021 / – “There are defense witnesses presenting themselves as experts in the surgical management of polypropylene mid-urethra loops and their complications. At best, they underestimate the severity of the complications and the damage they cause. In the worst case, their methods will not hold up. Often times, these doctors don’t care about the serious injuries they suffer, knowing that providing the actual diagnosis will cost them hundreds of thousands of dollars in the future in expert fees paid by the defendant manufacturers. “- Greg Vigna, MD, JD

Greg Vigna, MD, JD, National Pharmaceutical Injury Attorney, Practicing Physician, and Certified Life Care Planner, stated, “We are seeing very troubling cases where defense professionals support the science and medical literature that support the cause of obturator and pudendal neuralgia , get to know exactly Transobturator slings downplay the complaints of seriously injured women who come to them for care or delete them entirely from the record. ”

Dr. Vigna adds, “Defense professionals are aware that they will be asked at the booth if they have ever been diagnosed with pudendal or obturator neuralgia caused by transobturator slings (TOT). To avoid this question, they simply do not diagnose women with clear symptoms and signs of obturator and pudendal neuralgia, but at the same time do not provide meaningful care for the injured women who come to them for help. They just wait until the patient just walks away or cannot afford care as they will lose their insurance coverage as soon as it gets too much to afford. Defense professionals know they have $ 20,000 to $ 40,000 expert work per case to support positions that are not based on the truth. “

Dr. Vigna continues, “We have seen testimony from defense professionals claiming they never considered it necessary to perform a groin dissection for TOT pain, despite the fact that thousands of women have implanted these devices and treated mesh-related complications. At the same time, these highly paid defense experts have referred patients with serious injuries to the Cleveland Clinic, a department that supports the current AUGS position that the risks of TOTs are acceptable. Our position is that the use of TOTs does not make sense because the risk of neurological injury is not uncommon and the magnitude of the risk is severe. Our position is supported by the literature and position paper 2019 from the National Institute for Health and Care Excellence in England (NICE), which states: “Do not offer a transobturator approach unless there are specific clinical circumstances under which the retro-pubic approach should be avoided. “

Dr. Vigna adds: “Our main targets are the manufacturers, but we also occasionally sue doctors who selectively implant doctors when it makes sense to do so. I have a case of abuse against a defense professional who implanted a transobturator sling that resulted in pudendal neuralgia. I will carefully consider designating the doctors in the defense expert’s academic departments for injuries caused in the future by both TOTs and retropubic slings, as they sometimes share responsibility for the behavior of others in their department as well. We welcome the day these doctors are privy to the manufacturers ‘internal documents on which our expert reports, along with the scientific literature, form the basis for our customers’ claims that are truthful. ”

Dr. Vigna sums up: “TOTs and defense experts are now up to date. I represent dozens of women with neurological complications caused by mid-urethral loops, including those with destructive injuries caused by the Boston Scientific Obtryx device. TOT-related pudendal and obturator neuralgia is not uncommon and our first attempt will be in May. To date, I have a seriously injured woman who was injured by a defense professional who has played a prominent role in the MDL and continues to testify for manufacturers like there has been no medical literature since 2006 on pudendal neuralgia and we will not hesitate to review her name in cases of malpractice occurring in the future for neurological injuries due to TOTs and retropubic snares when their behavior falls below the standard of care for experts in the meshology field. “

Dr. Vigna is a California and Washington, DC attorney focused on catastrophic neurological injuries caused by transvaginal network devices such as pudendal neuralgia, obturator neuralgia, ilioinguinal neuralgia, and complex regional pain syndrome. His cases are filed nationwide with Martin Baughman, a company in Dallas, Texas. Ben Martin and Laura Baughman are national pharmaceutical injury litigation attorneys based in Dallas, Texas.
To find out more from Ben Martin and Laura Baughman, listen to their podcast:

Vigna Law Group is targeting the following transobturator (TOT) slings and mini slings that cause pudendal and obturator neuralgia:

• Ethicon: TVT-O, Abbrevo
• Boston Scientific: Obtryx, Solyx
• Koloplast: Aris, Altis

The Vigna Law Group targets the following retropubic snares that cause ilioinguinal neuralgia, pudendal neuralgia, and complex regional pain syndrome:

• Ethicon: DVT, DVT-accurate
• Boston Scientific: Advantage Fit, Lynx
• Koloplast: Supris

Further information on the anatomical basis for TOT complications such as obturator and pudendal neuralgia as well as the treatment of obturator and pudendal neuralgia can be found here:

Click here for a FREE EBOOK on Vaginal Mesh Pain.
Articles, video resources and information can be found on the Pudendal Neuralgia Educational Portal or at
For information on complications associated with slings, click here.

Greg Vigna, MD, JD
Vigna Law Group
1155 Coast Village Rd., Suite 3, Santa Barbara, CA.


What to Do for Debilitating Thigh Pain After Transobturator Sling Placement? (Video)

Greg Vigna, MD, JD, Certified Life Care Planner
Life Care Planning for Academic Physicians
+1 800-761-9206
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April 08, 2021, 9:19 PM GMT

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