rTAPP Inguinal Hernia Repair · Phasix P4HB Bioabsorbable Mesh
Surgical Healing Protocol
Surgery: June 30, 2026 Phasix window: 18 months Critical crossover: Months 3–6
Phasix P4HB Strength vs. Native Collagen — 18-Month Window
0 3mo 6mo 9mo 12mo 18mo 100% 50% 0% Phasix (P4HB) Native collagen ↑ crossover ~mo 3–4
Shaded = critical crossover window · Phase 3 Copper ↑ to 3 mg is rate-limiter for native tensile strength
Legend
▶ START → CONT ↑ INCR ↓ REDU ↺ RESTART ⏸ PAUSE ■ STOP
ND DO ND+DO | ★ Essential ◆ Recommended ○ Optional
Copper + Zinc timing: Separate by 2h — compete via DMT1 intestinal transporter. Take copper morning with broth, zinc with a different meal.
Protein note: Bone broth is collagen-fraction protein only (low methionine, low BCAA). Eggs cover the completeness gap. The DO emphasis on 4–6 eggs/day in Phases 2–3 is specifically about leucine for mTOR activation.
Cleavers / Calendula: Capsules preferred over tinctures for labeling clarity. See mechanism text on each card for mg equivalents.
Pre-op disclosure: Bring complete supplement list to pre-op appointment. Items in the Pause phase specify what to stop and when. Gotu Kola and all botanicals should be disclosed to your anesthesiologist. Red Root (Ceanothus) was considered but excluded: antiplatelet alkaloids, splenic vs. inguinal lymphatic affinity, and adequate inguinal drainage covered by Cleavers + Horse Chestnut. See Cleavers mechanism text for full rationale.