• Non-mesh repair, Dr. Reinhorn, evolution since 2015?

  Posted by Good intentions on January 12, 2021 at 11:56 am

  I just came across this explanation on Dr. Reinhorn’s practice page about why they are doing many more non-mesh hernia repairs, since 2015. When I see these types of commentaries I realize that I was unlucky enough to have my hernia at “peak mesh” times, in late 2014.

  It’s good to see a rational reasonable decision made by a hernia repair surgeon, willing to leave the security of the mesh repair industry and refocus on the long-term welfare of the patient. I hope that more surgeons will be unafraid to leave the crowd and do what’s right, and that they will get support from their colleagues if they do. Maybe the tide is starting to turn.

  https://bostonhernia.com/hernia-faq/i-want-a-no-mesh-repair-where-should-i-go/

  “Why we offer non-mesh hernia surgery
  In 2015, a patient asked us to perform the non-mesh hernia repair, also know as Shouldice hernia repair for an inguinal hernia. For many years, and even today, most surgical teaching suggests that mesh hernia surgery improves overall outcomes for the majority of patients. While we agree with this statement in general, there are patients and situations where a non-mesh repair is more appropriate.”

  ” The percentage of cases that we perform without mesh is increasing quickly. Currently, almost every week we perform several non-mesh hernia repair surgeries, accounting for more than 15% of our cases. “

  • This discussion was modified 3 years, 11 months ago by  Good intentions.

  Good intentions replied 1 year ago 3 Members · 3 Replies
• 3 Replies

• 

  drtowfigh

  Moderator

  January 24, 2021 at 12:03 am

  Every surgeons’s practice is different. Eg, in some states in the USA, morbid obesity and smoking are highly prevalent. We know that that combination makes tissue-based hernia repairs a poor plan of care and laparoscopic surgery is usually a better choice. In my practice, my patients tend to be thinner and I see a lot of women. In such a population, I offer tissue repairs for inguinal hernias much more commonly than perhaps my colleagues who have a different practice.

• 

  ajm222

  Member

  January 14, 2021 at 11:00 am

  That’s really interesting, though it’s probably safe to say that in 99% of the country we’re still in “peak mesh” times. These changes start slowly though and this is good news.

  • 

    Good intentions

    Member

    December 5, 2023 at 12:23 pm

    Well, this is really a shame. Old threads that actually had good information, including replies from well-respected surgeons, are now being deleted.

    The infamous Chuck started a thread about Dr. Reinhorn and Dr. Reinhorn responded. I linked to it above, the “Why is Dr. Reinhorn never mentioned…”. But the link now leads to a 404 page, and searching the key words using Google also gives a 404. Dr. Reinhorn’s professional response on what seemed to be a professional discussion forum has been thrown in the garbage.

    It really does look like Dr. Towfigh has decided to let the HerniaTalk forum die a slow death. It makes one wonder. Twitter is dead, HerniaTalk.com is dying. What will happen to the YouTube channel?

    I really hope this is temporary but dev’s early responses and the recent ghosting by everybody involved in managing the web site are not good signs.

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