Activity

Thanks!

And I think I knew there were some
options when it came to absorbable sutures but didn’t realize there were so many.

It might be him. Here’s the video:

Shouldice repair

The Germans I mentioned do primarily Shouldice and Lichtenstein, not 5 types of hernia surgery.

Might it be Dr Aali Sheen? Watchful.

Not ruled Germany out but there’s posts on here asking how can one surgeon be competent in 5 types of hernia surgery?

https://doi.org/10.1007/s10029-020-02365-6 may be helpful regarding the issues you raised.

Also, some may not be aware that “absorbable sutures” come in many flavors with widely varying dissolution rates (from days-weeks to months-years). There are also hybrid sutures made with a permanent core coated with an absorbable outer layer.

Definitely. And thanks. I think I’ve decided that if I go through with this surgery, and all goes well, I’m going to convert from running for exercise to brisk walking. And will take extra care whenever I do anything very strenuous. I’m almost 47 and after everything I‘ve been through I will just be thrilled if I am mostly pain free and hernia…[Read more]

You might consider the strength of the new tissue/collagen that is holding the layers together. It takes months or years for the collagen to fully convert to the strongest form. Permanent sutures could be considered as a backup or insurance against accidental extreme exertions or increases in abdominal pressure.

some more discussion about the 2-layer repair and some other alternatives

Desarda vs Grischkan’s two-layer Shouldice, etc…

Thanks for the feedback. I’ve done some reading today on the 2-layer method (which I think is very common amongst surgeons who do that repair outside of the actual Shouldice clinic), which came from some initial experimentation with 3 layers (because some patients just don’t have enough good tissue for so many layers). Ultimately it seems that…[Read more]

I created a new Topic about the Special Issue itself. As new papers become available I will post the links there. I included a link back to this Topic to keep the chain of information intact.

Hernia Journal Special Issue on Chronic Pain

Here is a link to Hernia’s web site. They list the latest articles on the page. They also show the latest Journal that has been released. January 2023 has not been released yet.

https://www.springer.com/journal/10029

Here is a link to a Topic about the Hernia Editor’s original introduction to the…[Read more]

There’s a Biohernia video demonstrating Shouldice performed by a surgeon who I thought was located in the UK, although I’m not sure. I think he was Indian and mentioned that he does more mesh now because that doesn’t take as long. I always wondered who this surgeon was – he seemed very competent with Shouldice.

Like I mentioned before, if I were…[Read more]

Shouldice is a 4-layer repair. There are surgeons who do 2 of these with permanent sutures, and 2 with absorbable. Dr. Wiese, for example. I think Dr. Koch does it that way too. They claim good results.

I don’t know about “2-layer Shouldice”.

Not sure this is something that’s worth obsessing about too much. My understanding is that a clinically…[Read more]

That’s my view Watchful and one the last consultant put in his report, that at this time risks with surgery outweigh the need for it.

Yes Pinto, that highlighted sentence struck me at the time and grateful for you posting it, I got waylaid by the statistics and numbers game.

Oops. ‘IH’ was intended not ‘IG’.