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ajm222 replied to the topic Permanent or absorbable sutures for Shouldice repair? in the forum Hernia Discussion 11 minutes ago
Thanks!
And I think I knew there were some
options when it came to absorbable sutures but didn’t realize there were so many. -
Watchful replied to the topic UK Surgeons for Tissue Repairs a list, or beginning of one in the forum Hernia Discussion 1 hour, 57 minutes ago
It might be him. Here’s the video:
The Germans I mentioned do primarily Shouldice and Lichtenstein, not 5 types of hernia surgery.
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William Bryant replied to the topic UK Surgeons for Tissue Repairs a list, or beginning of one in the forum Hernia Discussion 2 hours, 49 minutes ago
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?
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Herniated replied to the topic Permanent or absorbable sutures for Shouldice repair? in the forum Hernia Discussion 3 hours, 7 minutes ago
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.
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ajm222 replied to the topic Permanent or absorbable sutures for Shouldice repair? in the forum Hernia Discussion 3 hours, 55 minutes ago
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]
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Good intentions replied to the topic Permanent or absorbable sutures for Shouldice repair? in the forum Hernia Discussion 4 hours, 30 minutes ago
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.
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ajm222 replied to the topic Permanent or absorbable sutures for Shouldice repair? in the forum Hernia Discussion 4 hours, 43 minutes ago
some more discussion about the 2-layer repair and some other alternatives
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ajm222 replied to the topic Permanent or absorbable sutures for Shouldice repair? in the forum Hernia Discussion 4 hours, 45 minutes ago
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]
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Good intentions replied to the topic Acknowledgement that chronic pain is real by the Editor-in-Chief of Hernia in the forum Hernia Discussion 4 hours, 49 minutes ago
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.
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Good intentions replied to the topic Hernia Journal Special Issue on Chronic Pain in the forum Hernia Discussion 4 hours, 54 minutes ago
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]
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Good intentions started the topic Hernia Journal Special Issue on Chronic Pain in the forum Hernia Discussion 4 hours, 57 minutes ago
Another Editorial about the Special Issue of Hernia dedicated to chronic pain has come out. I assume that this person or one of them is the new Editor.
I’m not really sure what message the authors were trying to convey except to acknowledge that the problem is real. It ends vaguely, like Dr. Campanneli’s last Editorial, with no substantive…[Read more]
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Watchful replied to the topic UK Surgeons for Tissue Repairs a list, or beginning of one in the forum Hernia Discussion 7 hours, 9 minutes ago
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]
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Watchful replied to the topic Permanent or absorbable sutures for Shouldice repair? in the forum Hernia Discussion 7 hours, 19 minutes ago
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]
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ajm222 started the topic Permanent or absorbable sutures for Shouldice repair? in the forum Hernia Discussion 7 hours, 49 minutes ago
Specifically a 2-layer. Just curious if anyone has thoughts on that. I assume most would say permanent is best but I believe I saw a stat suggesting that after about 6 weeks or something, the sutures themselves don’t really provide much additional strength and it’s mostly the healing and scar tissue formation that at that point. If true,…[Read more]
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LD50 posted an update 8 hours ago
@katherine Have you looked at Dr. Mark Glover in Austin? He mentions tissue repairs, minimally invasive, AHSQC and other good things on his website: https://www.austinsurgeons.net/mark-a-glover-md-general-surgeons-austin-tx/
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Hi LD50, I just came across your message. I think that for some reason, the Hernia Talk post got moved to my e-mail spam. I have not heard of Dr. Mark Glover, but just looked at his website. Looks promising! I really appreciate your information! Do you know of anyone that has had surgery with him? Or a consult with him?
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@katherine I don’t know anyone who has surgery with Dr. Glover, and as far as info, I’ve only seen his website, no other info. When I checked out his website, I thought that he might work for your situation. Please let us know what you think.
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William Bryant started the topic UK Surgeons for Tissue Repairs a list, or beginning of one in the forum Hernia Discussion 8 hours, 1 minute ago
As I’ve stumbled across another UK surgeon who will perform a tissue repair, I thought a list may be useful as there seems to be so few in the UK and those are not as well known as the others around the world.
If anyone knows any more, please add, also any reviews.
Simon Bailey – Maidstone/Kent. Shouldice but less layers than original. Also…[Read more]
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William Bryant replied to the topic Acknowledgement that chronic pain is real by the Editor-in-Chief of Hernia in the forum Hernia Discussion 8 hours, 17 minutes ago
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.
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William Bryant replied to the topic Survey finds 64.5 percent patients "unhappy" after inguinal surgery in the forum Hernia Discussion 8 hours, 20 minutes ago
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.
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pinto replied to the topic Survey finds 64.5 percent patients "unhappy" after inguinal surgery in the forum Hernia Discussion 9 hours, 17 minutes ago
Oops. ‘IH’ was intended not ‘IG’.
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Shawnbax became a registered member 13 hours, 19 minutes ago
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