Reply To: Desarda vs Grischkan’s two-layer Shouldice, etc…
Very helpful, Dr. Brown!
I’m meeting with a surgeon who does open and robotic mesh, but was trained in tissue repair as well (Bassini).
I have an indirect inguinal – my second one. My prior was repaired at RUSH University in Chicago (Millikan Modified repair, after Dr. Keith Millikan) two decades ago with mesh + plug. It’s held up well with no issues whatsoever.
I’d prefer an open repair under twilight sedation because of BPH and voiding difficulty. My concern: post op urinary retention and Foley catheter if general anesthesia is used (since I am at risk).
Dr. Grischkan offers a modified, two-layer Shouldice under twilight sedation.
If not for BPH I’d opt for the less invasive laproscopic so I could bounce back faster.
It truly comes to a trade off of potential risks-benefits, doesn’t it?
I’m early 60s, BMI = 25, reasonably good shape but certainly no longer have hard abdominals, thus expecting a longer recovery than my first open repair.
Overwhelmed trying to plan two surgeries close together – praying and asking God for guidance/wisdom.