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top hwrnia in wisvonsin
I had good experience with Dr. Greenberg in Madison so far. Of course, UW Health as a hospital is not Shouldice (they do surgeries other than only hernia repair) but Dr. Greenberg is way above his peers in the state comparatively. Few points to add here:
– Unlike so many other surgeons out there, he agrees that mesh causes problems more often than not and that mesh removal (especially mesh plugs) is a warranted procedure.
– He is against the use of tacks in securing mesh in pre-peritoneal surgery.
– In evaluating my chronic groin pain, he questioned the judgment of the original surgeon who put a mesh AND a plug into the body of 6ft1 tall 195 lb man (myself). He believes in avoiding mesh plugs in the inguinal ring by all means possible. Mesh patch AND a plug is just too much mesh to handle.
– The original surgeon who repaired my inguinal indirect hernia was one of Dr. Greenberg’s teachers in Boston. Questioning your own teacher is what I’d call independent thinking.
– He is very clear about explaining the drawbacks and benefits of mesh removal. Many surgeons who remove mesh do not talk about the effects of mesh removal on vas deferens. Mesh removal could be a zero-sum game, where your pain is gone but so is your fertility.
Yes, of course, I am a bit discouraged that I still do not have a clear diagnosis for the re-grown lump in my inguinal ring and groin pain. But he is not keen on jumping to conclusions too quickly (which is professional, I think) – after two ultrasounds and an MRI, there is still no clear indication of what my lump is. Among hypotheses are: scar tissue growth around the plug, or lipoma regrowth, or small recurrence. Without an exploratory laparoscopic (which I do not want), there is probably no way to know for sure.