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Anybody in BC, Canada, with inguinal hernia? Surgeons/procedure you recommend?
I know the best surgeons are at Shouldice in Ontario but any surgeons trained there who work here or who have really specialized in inguinal surgery for years with great results? I’ve read that the surgeon is perhaps as important or more so than the procedure chosen (e.g., open vs lap.) for good results.
I seem to have bilateral hernias and feel really freaked out, no surgeries before, and reading all these awful stories but also scientific data about how surgeries can go wrong and percentage of people who have to live with chronic groin pain and the like. So I want to make sure I go with the best help available (within reason, of course, as I can’t afford private). Thank you.
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This discussion was modified 4 days, 7 hours ago by
alj.
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This discussion was modified 4 days, 7 hours ago by
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3 Replies
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Herniated and Good Intentions, thank you very much, appreciate the links and suggestions, I got options, makes me feel less anxious.
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This reply was modified 2 days, 18 hours ago by alj.
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This reply was modified 2 days, 18 hours ago by
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The following link points to the Canadian Hernia Society. There are several leads listed, but they appear to specialize in minimally invasive approaches.
https://www.canadianherniasociety.ca/about-us/
canadianherniasociety.ca
About Us - Canadian Hernia Society
Our Mission Advancing hernia care and research. Our Core Values Honesty, Integrity, Compassion Our Vision Provides a professional forum for education and research for the advancement of hernia care; Advocates for continuous improvement of quality patient care through the prevention … Continue reading
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Dr. Ondiveeran, shown in your link, would be worth seeking out. He seems very open-minded, rational and independent-thinking. Most surgeons just do what they are instructed to do by their clinic or hospital supervisors. And mesh is the mainstream repair method today, it is faster and more cost-effective for the institutions.
Dr. Jacob is quoted also and illustrates the mind-set that people who avoid mesh are just getting advice from the inernet. Then gives the “tough luck, it is what it is” view, “they need to be willing to accept that”. Kind of protective of the status quo.
It’s from 2017, back when their was a big push to understand the problems. Unfortunately, little progress was made and things have stayed the same.
Dr. Jacob – ““In New York, some patients come to me having done their own online research and they have decided that they don’t want mesh,” said Brian Jacob, MD, assistant clinical professor of surgery at Mount Sinai Hospital, in New York City, and the owner of nychernia.com. …
Patients need to understand that research has shown that hernia repairs without mesh can have higher recurrence rates and still have some reports of chronic pain, and so they need to be willing to accept that,” Dr. Jacob pointed out. “
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Dr. Ondiveeran – “Polypropylene reinforcement has been the gold standard since Irving L. Lichtenstein, MD, promoted it in the 1980s. “We are really doing very well with it. Recurrence rates are low, about 2%. But recurrence isn’t the only concern,” said Hari Kumar Ondiveeran, MD, at the 2016 annual meeting of the International Hernia Collaboration.
“What about pain? What about the feeling of discomfort young patients complain about having a foreign material in the groin? What about immune response? Is polypropylene as inert as we think it is? And what about cost?””
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