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Bassini repair uk
Because this site is saying there’s been a critical error I can’t find the list of surgeons who offer pure tissue repair. So to add to UK list of
Simon Bailey shouldice
Duncan Light Desarda
Dr Pawlak not knownIs
Oxford Hernia Centre – Bassini -
26 Replies
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Actually William, this is another area that you can separate out for your decision-making process. The surgeon’s own decision-making process. Dr. Koch is apparently a very capable surgeon. But, according to Baris’s story, he made poor decisions.
Just another aspect to consider.
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Again though, Good Intentions, it’s one patient and how many had good outcomes?
That’s the whole problem for someone wanting to minimise risk.
It’s also bad that when something went wrong Biohernia apparently didn’t follow it up or answer as far as we know.
It’s when things go wrong, people need support the most.
I believe Pinto had problems getting Stephen to reply to his requests but fortunately Dr Kang intervened on here. It shouldn’t be like that. I understand no e of us like to admit to mistakes but these are people’s bodies and lives.
Ive seen private and state NHS surgeons in uk and most say if anything goes wrong ie chronic pain they refer to pain clinic!
All in all it makes you think no surgery is better if you can live without lifting and put it off. But that has to be weighed against it getting worse, which it will, emergency, which may happen, and operations being mote difficult when bigger and the person is older.
I suppose I’m looking for 100 percent and it isn’t possible!
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Thanks William. I wonder how Baris is doing? That Topic is four years old. @baris
The whole story looks bad for Dr. Koch.
Here is an old Topic about Biohernia. I think that you pulled a quote from it recently.
https://herniatalk.com/forums/topic/biohernia-hernia-surgery-without-mesh/
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https://herniatalk.com/forums/topic/no-mesh-shouldice-hernia-surgery-in-germany-europe/
It’s post 19478, I believe Good Intentions.
Apart from the surgical side/Dr Koch, Baris states bio hernia didnt reply to his emails.
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Yes you’re right it’s Dr Koch directly but Biohernia in as much as it’s under their umbrella
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Thanks William, I do remember reading that post in the past now that you’ve recalled it.
Could you possibly post the actual link that you copied the post from? It will have the date of the post and the context around it. If you’re on a phone, typically you can choose an option to copy the link then paste it in to a post.
Besides the date and the context there’s also the chance that something got miscopied. It is always a good idea to include as much information about the source as possible.
And, to that point – I read the quote as dissatisfaction with Dr. Koch, not Biohernia. It’s definitely a bad reference for Dr. Koch.
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Good Intentions… Here is a post from Baris where he mentions taking legal action. Maybe it’s how I am reading it but I don’t think he is or was happy with Biohernia
“Hi all,
i can see that this forum is getting quite intense.
firstly bio hernia hasnt replied to me after they guaranteed money back on a repair that reoccurs in 3 years time.
Secondly i am good. No reoccurrence and i can feel my muscles are strong.to continue, in the first 4 months the mesh was difficult to admit but thats now easing. i went to dr muschaweck in london just to get an update and see what she thinks. Her words were, ‘ if u came from shouldice and they cant fix it you might as-well leave now, speaking very highly of the chief surgeon. We both had a laugh. She was shocked at my story and said as a nation as german doctor i am truly sorry.
yes i did pressure dr koch but i am not the doctor i am not the surgeon my knowledge is minimal and my sole aim is to eradicate the pain. If the surgeon is the cause of the pain its very normal for me to beg for him to get rid of it right?
Dr muschaweck personally spoke to him on the phone as he was supposedly her ‘friend’ as he would not send over surgery reports.
She herself said the whole case is silly from the fact absorbable stitches in a shouldice was used which literally means its on the road to a fail. She told me after i showed my first ever open images dr koch took on the surgery table that my repair could of been done with the minimally invasive technique. Thats how small and straightforward it was. Only a slight bit of fat.
She also presumed that the mesh was used as the second surgery was done too soon and the muscle hadn’t healed up the sutures wudnt of held. When i went to shouldice they were shocked i had mesh as they said my muscle was very strong it just needed healing time. Was this my fault? That a surgeon crumbles under pressure from a patient who he has caused and inflicted pain upon? No.
this was pure greed and il tell you why.
On the second surgery I was told to take out a european health insurance card by dr koch. When i got there he told he will admit me as an emergency so they wont charge me and he wont incur costs. We had to act as if i had a strangulated hernia.
Why did i go through that stress? Wasn’t he supposed to do it free of charge anyway as he had guaranteed 3 years no reoccurrence?
ah and it costs much more than the shouldice clinic.
Theres many doctors out there that perform superb surgery. Dr brown dr kang to name a couple. Dr conze is a great mesh removal surgeon as well. But what dr koch did was solely for a few extra thousand euros.
coming to the cremester muscle. It was a procedure to cut as it reduced recurrences from 4% to the 0.5% they achieve now. This is due to the fact it can irritate/damage the repair.
The technique is a shouldice if it is done the same way as the shouldice clinic, with permanent sutures.
if you go on the newly formed shouldice instagram page you will see Dr Koch being trained by the head of the hospital.
if you go in to dr kochs office you will see a large portrait in a frame of Dr Shouldice. If he’s worshiping the guy and believes so much in it then at least follow it and if you make a mistake ( as it can happen) do your best to ensure the steps taken next are to help the patient recover and progress rather than aiding your pocket to buy yourself a new sporty audi.
Other than that speaking of me i am fine and doing well. The mesh has settled in. The side with no mesh feels as if I’ve never even had a cut before. The side withe mesh sometimes causes a nagging pain but as time goes on this is getting less and less and is not bothering me much. Dr Michael alexander told me it could take up too two years for it to fully heal on the side with mesh but keeping it in was the best course of action at the time as it could of been risky. Never needed it and no one ever needs it unless you have very bad muscle or no muscle. Im running sprinting swimming playing football and feel very strong. I have started lifting heavy since may and it doesn’t bother me at all. I just wish i went there in the first place. I have another appointment with dr muschaweck at the end of the year just for a checkup.
Lastly if you are working for bio hernia or dr koch or if they see this please respond to my email as the following month i will start legal proceedings for medical misconduct neglect and fraud.”.Written by Baris
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I seem to recall a poster writing they were thinking of legal action, I seem to remember that was Baris. But can’t find that post anymore.
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Must be what they’re comfortable doing. They don’t mention what version of Bassini they perform. They call it a “Bassini type repair” which would raise questions in my mind. There’s the original Bassini, and there are corrupted versions of it. The Shouldice technique is an evolution of the original Bassini.
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I do wonder why Oxford clinic favours Bassini?
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William,
Here’s a 15-year follow-up study of Desarda:
Dr. Lorenz in Germany has been performing it for many years (over a decade I think). Would be worth considering if you’re interested in that repair, and you’re located in the UK.
We have this unfortunate situation with tissue repairs where the most proven techniques are also the more invasive ones. The most proven is Shouldice, and then Desarda, and then Kang. This is the inverse of the order of invasiveness where Kang is the least invasive, and then Desarda, and then Shouldice. Then you have the modified Shouldice as practiced by most surgeons outside the Shouldice Hospital. With that one, they don’t completely cut the cremaster, genital nerve, and vessels. There aren’t enough studies to clarify the impact of that on recurrence and chronic pain.
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Maybe I got it wrong
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That was it Good Intentions….at least that’s how it reads to me.
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Sorry William, maybe you are right. If you could copy the post or Topic where he discussed that, it would clear things up. I gleaned what I could in the time I had to find and read a few posts.
Here is the reference to Shouldice being bemused (apparently). The odd grammar made me think that Baris was bemused.
https://herniatalk.com/forums/topic/14-months-post-surgery/
“Both hernias only having fat coming through( bemused shouldice why DR KOCH put mesh on my indirect right inguinal hernia in the first repair)”
Could you provide a link to the Topic where Baris describes getting mesh instead of the pure tissue repair he expected? I must have missed it.
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From Baris re Biohernia. ” I firstly ever contacted them in regards to desarda however when i got there i was told by dr koch that he will do a shouldice with absorbable sutures and that he wont perform desarda and never does as he believes its for skinny people. So yh they definently aim to firstly lure you in. “
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Actually Good Intentions, if you read Baris’ posts, one says he went there to Germany/Bio Hetnia after asking for a desarda repair, only to be told when he got there they would do a shouldice repair but waking up to a mesh repair on one side.
Baris had complications but bio Hetnia didn’t respond to his (3) emails. Baris went to shouldice and shouldice were bemused why mesh was used by bio Hernia in Baris case
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Here’s another and Baris’s page link.
https://herniatalk.com/members/baris/
https://herniatalk.com/forums/topic/indirect-hernia-no-mesh-repair-by-dr-koch/
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I have a vague memory of a person expecting a pure tissue repair but getting a mesh repair. But I looked around and it does not appear to be Baris. Apparently he wondered, after the fact, why he had received a mesh repair. It’s not clear what he expected though when he had the repair. I think that for his first repair he just accepted what he was told was best, and they used mesh. And he had problems.
Here are some old interesting Topics, about Shouldice Hospital and about European repair options.
https://herniatalk.com/forums/topic/14-months-post-surgery/
https://herniatalk.com/forums/topic/biohernia-hernia-surgery-without-mesh/#post-22109
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Have you got the Desarda studies, Watchful?
Who would you use for Desarda.
ref The Germans… I think a poster on here, Baris, woke up to find mesh had been put in.
Which is a worry!
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@bryan
I read good things about Wiese, Conze, and Lorenz. If you want to go somewhere reasonably close to the UK, I think you wouldn’t go wrong with them.
I was going to have a Shouldice procedure done, but I may go with Desarda instead. Not sure yet; I’ll make the decision soon. I feel that Desarda may make more sense than Shouldice for an indirect hernia. Shouldice works for that too, but seems like overkill to me. The problem with Desarda is that there aren’t a lot of long-term studies, but I found a couple, and they look good.
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