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Direct hernia
So I got my UV result and it says direct inguinal hernia, but no mention of the size. How accurately can an US differenziate between direct and indirect g=inguinal hernias?
I will be seeing a specialist this Wednesday, who mentioned to me the possibility of using absorbable meshes (cannot have a permanent one as I don’t want the risk of an urticaria reaction) or suture only, with huge difference in recovery time.
Has anybody experience with absorbable meshes? I saw a paper that affirms that the recurrence rates are similar anyway….
Also, I have a huge list of questions ready for the surgeon: any points you think I should most definitely ask?
BTW I practice martial arts and would like very much to continue: which procedure would you recommend based on this?
Thanks again!
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5 Replies
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So using absorbable meshes while also closing/stiching up the tear would be a viable procedure? I wonder how flexible surgeons are when it comes to tailoring the repair to the patient…@drtowfigh?
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What about this meta analysis study?
https://www.ncbi.nlm.nih.gov/m/pubmed/28492358/ -
Correct. Bridging a defect doesn’t work with BIOLOGICS.
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The only study I’ve seen (and actually once posted) showed that the recurrence rate with wholly absorbable mesh was the same as permanent mesh for *indirect* hernias, but approached 40% for *direct* hernias.
[USER=”2019″]drkang[/USER] has shared some very interesting thoughts on what he considers the shortcomings of different repair methods and how they fail to fix the actual hernia defect. Based on this, my hypothesis about the study is that the real culprit was combining absorbable mesh with a Lichtenstein repair, which does not actually close up the hernia defect, but just lays mesh atop it. It makes perfect sense that indirect hernia repairs with this combination held fine – there isn’t an actual tear in the tissue, just an enlargement of the internal ring.
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I believe there is a pinned post on what to ask your surgeon or perhaps a post that you can find using the search function
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