Christina Frangou has written an article for General Surgery News about Dr. Towfigh’s presentation at the recent Costa Rica “Pain” conference. Pretty fascinating, some excellent observations about a deficiency in the herma repair field and recommendations for change. Dr. Towfigh even leaves the herd and says that the “Guidelines” might not be right. For women, at least.
I hope that many of her colleagues join and support her efforts to take a more logical approach to herma repair, than the one-size-fits-all-mesh-is-the-solution approach. The same logic can be applied to men with hernias. Good luck to her.
https://www.generalsurgerynews.com/In-the-News/Article/09-22/Hernias-in-Women/67940
Two excerpts below. I think that you can just take out the words women and female and the logic is still sound. It still makes sense.
“The recommendation for immediate laparoscopic surgery in women “tends to result in overuse of mesh in women, which can result in adverse events, including mesh-related complications and chronic pain,” she said.”
” “The reality is even if you go in to do a tissue-based repair and you find a femoral hernia because you must still look for it, you can change your surgical technique,” she said. “But to say that every single female should get a laparoscopic repair with mesh is just not the right way to make guidelines.”
Dr. Towfigh believes that mesh is a major contributor to post–inguinal hernia pain in women. …”
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