Next Generation of tissue repair surgeons

[JHawley]

Most of the current tissue surgeons are on their last laps. Koch is 55 told me he would work another 10 years. Kang is 67 said he wants to work another 10 years. Desarda is gone. Peterson is gone. Grishkan on the way out. Conze and lorenz next per watchful. So who is in the wings? Kang is training his son ..Desarda trained no one…that really surprised me. The guy who took over for him has done 150 surgeries. So where are the next tissue surgeons?

[Watchful]

It’s a dying field, unfortunately. There isn’t much next generation. I think Reinhorn trained his partner (Fullington) to do some Shouldice, and Tomas trained his partner on Desarda. A few young surgeons were trained at the Shouldice Hospital, but most of them were working there part time, and eventually left altogether. The Germans are doing some tissue repair training, but that doesn’t mean that those young surgeons will focus on tissue repair – they probably won’t.

[JHawley]

This suggests that maybe mesh approaches are the best. It seems like everyone I know with open mesh is just fine. But if it goes bad – and you can find cases where it does–your life is over. I just cant get any grip on what the risks are for any of these procedures. If open mesh was 99 percent safe I would have selected it. I just cant believe that there isnt a preferred technique that gets the best outcomes overall for this surgery – its not like its a novel condition –its been around thousands of years—there simply has to be one technique which makes the most sense. I think its open with mesh.

[Good intentions]

The Shouldice Hospital is probably still training the “next generation”. There were rumors on the forum a year or two ago that the Hospital was moving or shutting down or changing somehow, and also some discussion that they were discovering much more chronic pain than expected but those things seemed to have petered out. Not sure what exactly is happening there but they seem to be chugging along as usual.

Home

[Good intentions]

Dr. Netto is still there, they are hiring, and they are still entertaining visiting surgeons.

https://www.linkedin.com/in/fernando-spencer-netto-42674862/

[JHawley]

Shouldice eliminates so many patients…who will take the overflow…who will save the nerves and the cremaster…who will use prolene -and even then lots of chronic pain.

[William Bryant]

Duncan Light is a young (UK) surgeon who offers Desarda repairs via NHS.

The Desarda repair is quite easy to learn apparently. So easy that Fred Amir got his surgeon to do a Desarda on him after minimal time of training.

Prof Desarda has not patented the repair and it’s available to anyone who wishes to use it.

[JHawley]

Bryant do you have an opinion on the Desarda? it seems like a flimsy repair…but it leaves nothing inside

[William Bryant]

I haven’t read of loads of failures. That’s not to say there aren’t any. Fred Amir seems to be doing well and there has been a 15 year study I believe.

Even Shouldice can fail.

I would consider Desarda as Shouldice seems over complicated. That said it is remarkable that other tissue surgeons have chosen Shouldice for themselves. Must be a reason.

[William Bryant]

Having just written about Shouldice being over complicated I have just read Casimirs posts about a very poor result from Desarda repair leaving him living a nightmare. Another poster commented they too had a bad result from a Desarda and felt it put things in places they should’ve be.

That’s not encouraging.

This is far from routine surgery it’s made out to be. Can you watch and wait all your life?

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