No mesh

[drtowfigh]

I am personally biased against the Desarda technique. It has not been tested with the rigors of other tissue repairs. There has not been transparency in sharing the data results of Desarda publicly in peer reviewed studies to the extent that there has been for the more traditional repairs, such as Shouldice and Bassini and others. From what I understand, not every surgeon can claim to perform the Desarda technique. Dr Desarda charges to have his hernia technique name marketed by surgeons who provide that technique. I disagree with that approach. I believe that, similar to this forum, efforts to improve patient care should be widely encouraged and free of charge or other constraints to access for the patient.

[Wim]

Is desarda better repair than Shouldice? According to desarda website it is:)
But in the opinion of aspecialist like dr Towfigh?

[drtowfigh]

Wire is pretty benign, sometimes more so than synthetic suture. But it can break.

[Wim]

I watched some youtube repairs with Shouldice method: there is also going in a lot of suture wire. The body is going to attck this also probably?

[Wim]

I will try to have an appointment with that doctor and ask if my hernia can be repaired with Shouldice. I doubt it will be possible. Another difference USA/Canada: surgery is done with local sedation, and in Belgium general or spinal.

[drtowfigh]

I don’t understand the question. He’s on my list as surgeons who can offer Shouldice and other tissue repair options. The statement on his website doesn’t contradict that.

[Wim]

On the website of his hospital:
“Although there are different techniques for repairing inguinal hernias without using a prosthesis (also called a “net”), the current guidelines of the European Association for Abdominal Wall Surgery (EHS) prescribe that an inguinal hernia in an adult is best repaired by a prosthesis. abdominal wall prosthesis.”

Probably no change to have Shouldice there. So why is this doctor on your list.

• This reply was modified 4 years ago by  Wim.

[Wim]

You list Muysoms :I search and I find Dr. Filip Muysoms, MD, PhD in Belgium (where I live). Does this doctor could still perform Shouldice?

• This reply was modified 4 years ago by  Wim.

[drtowfigh]

Correct. The Shouldice clinic limits its repairs to small to medium sized hernias in normal weight patients, mostly male.

A tennis ball size is exactly that. If you stand and the hernia is extending well into the scrotum and is larger than a tennis ball size, then tissue repair is not recommended. There just isn’t that much normal tissue to sew together.

[Wim]

Is there a limit in size of the hernia for tissue repair? Koch: max size of tennisball but how to I have to check the size of my hernia with that description? Maybe the Shouldice clinic gives good results because they only treath small hernia’s.

[John C]

Yes, that’s him.

[Good intentions]

@johnc c

Notifying

[Good intentions]

Is this the one? I used Google to translate the page. It is Wiese, not Weise, if so.

https://www.chirurgie-hessen.de/

https://www.chirurgie-hessen.de/Leistungen

“Martin G. Wiese
Since training in the clinics of the Main-Taunus district of Bad Soden under Professor Peter Wendling, I have increasingly dealt with the topic of hernias, i.e. soft tissue fractures, in addition to general surgery. Since then I have been involved in the development of new procedures and have been a hospice center for hernia surgery for years, and since 2016 also for international guests. With us you get an individual concept for the care of your inguinal navel or scar fracture, also in cooperation with neighboring clinics. A specialty is chronic groin pain and groin pain in athletes. I regularly give lectures on these topics and have performed several live operations at international congresses.”

• This reply was modified 4 years, 8 months ago by  Good intentions.

[drtowfigh]

This is great. Thank you for sharing. Please let Dr Weise know that we would love to have him as a contributor to this discussion forum. His expertise would be helpful to share.

[John C]

I am 12 days post op for a repair by Dr Wiese. He seems to have a very low profile on this forum, and the internet gererally, but my experience has been very positive. He says he does 400 shouldice repairs per annum, and has been doing that for 20 years. He claims to have a a failure rate of less than 1%.

My recovery has been quick and easy, with little pain. So highly recommended I will do a full write up soon.

[drtowfigh]

In Europe:
Koch
Lorenz
Conze
Bittner
Muysoms
Reinpold
Sheen

A lot more options, frankly, than in the US.

I do not know of Dr Weise.

• This reply was modified 4 years, 9 months ago by  drtowfigh.

[kaspa]

If you want best non-mesh-treatment for your hernia IMHO you should choose Shouldice Clinic in Toronto. Surgeons elsewhere might disagree but a specialized center is always a best option.

Not that I think it’s funny to spend 4 or 5 days closed there without anything interesting to do. I think smokers can’t even smoke a cigarette. Only some exercising and asking for pain pills.

But they do the most reliable non-mesh repair, I truly think.

• This reply was modified 4 years, 9 months ago by  kaspa.

[saro]

SORRY, the new format of the site does not allow me to edit my post, for this reason I only have to specify that the names of the European surgeons in my comment are extrapolated from a old list released by a Dr Desarda site and therefore they are not mine

[saro]

quote DrBrown:

[USER=”2908″]Bestoption[/USER]
Also, consider Dr. Muschaweck in Germany.
https://www.fortiusclinic.com/specialists/dr-ulrike-muschaweck

regards.
Bill Brown MD

The fortius clinic would result to me with triple costs of the following surgeons who also operate without mesh in Germany: does anyone have experience for dr Wiese in Kelkeim Frankfurt, besides the already known dr Koch in Cottbus (Leipzig) and dr Lorenz in Berlin? They are equivalent for costs, if they are also for results, it could just be a logistical issue. dr towfight provided a list I could not find

[Bestoption]

@DrBrown Thank you DrBrown will check out.