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No mesh
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@Dave_LongIsland I have responed to you private message. Apologies for such a late reply.
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You’re welcome!
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quote Tino_7:I have a Grade 2 indirect inguinal hernia.
I saw a surgeon who does mesh but also has done tissue repair (Bassini and McVay). Another surgeon in his practice recently spent two weeks at the Shouldice Hospital learning that technique.
The surgeon I saw is around 69 years old – so he’s done hernia repairs prior to the wide use of mesh repairs. He’s personable and has very good reviews, and practices at one of the top hospitals in the Midwest.
He thinks I should just wait and watch it, and go on with my life. I kind of want to do something about it before it gets worse.
It says a lot, I think, when a surgeon looks at your hernia and takes a very conservative posture. Many will rush you into surgery. So, I have a lot of confidence in him for that, and as I said, he’s quite likable.
Do you know if certain tissue repairs produce a more favorable outcome for indirect inguinal than others? I’ve heard very little of Bassini but much about Shouldice.
Thanks. I’m still gathering information in trying to make a decision. I know from this forum that there are many good doctors out there, some of whom contribute to the forum. It’s still not an easy decision, and especially when one has to travel distances.
[USER=”2966″]Tino_7[/USER] can you share the name(s) of the surgeons you saw in the midwest who will perform non-mesh hernia repair? I’m attempting to maintain a list of doctors who perform these procedures. Thank you.
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[USER=”2908″]Bestoption[/USER]
Also, consider Dr. Muschaweck in Germany.
https://www.fortiusclinic.com/specialists/dr-ulrike-muschaweckregards.
Bill Brown MD -
quote Bestoption:t was today unkindly reminded about something else. I’ve been suffering for about 2 decades with pains below sternum combined with belching and acid reflux Originally the symptoms were mild but in the recent years pains got intensive and lead to spasms, breathing difficulties and bloated upper abdomen. I guess this often happens after overeating, greasy foods, laying down, heavy lifting or stress. I was given regular chest X ray which shown nothing. My GP never looks for any connections but happy to prescribe drugs.
I find symptoms very similar to hiatial hernia and hence I have gastrointestinal issues. My presumtion might be wrong, but I do wish I would listen and observe my body long time ago. I am wonder how much damage has acid already done to my esophagus.I know nothing about your kind of hernia but I have had lots of acid stomach problems. I take a well-diluted solution of potassium carbonate and I feel better fast. (Potassium carbonate because I also have a chronic potassium shortage.)
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quote drtowfigh:Dr Koch is an excellent surgeon.
you can search this site for posts about him.Thank you Drtowhigh.
I hope this won’t sound patrionizing but it doesn’t seem to be the same amount of love for Dr Koch as for Dr Kang or Dr Brown. -
[USER=”2908″]Bestoption[/USER] I share several of your symptoms. But there’s a difference…my symptoms appeared rather suddenly, mostly within about 6 weeks of each other… and even though I’ve had asymptomatic “small bilateral fatty inguinal hernias” showing up on CT scans for many years the hernia docs here on Long Island, NY (I’ve seen 2) are not so confident in surgery because they don’t seem to understand how my urinary symptoms and lower abdominal sensitivity, bloating and bladder area sensitivity (and urinary frequency) relate to hernia…so they have both pushed me off and told me to first try and rule out all other possibilities.
Well, the only other thing any other doctor thought I may have so far is CPPS (chronic pelvic pain syndrome)…but a few months of physical therapy has not seen such good results so im not at all convinced I have CPPS, and my wife and I are tired, completely stressed out and do not know where to turn at this point. We are also going through financial hardship as due to all my discomforts the last 10 months I have not been able to work. We cannot afford to see docs who do not take insurance.
In fact, she recently tried posting about my condition right here on this forum, we’re hoping to get some sort of guidance as what to do about this:
https://www.herniatalk.com/13587-at-wits-end-after-10-months-cpps-or-hernia-or-urologicalI’d like to know how you are feeling this month…have you seen any other docs yet? Has CPPS been mentioned to you yet as a possibility?
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Dr Koch is an excellent surgeon.
you can search this site for posts about him. -
quote Bestoption:Thank you for your response and it does make sense what you’re saying. I am seeing lots of positives for Dr Kang.
Procedure in Germany would be convenient for me
(distance and potential reimbursement). It interests me if how comparable is Dr Koch approach and procedure to the above surgeons. Unfortunately I am not seeing many recent comments about him.It is present on facebook, from which you can speak directly
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quote Good intentions:The surgeon that you saw is today’s run-of-the-mill mesh implantation “mechanic”. He has been trained/convinced/persuaded that mesh is a one-size-fits-all cure-all. He is the worst kind of surgeon, not a true physician, just a medical professional who performs procedures. It might be his inherent character or he might be burned out but he does not have your best interests at heart. You should avoid that surgeon, he will probably implant as much mesh as he can fit, to avoid recurrence, and will reject any pain or discomfort problems that you have with his work.
It is good though that you’ve experienced how bad things can be, before you had surgery. Find a true doctor. Good luck.
I have a Grade 2 indirect inguinal hernia.
I saw a surgeon who does mesh but also has done tissue repair (Bassini and McVay). Another surgeon in his practice recently spent two weeks at the Shouldice Hospital learning that technique.
The surgeon I saw is around 69 years old – so he’s done hernia repairs prior to the wide use of mesh repairs. He’s personable and has very good reviews, and practices at one of the top hospitals in the Midwest.
He thinks I should just wait and watch it, and go on with my life. I kind of want to do something about it before it gets worse.
It says a lot, I think, when a surgeon looks at your hernia and takes a very conservative posture. Many will rush you into surgery. So, I have a lot of confidence in him for that, and as I said, he’s quite likable.
Do you know if certain tissue repairs produce a more favorable outcome for indirect inguinal than others? I’ve heard very little of Bassini but much about Shouldice.
Thanks. I’m still gathering information in trying to make a decision. I know from this forum that there are many good doctors out there, some of whom contribute to the forum. It’s still not an easy decision, and especially when one has to travel distances.
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quote Good intentions:The surgeon that you saw is today’s run-of-the-mill mesh implantation “mechanic”. He has been trained/convinced/persuaded that mesh is a one-size-fits-all cure-all. He is the worst kind of surgeon, not a true physician, just a medical professional who performs procedures. It might be his inherent character or he might be burned out but he does not have your best interests at heart. You should avoid that surgeon, he will probably implant as much mesh as he can fit, to avoid recurrence, and will reject any pain or discomfort problems that you have with his work.
It is good though that you’ve experienced how bad things can be, before you had surgery. Find a true doctor. Good luck.
I completely agree with your post. I did not want to be pre-judgemental and have given them and myself a chance. At least it was confirmed in first person of what many including yourself on this forum been saying.
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Why are my post being censorred? 2nd in the last 24 hours.
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quote Good intentions:The surgeon that you saw is today’s run-of-the-mill mesh implantation “mechanic”. He has been trained/convinced/persuaded that mesh is a one-size-fits-all cure-all. He is the worst kind of surgeon, not a true physician, just a medical professional who performs procedures. It might be his inherent character or he might be burned out but he does not have your best interests at heart. You should avoid that surgeon, he will probably implant as much mesh as he can fit, to avoid recurrence, and will reject any pain or discomfort problems that you have with his work.
It is good though that you’ve experienced how bad things can be, before you had surgery. Find a true doctor. Good luck.
I couldn’t agree more with your post. I did not want to be predjudgemental and negative, therefore was hopeful and have given them and myself a chance.
At least I got a confirmation in first person of what many ‘you’ been saying on this forum. -
quote Bestoption:With recent long awaited appointed, the general surgeon had a very little interest in what I had to say. The worst part was that he wasn’t prepared and had no idea as why I’’ve been appointed to him.
He told me that it doesn’’t matter, as the procedure works the same for all types of hernia.
I was told that once cut open he could fix both at the same time.
I was told that to think about my further years without heaving reoccurrence.
The surgeon that you saw is today’s run-of-the-mill mesh implantation “mechanic”. He has been trained/convinced/persuaded that mesh is a one-size-fits-all cure-all. He is the worst kind of surgeon, not a true physician, just a medical professional who performs procedures. It might be his inherent character or he might be burned out but he does not have your best interests at heart. You should avoid that surgeon, he will probably implant as much mesh as he can fit, to avoid recurrence, and will reject any pain or discomfort problems that you have with his work.
It is good though that you’ve experienced how bad things can be, before you had surgery. Find a true doctor. Good luck.
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With recent long awaited appointed, the general surgeon had a very little interest in what I had to say. The worst part was that he wasn’t prepared and had no idea as why I’’ve been appointed to him. So I had to start from scratch with explaining. I managed to tell briefly about both ultrasound tests. One performed via NHS detecting single hernia on the right and the second test done privately with bilateral inguinal hernia findings. He did not want to look at ultrasound pics.
I was keen to find what type of hernia I actually have. He told me that it doesn’’t matter, as the procedure works the same for all types of hernia.
Eventually he has done an examination on my groin; pressing down with me coughing. His findings were the following: the larger hernia one to the right side and smaller on the left. I was told that once cut open he could fix both at the same time.
He was not keen elaborating and things went especially fast, when I raised concerns about mesh surgeries and it’s complications, such as chronic pain etc. I guess, its was my fault for mentioning a no mesh repair. He wasn’’t clear at anything and I was told that to think about my further years without heaving reoccurrence. The last he wanted to know if I want to go ahead with surgery and my answer was no at present and then the meting ended.
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Hi Bestoption – here is a videoreport about Dr, Koch in Germany SHouldice surgery.
https://www.youtube.com/watch?v=qQkmQALuYY0 -
[USER=”935″]drtowfigh[/USER] Will you please review my post flagged as spam and publish it? I thank you very much.
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Thanks for the advice, but it simply disappeared so I couldn’t copy it. I had already published it and was editing. I think the other instance was same thing. It’s not very practical to write posts in wordpad, then paste. That wasn’t any spam at all, so I thought I’d have it published fast at least.
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Certain words and/or terms seem to trigger the filter. If you think it might trigger it’s best to copy it and change some words if ti does get triggered. Or write your comments in Word or Wordpad and copy them over.
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I hope she can do it as soon as possible. I understand she must be very busy. What I don’t understand is why I have a post flagged as spam for the second time.
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