No mesh

[fidel18]

Dr Brown of Fremont, CA used the Marcy-Desarda technique on me during my May 22, 2019 operation. Good outcome, specially as it pertains to pain and inflammation and healing. You can check his website and schedule an online consultation.

[Good intentions]

As I understand things, both Dr. Brown and Dr. Kang understand groin anatomy and the various named techniques well enough to produce appropriate variations as they see fit. They asses each situation as they go and choose the most appropriate way to solve the problem.

Also, as I understand things, the “Marcy” technique is used for indirect hernias. So the type of your hernia will matter.

Both Dr. Brown and Dr. Kang have seen the damage that mesh can cause and have made a conscious and informed decision to avoid using mesh if possible. Named techniques, by their nature, are self-limiting. I would choose a surgeon who knows all of the techniques, and understands the basis behind them, and uses them in the way that is best for the patient..

Good luck.

[saro]

Dear Dr. Kang, I’m re-reading some old posts so I don’t know if you’re still on track. you have a lot of respect on this forum thanks to the successes but also the dedication. the caesura of the transversal fascia seems to understand that it is applied only with some methods, thus excluding the methods of the network. are there any chances that the correct fascial method that you define as essential is also present in other procedures besides Shouldice? I am referring in particular to the lictenstein which you did not expressly mention

[Wim]

I found another surgeon that could do shouldice in Belgium. But it is not standard procedure offered.
Once you learned to do asa surgeon you keep on having all the knowledge even you don’t do it regurlaly?

• This reply was modified 3 years, 6 months ago by  Wim.

[Wim]

Muysoms : Dr. Filip Muysoms, MD, PhD? This one works in Belgium

[Wim]

Any doctor in Belgium or the Netherlands that can still do Shouldice?
By the time I can go to Koch my hernia will be too big.

The Netherlands are now promoting TREPP everywhere, while in Belgium I find one TIPP hispital, all the rest is still on Lichtenstein.

[kaspa]

It’s not always that easy to distinguish direct from indirect outside operating table, so I’m not too impressed. That’s no big deal and it’s unlikely to make treatment much different.

I had gastric symptoms long before my hernia appeared and I couldn’t correlate them until I had a hernia and they disappeared when I reduced the hernia. I’m not impressed your Doctor can’t tell. Anyway those gastric symptoms can be a consequence or not of hernia and IMHO shouldn’t be the reason to decide operating or not.

[saro]

this site is recommended for the quality of the interventions, first of all medical, but also for the information from the patients. It is an open site. It has no equal. I apologize too because English is not my native language. I have encountered ailments similar to those of Kaspa. I carried out specialist visits and a well-known doctor in my country visited me and could not distinguish if I had a direct or indirect hernia despite the ultrasounds and the known identification procedures during the visit. The same doctor ruled out correlations between my gastric disorders and the inguinal hernia.