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So it turns out my hernia is direct- Dr towfigh???
Dr Towfigh says direct hernias should be fixed with mesh? that shouldice or kang would likely recur. this is the first i am hearing this. Dr towfigh if one has a direct hernia would a lichtenstien repair of that hernia be protective against all other hernias that could occur on that side ie femoral occult???
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2 Replies
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I don’t talk in absolutes. Each patient’s situation is different.
If you compare mesh vs non mesh repairs for direct hernias, mesh is superior—even more so than for indirect hernias. Doesn’t mean all direct hernias must be repaired with mesh.
Also, Lichtenstein repairs direct and indirect hernias. It should be protective against future direct hernias, but that is also not absolute. Most recurrences from Lichtenstein are medial, I.e., direct.
Lichtenstein does not treat or protect from a femoral hernia.
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Where did you hear it?
Your comments seem familiar. Hard to place.
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