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Transversalis fascia role in hernia repair.
Hi,
Thanks, I would love to answer your questions in future also in the interest of hernia patients.
Many surgeons and especially Dr Kang is talking about the transversalis fascia role in hernia repair. I would advise to read our latest published article about that. Article no 13 at http://www.desarda.com/articles article013 Desarda MP. New Theory Ann of emerg surg 2017;2(1);1007.pdf
Prof. Dr. Desarda M. P.
MS;FICS(USA);FICA(USA)
Chief of Hernia Center, Poona Hospital & Research Center
Mobile: 0091 7738181022 or 0091 9373322178
Email: desarda@gmail.com
Website: http://www.desarda.com
Dear drtowfigh what do you think ? -
4 Replies
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Thank you.
Dr Tomas is a great surgeon. I haven’t seen him publish or present his results to his peers. I will take his word for his success rates. I don’t agree with some comments he has made about perfect success rate using tissue repair for recurrent hernias and femoral hernias and large hernias. I encouraged him to publish that data as he would be the first in the world to be able to claim such success.
I offer tissue based inguinal hernia repair repair to a subset of my patients. My recurrence rate is around 7%.
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Dear dr drtowfigh Happy new year! and thank you so much for your straightforward answer..i love it .Your unbiased pro opinion is really important to hear !I also sometimes thinking about success with Dr Prof. Desarda method..But he has trained Dr. Tomas who does it non stop … has a good success …?
Dear dr. Towfigh,please let us know what is percentage of mesh no mesh you personally perform…and is your personal record of recurrence…pain and complications ..I think so many people here would like to know. more about Shirin Towfigh, M.D.founder of this great forum! Thank YOU! [h=5][/h]
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Nor is it typical of the egos that sometimes make their way into surgery (and other academic/scientific fields); one would expect the motivations to be having the method bearing one’s name become as widely used as possible, with the least amount of friction around new user adoption. Of course, that can leave one looking foolish, too (see: Millikan).
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I read Article 13. It is not “research.” It is a communication in a non-peer-reviewed manner describing their selected findings.
From what I know about inguinal hernia surgery history, the Desarda technique is not new. Similar technique was used in the 1950s and was abandoned due to higher recurrence rate than other tissue repairs that have lasted the test of time. Perhaps newer experience, more controlled patient population, etc., may provide better outcomes. Unfortunately, Dr. Desarda has not been active in the surgical forums and conferences and when invited, he has not been able to answer our concerns and questions about the technique.
What concerns me most is that the technique is considered proprietary and surgeons are not encouraged to adopt it unless there is a financial kickback to Dr. Desarda for use of his name. That is not the typical spirit of surgical advancement.
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