Unable to tell if Indirect or Direct Inguinal Hernia prior to surgery?

[mattl]

Thanks! Wish someone did Kangs here in the USA.

[jzinckgra]

quote Jnomesh:

For non mesh inguinal hernia repairs the surgeons most notes are:
robert Tomas-sedates repair
shouldice hospital toronto
dr. William Brown (CA)-knows how to do all types of methods including Bassini and tailors approach to patients particular circumstances once inside
Dr. kang (S. Korea) kang repair.
Dr. Grishken (Ohio)- own method (heard mixed reviews)
There are a few others but these seem to be the top 3

Don’t forget Dr. Reinhorn in Boston. He just did my open mesh, but also does Shouldice. No lapro though.

[patient]

Tomas from Desarda failed –> https://www.herniatalk.com/10935-post-desarda-repair

[Jnomesh]

For non mesh inguinal hernia repairs the surgeons most notes are:
robert Tomas-sedates repair
shouldice hospital toronto
dr. William Brown (CA)-knows how to do all types of methods including Bassini and tailors approach to patients particular circumstances once inside
Dr. kang (S. Korea) kang repair.
Dr. Grishken (Ohio)- own method (heard mixed reviews)
There are a few others but these seem to be the top 3

[mattl]

He wanted to do mesh threw belly button. Hernia is very small. I am looking into non mesh and saw Dersada repair. I’m very active and lift. So any recommendations would be appreciated.

[UhOh!]

True, I think that it’s more applicable if one wishes to pursue a non-mesh repair, where different docs use fairly different repair methods. Knowing what type one has will let them ask different docs more specific questions about methods used and what to expect.

[kaspa]

I think so if you get a well experienced technician. But given no change in mesh surgery I don’t know if it’s worth the while.

[UhOh!]

Ultrasonic imaging should be able to differentiate fairly easily (if operated by an experienced technician), no?

[Good intentions]

quote mattl:

I was told that its not possible prior to surgery… I assume this is not true?

My hernia was obviously a direct hernia. There is a bump in a certain spot and the sensations are specific to a direct hernia.

I think that what your doctor might have really meant, and what kaspa was implying, was that “it doesn’t matter” for mesh implantation. The mesh implantation is the same for many different types of hernia. That is why it is popular, it’s a “one method fits all” procedure, a lowest common denominator type of procedure, which can be learned and applied in an assembly-line type of fashion.

That is if he is talking about laparoscopic mesh implantation. You need to get more details about what is planned. I assume that your next step is referral to a “specialist”? The specialist should be able to tell you what type of hernia you have, and describe in detail his/her surgical method and materials.

Just be aware that today’s “standard of care” is to go directly to laparoscopc mesh implantation, for a wide range of hernia types. Odds are that that is what will be recommended for you, and that there will be pressure to schedule surgery as soon as possible. Wait and learn if you can.

Good luck.

[kaspa]

Not very easy to tell before surgery. But don’t worry, mesh surgery will be exactly the same irrespective of hernia type.