Alephy

I think the question of what one can do with an hernia is not so simple. First of all a direct hernia is e.g. not really a hole, but a deformation. Also, muscles work together, which is already a very difficult problem to fully understand. If you add then the fascia in, which connects seemingly distant and unrelated parts of the body, the picture…[Read more]

I think in this case the mesh materials (even when fully re-absorbable) are probably manufactured by somebody else or are the usual ones in the market; the shape is what makes the difference in this particular method: can you patent the shape? maybe you can, I am not sure…..

When I have time I will look up few of the major hospitals in Italy,…[Read more]

This is why I got interested in the technique too, i.e. the mesh shape as well as the tissue repair part
are combined in a unique way…

It kind of reminds me of this other technique somehow

https://maplespub.com/article/Minimizing-Retained-Foreign-Body-in-Hernia-Repair-Using-a-Novel-Technique-Reinforced-Biologic-Augmented-Repair-ReBAR

ps: I…[Read more]

The technique is used in some hospitals in Italy as the surgeon who introduced it is Italian. I had the chance to speak to him, and he mentioned that he also uses absorbable meshes…it can very well be that the technique is also offered in other countries as well….

I would also mention that he called me to explain what he does and how, which I…[Read more]

It’d be interesting to have some stats as to who does better after hernia surgery….

As for the athletes, they may be the ones putting more stress on the repair, and also complaining on their body limitations, but they are also the ones who train more their core in general, as well as the other muscles, which protects the hernia area (with or…[Read more]

I wish I could get 1 euro for each time I read a comment by someone appalled by the state of affairs in the medical industry (notice the word industry, it should be telling:)…

BTW there is a Netflix documentary about mesh, I recommend watching it (disclaimer: you will be angry afterwards)

I used to say this: martial arts got me few injuries, but most definitely made me avoid few others…the same goes with exercising: you sure will not twist your ankle while on the couch, but you might suffer from high blood pressure…

In one sentence, we were made to move…

I look at this as the triad of hell! You have the area (e.g. the groin) that is tricky from the anatomy and functionality point of view (it is a very key area if you are an athlete), you have the huge numbers of patients (huge volume) , and you have the business and involvement of big corporations!

Remove any of these three components, and I…[Read more]

Sorry I meant always PT=Physical Therapy

I think there is a misunderstanding on what a cure means….personally I think of that as “reduction of symptoms”. As an example in the past people were pushed into surgery whenever a meniscus problem was diagnosed: it has since been found that at 4 years the symptoms of those who had surgery and those who had PR were similar/identical, suggesting…[Read more]

I forgot to mention that I have also a feeling that a successful story with mesh could end up being not so after x years, and this also should be factored in…

I am a bit puzzled by the definition of success after a mesh surgery…

There are many types of mesh, different materials, procedures, the anatomy of certain areas varies a lot, surgeons have different skills etc: it seems to me there are just too many variables!

But most importantly, depending on the person’s age, lifestyle etc, the same set of…[Read more]

@spinotza I guess what you just mentioned depicts a different picture….if you go for surgery do you already know which type? mesh vs non mesh? in the UK?

@spinotza Just so I understand, do you have any pain because of your hernia? Is running the one thing in life that makes a difference for you? If the answer to both questions is no, then I would totally agree with @good-intentions ….

@Jack2021 Yes I was told the same by the better half of the doctors I saw, and I agree with it.

At the very least doing the things you were doing before will help you understand your limits given the new situation (and as we all age, these limits were never really fixed, even before the hernia).

@william-bryant I am a supporter of watchful waiting.

None of the doctors I have seen mentioned this option as a possibility, all referring to the official guidelines that do not support it, with the reasoning that an hernia will only get worse and that sooner or later surgery will be necessary, and better sooner than later. I do NOT agree with…[Read more]

I think as far as cutting the nerve is concerned, you may want to read other posts…one person from the UK has had sever issues after a similar surgery…I am not sure for the average person but for an athlete it may have strong implications….

My takeaway from this is that the Chief Surgeon was probably taught proper anatomy when he or she was a student, and learnt to properly discern the tissues/nerves etc in the area.

The younger surgeons were probably taught a simplified curriculum with the idea that using mesh would not require more….

What will happen in the years to come?