Alephy

Btw are nerves also cut during an open mesh repair?🤔

I wonder why Dr. Muschaweck would do that….I know the position of the nerves can change a lot depending on the individual🤔 also if I understand correctly it also depends on how much/where the nerves are cut; or is it just one nerve? If Shouldice involves major nerves cutting then for me it is off the table period!

Do some doctors still cut nerves as a prophylactic measure? I find this thought very disturbing….

Well the downsides of mesh are not a new topic for sure. There have been attempts to make a mesh that would prompt the growth of healthy tissue with eg some 3d meshes but somehow they have not met a positive response from the market somehow, and they would need to be studied further probably. As for the scar tissue and mesh I think athletes who…[Read more]

Yes I also think physio is the first option to go for…btw in my opinion some sort of physio or exercising should be always done, even when pain is gone. It should go together with eating and drinking…

I personally see it more like this: when someone is straining the abdominal muscles in any way pressure is exerted on both sides of the body. Considering the overall small amount of tissue involved in any hernia I cannot see why this pressure would be any different after the hernia. In fact even on the hernia side there is still the same pressure…[Read more]

Thanks for your answers!
I am wondering why people had to stay a week in hospital back then when mesh was not around, given these days even with a tissue only repair one is sent home the same day or the day after….

Absorbable meshes: no long term study would mean it is not known then, as opposed to being a studied and verified as a fact?…[Read more]

A doctor mentioned this to me but why should the pressure increase on the other side? I think they like to simplify things as if water was inside the belly…plus this doctor wanted to put mesh in and was making a good story for it..

I forgot another one: us it true that direct hernias are less manageable with a pure tissue repair? I never saw any paper on it…

I would consider a visit with Dr. Muschaweck considering you are in Germany and perhaps it is paid by the public health system or your insurance?

As for the mesh vs non mesh, I have read many posts in different fora, and I am still to come across a post of a person who had a mesh problem that was solved with yet more/another mesh (I may be wrong…[Read more]

Thanks a lot for the info! Yes, I am actually starting thinking too that even if a company came along with the perfect mesh, if it is not one of the bigs ones chances are the product will go forgotten quickly…..

I watched the video, the first one, and I found it interesting. He mentions a pure tissue recurrence rate of up to 12%, depending on the method/individual etc. : this is in stark contrast with what some doctors quote i.e. I was told durng a visit that it is more than 30%. He also mentions the necessity to discuss the procedure with the patient,…[Read more]

You should ask the surgeon and agree in written form on what they can or cannot do….my 2 cents….if necessary take your time and don’t rush for it

I think doctors (the real ones) tend to say that if the hernia doesn’t bother you and it’s not in the way with the life you want to live, then don’t touch it…so does it bother you or get in the way? There are then those doctors that will tell you that it’s dangerous because it can get strangulated, that it will get bigger and more painful, that…[Read more]

This is a movie we have seen many times I think, like when some “research” pretended to show that smoking does not harm your health. I personally think that the only way out of this is imposing criminal charges on those who actively hide the truth or mislead the public/patients: money we have seen it to be NOT a sufficient deterrent; on the other…[Read more]

Your surgeon mentioned that whether to use mesh or not would depend on the quality of the muscle tissues; I would have thought for an inguinal hernia the fascia layer played a more important role (at least for a direct one?), but for an indirect one maybe the muscle tissue is more key (I am no doctor, take this as questions to the experts:)