[Alephy]

This is an excellent question: I guess if shouldice fails one can only use another technique or mesh?

[Alephy]

Which mesh type? This question is the first one you will be asked here by those who know the most…so before surgery you had severe pain? Btw if I am not mistaken because of the Corona virus ibuprofen could cause you problems, maybe change to paracetamol

[Alephy]

I would have thought with an hernia lying down would reduce the pain, nor the other way around…

[Alephy]

Start with slow exercises focusing on form and feeling and check how it feels before through and after…it is interesting that depending on the procedure and or surgeon you are advised on exercise differently. Personally I would say there must be movement always! Slow intensity exercise can keep you fit and keep the body memory of movement. My 2 cents

[Alephy]

I may be wrong but one thing is to remove the mesh which is the hardest bit and one thing is how you then fix the hernia….Dr.Brown might use shouldice or another procedure based on the hernia and what he finds once in….I am speculating on the many posts he contributed to which I always found useful and helpful

[Alephy]

I have the same experience with reduced activity and lower back pain…I think it is probably the fascia that requires movement…is the weakened fascia or the muscles the problem with an hernia? Probably both….the nerves get caught in the problem and you might be seeing just that. I personally would recommend moving even if so slowly….

[Alephy]

I am thinking a surgeon with the skills and approach as described above doesn’t probably exist in Europe. Even the pure tissue surgeons here just offer one technique mostly….

[Alephy]

It is funny that many if not all of the points outlined in the article were already discussed here by members of the forum….the guy is also a Data Scientist apparently….the divide and conquer curse won’t be easy to defeat, especially as it all started with the health insurances first conquering and then dividing, politically

[Alephy]

Thanks for the post! Can anyone on advice on a surgeon in Europe or even Switzerland with these skills as in @drbrown answer?

[Alephy]

Couldn’t open it somehow…

[Alephy]

For what you know you might not even have an hernia so why risk surgery? Plus once in if they use a mesh they might just put it anyway…

[Alephy]

I would do nothing if I were you!

[Alephy]

More than the difference between the two, I would eventually like to see a list of recommended/possible procedures based on the hernia type (e.g. inguinal direct vs indirect), age, fitness level, preexisting conditions etc. The hernia type should be the first guiding principle I guess (I am no doctor, so this is possibly bogus)…whenever I asked Doctors how things would change if it was direct/indirect the answer was always, no change it is the same, doesn’t matter…

[Alephy]

I was thinking, I seem to remember of a story in the UK where an old retired lady asked a big drug company to improve their ethical conduct (she had some of her pension invested in the company): the company “ignored her”, and she then took it to write letters to all the members of her pension fund, who in turn requested that their banks stop investing their money into the said drug company: the drug company yielded to the request of the old lady…

It is true that the mesh companies are big and powerful, but only up to the point where investors (us) continue to value them this way…if millions of people decided that they do NOT want their money to be invested in said companies, they would probably start taking notice (more than just going to trial I would think)…

[Alephy]

I watched an interview on the BBC and I think he got a mesh…so wealth and fame are not necessarily factors…

[Alephy]

https://vitalsutures.com/biomesh/

Am I reading correctly that they called a polypropylene mesh “BioMesh”?

[Alephy]

I just read that Matt Damon had hernia surgery…I wonder if with mesh or without 🤔

[Alephy]

You mean in this technique the mesh is a bio one which is absorbed in eg 6 months?

[Alephy]

Bill Gates is probably very well advised by his doctors. At the very least he would be given all the information with the proper weighing, as if not any law suit could end up very badly for the medical facility (or he just owns this one, which is anyway the same i.e. he will not get a misguided consultation). And of course he could simply decide to go for a tissue only repair (cost or distance are not factors in this case)…

I think the only solution to the hernia conundrum (I love this word) is to find a simple, cost effective procedure which shows less collateral problems than the current mesh machinery. Mesh out of your own tissue or re-engineering of the weakened tissue to regain its original strength?

[Alephy]

One thing that I think is misleading with biohernia is that depending on the surgeon you might get a different surgical option. Also the famous athletes are treated by one doctor only I think ie Dr. Muschaweck..