Alephy
Forum Replies Created
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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…
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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 of course, I am no doctor)…
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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…..
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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, with the assumption that the doctor (who knows better) guides the patient, based on his/her goals: this part I also agree, with the understanding though that if the patient happens to know for a fact that something does not work, the doctor should not pretend to force it on the assumption that he knows better. As an example, years ago Asbestos was widely used in the building industry: now I am not an engineer, but if one told me they plan to use heavily Asbestos to build the house where my children will spend a good chunk of their lives, and that I should trust them, well I would first ask questions, then point to the facts, and finally get angry
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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
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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 it’s better to do it sooner rather than later, that it is easy no recurrence very low chronic pain rate etc etc: stay away from them
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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 hand putting behind bars the CEO of the company and all those found responsible for actively lying on the effects of one of their products, would probably make them think twice. Better still as a prevention mechanism, if the general public had control of how their money is invested, and deliberately avoided those companies guilty of harming people’s health (or those who do not do enough to avoid that), well eventually the message would get to the boards of those companies and very quickly down to each and every employee.
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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:)
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Was he operated by Dr.Muschaweck? How did you find out? Couldn’t find this info on the Internet ☺ I wish she operated also in Switzerland 😣
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Hi I am wondering, were both indirect hernias? So you had general anesthesia?
Which mesh he would have used in case? As for the tissue quality I would have thought the fascia was more important 🤔 -
Thank you it was a nice session! I am wondering, does Dr East operate also on patients coming to her from other countries? As she mentioned she performs also tissue repairs when fit, I would be interested to know if one can travel to Prague to her for the surgery, and if yes at what costs…I could not find her contact details unfortunately…thanks again!
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Any reason why you absolutely want his opinion? Unless he is the only doctor around that is…so he doesn’t have a website with his bio and focus?
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Personally I would just go to a doctor that will tailor the surgery to you, even before considering the ultrasound.
At the end of the day, unless you opt out for watchful waiting (this is me at the moment) the surgeon will go in and (unless it is a mesh surgery) he or she should be able to adapt to what is type of hernia is there (I am just reporting what Dr. Brown at one point said, which resonates to me making perfect sense)…my two cents -
I can understand some doctors may feel a strong frustration, but it is a fact that many still tell their patients that e.g. an inguinal hernia (with mesh) is a simple procedure with a very low rate of complications, if any.
No surgical procedure is without risks, and I can understand this, but only so long as these risks are openly discussed…
Otherwise it ends up feeling like the doctors put you in harm way out of economical interest/incompetency (sorry for the strong words, I did not sleep too well, too hot:)ps: I believe the health insurances also play a major role in the mesh situation, not only the mesh manufacturers….
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This is an interesting question: do you get an hernia because of an injury, or is it a degenerative process?or both? A mesh is supposed to give you extra resistance but an exercise could move it or cause inflammation next to it. Tissue repairs do not address the degenerative aspect. Having said that, not moving or exercising out of fear will most certainly cause you troubles, potentially as or more serious than the hernia you absolutely want to avoid. I would say: if you have an hernia go exercise and be smart about it; if you don’t have an hernia do exactly the same…
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Well I think Dr. Brown does quite a few tissue only repairs, in fact pretty much only tissue repairs.
One point to bear in mind with patients leaving a feedback is this: typically a patient with an hernia who gets surgery and all goes well, will likely go back to their lives without spending much time discussing again the past medical problem. The people on this forum are either those who are getting the info before a possible surgery (like us), or in fact those who got surgery and something/all went wrong (the majority of the forum participants I think).
The feedback I have seen on this forum on Dr. Brown was always positive; there are bound to be many more people whose surgery was uneventful (as described by another member of this forum) by which I mean, it all went as scheduled and all was fine after few weeks: these people went back to their lives and you won’t see them on this forum (if inguinal hernia was the easy little thing some doctors keep saying their patients, I wouldn’t be on this forum either)
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Many medical web sites often rely on the doctors answering questions without going into details. This forum I think is different as the patients have often seen enough surgery that they require now the whole science behind…
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I think it may vary from person to person. BTW I found this article about a professional tennis player having had some nerve burned after an hernia surgery
https://www.essentiallysports.com/richard-gasquet-i-spent-the-first-15-days-in-bed/
He is still playing, but it depends on which nerves and what “burned” means exactly…
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I am thinking the one described here is more a plug really..
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So what is the difference with respect to the other existing 3d meshes do you think? Btw the authors conducted animal testing before the trial which is already something. They seem to be saying that their 3d mesh moves and so the tissue that grows on it is not scar tissue, and there is no feeling of the mesh. So the other 3d meshes don’t move?🤔