William Bryant
Forum Replies Created
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Brilliant suggestions Amelia
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From the daily mail…. “David Nott, a general surgeon in London, who told the Daily Mail that he has carried out operations to remove mesh after unsuccessful hernia operations in perhaps 20 patients over several years.
In these patients, he stated, the body seems to react to the synthetic mesh. Why it reacts in this way to an inert material is uncertain.”.
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Dr David Nott – Chelsea NHS but mainly private I think. Very high profile, although I’d never heard of him until I stumbled across Julia Bradbury having had 3 repairs by him during a famous person search. Julia is a UK tv presenter by the way. He is known as the war doctor and has been in the newspapers but I must have missed it. He also has his own Foundation…
Doea some suture repairs but not sure which. Anyone else care to investigate.
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Did you have to pay for the consultations?
I can’t remember Thunder Rose having an issue but it may have been before I was a regular on here!!!
Another thing about the Desarda repair is it is, reportedly, easy or fairly easy for surgeons to learn so not sure why it’s not more readily available.
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In Germany Desarda repair was tried out and from I can gather was equal to established methods in this smallish study.
One other thing about Desarda is it is relatively easy to teach.
Dont forget Thunder Rose was very pleased with the Shouldice repair opted for Chuck.
Not sure how you two, Watchful and Mike M, get so much info from surgeons!? I find them hard to contact, except Dr Kang.
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I saw a NHS consultant and he pressed on both sides and asked me to cough etc and said I had a weakness on other side that would/could lead to hernia..not sure what he felt or how he could tell.
I’m not sure what he proposed doing about it if anything but always wondered how he knew?
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I wondered why Greg Sandler did modified Bassini but it’s been re-evaluated.
https://www.sciencedirect.com/science/article/pii/S2405857221001066`
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And maybe the patient’s anatomy?
I’ve just read some reviews of Shouldice and there does seem to be a number of people complaining of chronic pain after Shouldice visit.
It’s a bit off-putting but I suppose they do loads of surgeries and that may be why
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I think I read that in Brighton there is a physio or yoga place that claims it’s cured some hernias?
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That’s ok Pinto! It’s taken me three reads to see it!
Maybe get my eyes tested or new glasses?
Getting back to the survey, sort of, I’ve had two UK based surgeons say that tissue repair is more likely to cause chronic pain. – Is there any evidence for this?
At the same time with one dismissing mesh related Chronic pain as being “in people’s heads”.
So I agree the pain is and has been overlooked in favour of decreasing hernia recurrence.
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Might it be Dr Aali Sheen? Watchful.
Not ruled Germany out but there’s posts on here asking how can one surgeon be competent in 5 types of hernia surgery?
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That’s my view Watchful and one the last consultant put in his report, that at this time risks with surgery outweigh the need for it.
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Yes Pinto, that highlighted sentence struck me at the time and grateful for you posting it, I got waylaid by the statistics and numbers game.
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Hello Dr Towfigh I think I put 64.5 percent of people in this survey who had inguinal repair were unhappy. Which is how I read the survey. I, nor the article, are claiming that. it’s two thirds of those who responded to this survey and who had inguinal hernia repair were unhappy. Is that right?
If every inguinal hernia patient who has surgery was questioned it may be that a higher percentage are happy with their repair or or could be an even greater than 64.5 percent are unhappy.
Ah I see the thread heading isnt making it clear it’s 64.5 of respondents, can it be changed?
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It’s also debatable if people were tougher as there is evidence of all sorts of medical interventions to alleviate or try to alleviate pain.
Sorry to labour this point but surgeons used to amputate without anaesthetic and tar for cauterisation. Why change?
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What happened to “Quality of life is the most important outcome measure of hernia repair” ?
Years ago people put up with unsafe working conditions, wife beating, etc etc. It doesn’t mean it’s wrong not to now.
I don’t understand why it makes any difference if people were tougher less complaining then. It’s just an excuse and side steppimg the issue.
(Incidentally, I heard the British army during WW2, routinely removed all soldiers teeth, if they went into jungle/tropics where military dentists were, the troops went along with it uncomplaining I can’t see that being put up with that now).
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It’s pretty blunt sounding, very cold reducing it to the sort of article box shifters and money makers may write.
It does sound as though the major benefit is cost reduction not patient comfort and improved outcome.