William Bryant
Forum Replies Created
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Mart T it rings a bell with me tok I do recall Dr Pawlak from NHS in UK wrote tissue repair should be considered for small hernias but can’t remember if he said training too.
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I’ve found some centers/surgeons reply quite quickly and others need several emails to get a response. Some don’t reply at all including some in Germany… I assume those that were slow or didn’t reply had enough to do without (definite) new patients/customers.
Not a brilliant situation
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Pricing on website.
From memory I think Prof Desarda has a list of fees also.
If you sign up to The Shouldice Portal I think it also has charges, not 100 percent sure but seem to recall it does.
It’s useful for overseas patients to have some price guidance surely?
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From what I recall, Baris’ surgeon also stated lifetime guarantee.
In Pintos case it’s proof positive Dr Kang honoured it.
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At least in this case Dr Kang rectified or repaired Pinto’s problem which is re-assuring especially for overseas patients of which I believe Pinto is one.
I can’t recall seeing mention from any other posters who have had problems posting their surgeon had rectified their issue. Maybe I’ve missed it.
I know Baris had to go elsewhere and not original surgeon to get sorted.
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Is the surgeon with 10 law suits in USA or elsewhere?
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If it isn’t prying can I ask why Canada is out? Is it the country or the hospital?
Not choosing surgeon, chronic pain and waking up during surgery put me off of Shouldice in Canada but like you say there are very few surgeons with 100 percent positive reviews which potentially eliminates a lot of others in USA/Germany etc.
There are 3 maybe 4 in the UK,
Simon Bailey
Duncan Light
Dr Pawlak
Possibly Prof Lloyd
And maybe Aali SheenBut I cannot find a single review of a tissue repair for any of them.
Mesh yes and even, in Simon Bailey’s case mesh removal, but not tissue.
Which leaves Dr Kang.
Mostly positive except Pinto who had a recurrence but it was put right br Dr Kang after the communication issues with Stephen the assistant. I think now, Pinto would rate Dr Kang’s repair as a success and worth a visit.I’m not trying to speak for Pinto or misrepresent his views but he doesn’t always post so I think he is satisfied with the 2nd operation with Dr Kang.
Is it still unclear what procedure/s Dr Kang does to effect his repairs?
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Maybe ask again for imaging re Jacks link.
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Apparently quite common after hernia surgery and should be treated like a hernia according to this
https://pubmed.ncbi.nlm.nih.gov/15105999
Not sure why but thats what it says
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“This review showed that pure tissue repairs are the most used techniques with Bassini and Shouldice as leading procedures. The post-operative rates of recurrence and chronic pain are low.”
That’s good and does suggest, to me, there is no real need for other methods.
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There are quite a few instances of chronic pain on their reviews. Suppose it’s true that has to be weighed up against the number of operations and then it’s probably only a small minority. But thats true of most pute tissue surgeons. It’s such a dilemma and major decision. No wonder I go round in circles.
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Have you spoken with surgeon at all about it for some medical guidance?
Discoloration of the penis/testicles is not uncommon from what Ive read.
I really hope it resolves soon for you.
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Dismissing chronic pain seems quite universal, certainly in UK. I’ve seen NHS and private consultants who say they refer you to pain clinic if you do get chronic pain.
One said he’s only had 1 case in last year then laughed and said but that doesn’t mean it won’t happen to you!
Thought that was callous and not to reassuring. That’s how light it seems it can be treated.
At least he didnt say it’ll all be in your head, not possible, internet rumours I suppose.
For me I’d think most would risk recurrence rather than chronic pain.
Obvious neither desirable.
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Again though, Good Intentions, it’s one patient and how many had good outcomes?
That’s the whole problem for someone wanting to minimise risk.
It’s also bad that when something went wrong Biohernia apparently didn’t follow it up or answer as far as we know.
It’s when things go wrong, people need support the most.
I believe Pinto had problems getting Stephen to reply to his requests but fortunately Dr Kang intervened on here. It shouldn’t be like that. I understand no e of us like to admit to mistakes but these are people’s bodies and lives.
Ive seen private and state NHS surgeons in uk and most say if anything goes wrong ie chronic pain they refer to pain clinic!
All in all it makes you think no surgery is better if you can live without lifting and put it off. But that has to be weighed against it getting worse, which it will, emergency, which may happen, and operations being mote difficult when bigger and the person is older.
I suppose I’m looking for 100 percent and it isn’t possible!
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Puts me in mind of a chant, “one glen Murray, theres only one glen Murray”…
I take your point and agree it’s a shame almost every surgeon has some bad reviews…. Which makes it very difficult deciding.
By the way don’t forget Dr Muschawek had 2 goes at Murray, and the experience of the poster on patientinfo forum too. Would that double or triple your percentage calculation… Miniscule although it may still be, it’s a doubling of disatisfsction. Is that a 100 percent increase? I’m not good at maths.
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https://herniatalk.com/forums/topic/no-mesh-shouldice-hernia-surgery-in-germany-europe/
It’s post 19478, I believe Good Intentions.
Apart from the surgical side/Dr Koch, Baris states bio hernia didnt reply to his emails.
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Yes you’re right it’s Dr Koch directly but Biohernia in as much as it’s under their umbrella
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Good Intentions… Here is a post from Baris where he mentions taking legal action. Maybe it’s how I am reading it but I don’t think he is or was happy with Biohernia
“Hi all,
i can see that this forum is getting quite intense.
firstly bio hernia hasnt replied to me after they guaranteed money back on a repair that reoccurs in 3 years time.
Secondly i am good. No reoccurrence and i can feel my muscles are strong.to continue, in the first 4 months the mesh was difficult to admit but thats now easing. i went to dr muschaweck in london just to get an update and see what she thinks. Her words were, ‘ if u came from shouldice and they cant fix it you might as-well leave now, speaking very highly of the chief surgeon. We both had a laugh. She was shocked at my story and said as a nation as german doctor i am truly sorry.
yes i did pressure dr koch but i am not the doctor i am not the surgeon my knowledge is minimal and my sole aim is to eradicate the pain. If the surgeon is the cause of the pain its very normal for me to beg for him to get rid of it right?
Dr muschaweck personally spoke to him on the phone as he was supposedly her ‘friend’ as he would not send over surgery reports.
She herself said the whole case is silly from the fact absorbable stitches in a shouldice was used which literally means its on the road to a fail. She told me after i showed my first ever open images dr koch took on the surgery table that my repair could of been done with the minimally invasive technique. Thats how small and straightforward it was. Only a slight bit of fat.
She also presumed that the mesh was used as the second surgery was done too soon and the muscle hadn’t healed up the sutures wudnt of held. When i went to shouldice they were shocked i had mesh as they said my muscle was very strong it just needed healing time. Was this my fault? That a surgeon crumbles under pressure from a patient who he has caused and inflicted pain upon? No.
this was pure greed and il tell you why.
On the second surgery I was told to take out a european health insurance card by dr koch. When i got there he told he will admit me as an emergency so they wont charge me and he wont incur costs. We had to act as if i had a strangulated hernia.
Why did i go through that stress? Wasn’t he supposed to do it free of charge anyway as he had guaranteed 3 years no reoccurrence?
ah and it costs much more than the shouldice clinic.
Theres many doctors out there that perform superb surgery. Dr brown dr kang to name a couple. Dr conze is a great mesh removal surgeon as well. But what dr koch did was solely for a few extra thousand euros.
coming to the cremester muscle. It was a procedure to cut as it reduced recurrences from 4% to the 0.5% they achieve now. This is due to the fact it can irritate/damage the repair.
The technique is a shouldice if it is done the same way as the shouldice clinic, with permanent sutures.
if you go on the newly formed shouldice instagram page you will see Dr Koch being trained by the head of the hospital.
if you go in to dr kochs office you will see a large portrait in a frame of Dr Shouldice. If he’s worshiping the guy and believes so much in it then at least follow it and if you make a mistake ( as it can happen) do your best to ensure the steps taken next are to help the patient recover and progress rather than aiding your pocket to buy yourself a new sporty audi.
Other than that speaking of me i am fine and doing well. The mesh has settled in. The side with no mesh feels as if I’ve never even had a cut before. The side withe mesh sometimes causes a nagging pain but as time goes on this is getting less and less and is not bothering me much. Dr Michael alexander told me it could take up too two years for it to fully heal on the side with mesh but keeping it in was the best course of action at the time as it could of been risky. Never needed it and no one ever needs it unless you have very bad muscle or no muscle. Im running sprinting swimming playing football and feel very strong. I have started lifting heavy since may and it doesn’t bother me at all. I just wish i went there in the first place. I have another appointment with dr muschaweck at the end of the year just for a checkup.
Lastly if you are working for bio hernia or dr koch or if they see this please respond to my email as the following month i will start legal proceedings for medical misconduct neglect and fraud.”.Written by Baris
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Is his hospital not carrying on the Desarda repair? I believe his son also was a surgeon.