William Bryant
Forum Replies Created
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Maybe simplified Shouldice or modified Shouldice?
I’m not sure but I have a recollection Simon Bailey does 3 layer.
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Thanks Good Intentions..it’s good you keep us up to date on the legal cases.
Bankruptcy seems an easy way out and negates any need to defend their product/s. Which if as good as we are told, you’d think they’d be delighted to do.
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Yes he was trained by them, you’re right David. I didn’t know they differed from the Shouldice original in any other way though so it would be useful to know.
It more or less shows a lot of surgeons modify established repairs to some degree.
Whether that’s good or bad I don’t know.
But I read that quite early on there were over 70 modifications to the Bassini. !!!
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Have you read the additional comments towards the back Good Intentions? From sling the mesh I think, saying there’s vested interests in European hernia society etc, it’s like being asked to mark your own exam papers!
I think there’s about 6000 hernia repairs in Scotland per year on average with about 130 or so removals so I think you’re right about collateral damage but there’s no real effort to follow up and no need to register complaints or problems so the failure rate and pain rates may be higher. And as someone commented their hospital says the operation was a success even thought his own doctors says it wasn’t!!!
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That’s true but I think as a result of the study, in Scotland it’s supposed to be pointed out that there are many pitfulls.
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Yes I’ve read reports that say high volume surgeon is probably best option. And I suppose that is across all methods and practices.
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I think Simon Bailey in the UK does a 2 or 3 layer. His view is that 4 layer is unnecessary and adds not much to the repair.
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https://biohernia.com/en-gb/inguinal-hernia-elite-athletes/
Biohernia have treated top football (soccer for USA) players
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From what I’ve been reading recently it seems open is better than lap, yet lap seems to be the surgery that gets ‘pushed’. It sounds more up to date, easier etc, smaller incisions and quicker recovery time. But it seems it has more risk of chronic pain. And it seems more difficult to remove.
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Inguinal hernia (not a sports hernia).
World no 2 at one time. Is he playing again?
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Denise Richards, not sure who she is personally but had 4 hernias including 2 inguinal.
Julia Bradbury UK tv presenter, 3 hernias including one inguinal. Surgery I believe by Professor David Nott.
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Kym Marsh, suspected inguinal but femoral, in pop group hear say and latterly actress UK.
Prince Charles, now King Charles III, unspecified, UK figurehead
James Jordan, unspecified, dancer possibly better known as UK partner of Ola Jordan dancer. Suspect this was sports injury. Surgeon Simon Bailey
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Yes it would be good to know if Drs Lorenz and Koch were recommended with no prior prompting.
Can’t understand why Dr. Conze is said to be mainly academic when he was trained by Dr. Muschawek.
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Thanks Dr Towfigh.
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Such a coincidence mention of hydrocele.
I noticed yesterday one testicle, hernia side, was heavy and a bit uncomfortable. The testicle looked a bit larger than the other.
Is there a good way of self diagnosing?
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Thanks Oceanics. All sounding good
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As far as I remember Baris did not have mesh removed at Shouldice. They left it and used it to help the repair he had there on one side. The mesh was put in by Dr Koch at Biohernia even though Baris wanted no mesh.
I’m not sure if he had it removed elsewhere though, I think he wanted to.
Hope I have this right!
Brilliant research and idea David M. You must have some patience! Also Good Intentions too.
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Oh yes I agree, I just found it interesting, and, a big, coincidence they should say robotic causes pain.
I wouldn’t personally consider them as apart from not wanting mesh I’ve read they can charge up to 12k.
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Good Intentions you may be interested in this from the British Hernia Centre, it’s their view of why robotic causes pain
“When done well, by well-trained and experienced surgeons in appropriately selected cases, the results of keyhole inguinal hernia repair can be very good and where appropriate we use it ourselves.
The problem is that well-trained surgeons who are experienced in laparoscopic surgery and specialise in hernia repair are few and far between. The consequences of a poorly carried out keyhole repair can be serious.
The advantage put forward for laparoscopic surgery is that no large cut is made on the abdomen so in theory there is less post-operative pain and a faster return to normal activities. For example, with major bowel surgery, where large cuts have traditionally been made, the laparoscopic option is a good one.
But for inguinal hernia repair the incision for our described open local anaesthetic repair is small anyway, particularly in the hands of surgeons who specialise, so the difference in that regard is not at all significant.
Pain after Keyhole Surgery
In practice and depending upon how it is performed, you can get quite a lot of pain after a laparoscopic inguinal hernia repair, because the pain does not come from the skin cut anyway. The pain is more likely to be related to the fact that the deep tissues have been cut and pulled, and staples may have been used to fix the mesh.
Disadvantages of Keyhole Hernia Surgery
It is technically demanding for the surgeon.
What that really means is that its difficult to learn and difficult to do well. He has to practice a great deal and perform a large number to become really good at it.
Due to the nature of operating by using a 2D video image of the site rather than proper 3D visualisation there is the risk of major organ damage (blood vessel, bowel and bladder).
Keyhole repairs have to be done under general anaesthesia. That carries risks on its own and certainly not so good if you are elderly or have other medical conditions.”. -
Dr Krpta has a lot of positive comments on various sites. Think.its a good choice.
Good luck.