William Bryant
Forum Replies Created
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From the link
“The peritoneal bulge is returned to where it belongs, but the repair is achieved by placing a piece of fine (inert and sterile) mesh at the opening in the tissue. This is firmly held in place and the outer incision closed. The whole operation takes minutes to perform.
Unlike other techniques, even those now using mesh, our approach does not require any stitching together of the muscle tissue at all, thus eliminating the tension induced by other methods.
The healing process starts to take place immediately whereby, (sensing the presence of the fine mesh) the muscle and tendon send out fibrous tissue which grows around and through the mesh, incorporating it in a way similar to the placing of the steelwork inside reinforced concrete. It is not a “patch” stuck on the outside, (as is relatively common with mesh repairs) but a total, tension-free reinforcement inside the abdominal wall itself. The results are also similar to the concrete analogy, in that the mechanical load is spread over the whole area, precisely at the area of weakness, rather than on high pressure points of stitching through the deep, sensitive tissue with older methods.”
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Yes it does point to a registry. It’s a must have … For patients at least.
Here’s the British hernia centres description of their open operation, they make it sound unique, I don’t know if it is it just worded to imply so…
https://www.hernia.org/tension-free-mesh-2/
Interestingly enough, and tying in with this thread, on the previous page the BHC say pain is more likely with robotic mesh repairs, they put this down to surgeons not being sufficiently trained or experienced enough in the practice amongst other things.
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Not sure but with open can more be seen and did Watchful say it’s placed differently depending on open or lap.
It’s this sort of analysis that I can’t believe the medical profession/Industry don’t follow up… If one is obviously causing more issues than the other it should be noted and patient informed at the very least or the worst method dropped totally.
Ive just read a British hernia centre, hospital not group, saying their mesh is placed between something’s as though it’s unique..I’ll see if I can find it and let the brainier posters decipher it!
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That’s a blow as it leaves little to go on.
Mind you I think it’s all a risk and chuck is right when he says make your choice then pray.
Watchful has it right to with Russia roulette.
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Good luck. There aren’t many who regret having the mesh out on here.
Hope all goes well for you.
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I’m trying to get back on to a near Mediterranean diet. Would that help do you think?
After seeing the latest study posted on here into chronic pain, 18 percent after 4 years, I’m thinking watch and wait for those asymptomatic is probably the best thing.
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That’s good of you Dr Towfigh. Edward’s situation is a terrible one and everyone here has been struggling to help..a 2nd opinion would be helpful I’m sure.
Im still not sure if the spinal procedure is used by others. It seems like it may be better than just snipping all the nerves which is my impression of neurectomy or is any similar attempt usually made to locate the one or ones concerned?
I’ve not heard it before.
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Thanks for the clarification ref the spinal procedure. That at least does sound a better way than just cutting.
I’ve never heard of people on this forum having it done so think that’s a plus for you and your surgical people. Unless I’ve missed it on this forum.
Has anyone else heard of it. I don’t think it’s standard but i think it should be to locate nerve responsible.
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Hello David, no my dad has never bothered with a repair – he doesn’t want surgery.
Also I think Watchful’s father left the recurrence and did not have it repaired either.
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I dont really know what to suggest Edward. I know you say you have trust in your surgeon but I’m wondering if a second opinion, a fresh take, may be an idea.
I’ve not heard of pelvic stimulation for pain control – how does it work or intend to work?
Youve had it rough so wish you luck.
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What age was it when it recurred?
My dad’s 91. Has has his hernia for about 5 years. He just carries on
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What does nsfw mean?
Did your dad have it repaired again Watchful? I have a, probably misguided, memory he left it?
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Recurrence seems to be the main concern of the surgical and medical world. Whereas patients main concern is usually wanting to avoid chronic pain.
Id prefer to have to have two repairs and no pain rather than a single fix and long term pain. I’m sure most would feel the same.
I’ve forgotten what surgery you were considering and which surgeon!
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“Although barrier coated and hybrid meshes were involved in the majority of adverse events reported to the FDA, the literature did not report a significant difference in barrier coated and hybrid meshes compared with other hernia meshes.”
You’d think at the very least it would be worth following up to see if it is a widespread problem.
Shocking that it isn’t.
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1:15 PM Help: My Patient Now Has Groin Pain – Where Do I Start with the Workup?
1:22 PM What’s the Right Answer: Selective Neurectomy, Triple Neurectomy, or No Neurectomy?
And these?
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1:01 PM When is Tissue-Based Repair Appropriate and Which One Do I Choose?
1:08 PM Is Mesh Really All That Bad? Show Me The Data
Any answers to these?
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This caught my eye
“Inguinal hernias used to be considered a simple operation, but with new technology and concerns over chronic pain and mesh-related complications, how is a surgeon to decide the best plan of care for their patient?”
Whats wrong with simple is the obvious question?
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I think there were a lot of other patient he “experimented” on similarly as this poor woman always thought she was alone until she heard about them. Very very scary. Theres also just been another NHS doctor who falsified age and qualifications and who killed (murdered) a woman by using a controversial puncture technique near her heart.
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Ref experiments, I thought no, surgeons would never do that.. then saw this, not hernia but brain, shocking all the same
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I’m sure Good Intentions will have some sound advice re time and healing etc