[columb.if]

DrBrown
What kind of surgery do you sugest for small indirect hernia in adult? Marcy?

[columb.if]

IV propofol sedation + local anestetic, or fentanil general anestesia?

[columb.if]

IV propofol sedation + local anestetic, or fentanil general anestesia?

[columb.if]

quote DrBrown:

[USER=”2758″]Dill[/USER]
The major purpose of sutures is to hold the tissues together until the body heals the tissues together.
The final strength is dependent more on the body’s healing than the sutures.
At three weeks a wound has about 70% of the final strength.
At six weeks a wound has about 90% of the final strength.
It is not until about 12 weeks before there is 100% strength.
Thus the ideal suture is one that keeps its strength for at least three months.
I use silk sutures because it maintains excellent strength for six months and then slowly dissolves.
Silk also allows the tension to be set at just the right amount.
And silk has the smallest knots, meaning that less material is left inside.

review:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4174176/

Regards.
Bill Brown MD

But what about complication with silk sutures, do they often get inflammation?

[columb.if]

quote drtowfigh:

[USER=”2491″]SomeGreyBIoke[/USER] yes it’s theoretically possible to have both inguinal and sports hernias. It’s very uncommon and unlikely.

What if I have external oblique tear and small indirect hernia (sport hernia+indirect). What kind of no-mesh surgery is the best choice for this kind of hernia, Shouldice, Marcy, or Kang repair?

[columb.if]

He was under local anasthetic, but also under propofol sedation that put you to light sleep, but you breath on your own. That’s not general anasthesia, but is the best option for thouse who goes under local, you just don’t feel all thouse manipulation of surgeon with you tissues.

[columb.if]

Thanks for sharing your experience. Can you show your incision picture if it’s possible?

[columb.if]

peter13 – Why do you think so?

[columb.if]

Hi Bestoption – here is a videoreport about Dr, Koch in Germany SHouldice surgery.
https://www.youtube.com/watch?v=qQkmQALuYY0

[columb.if]

DrBrown, thank you for sharing such an interesting information, I have a short question for you:
what kind of sutures do you usually use for this kind of surgery absorbable or not (prolene or PDS)?