[dalic_]

quote drtowfigh:

Good question. Very hard to know. Online reviews are not necessarily accurate for surgeons. Other healthcare providers may have some insight if they work with them. This forum is also very reliable.

Thank you.

[dalic_]

quote Good intentions:

There is quite a bit on the forum about incisional hernias. Including some very recent comments in relevant threads. Nothing has changed much over the six years since this forum was started.

Since you have a large incision it would probably be very difficult to find a surgeon who will know how to close it effectively with sutures. If you decide to go with a mesh procedure, do extensive research on the types of mesh, and how they are used, ,and what the benefits are of each. Many clinics and hospitals have their “meshes” chosen by their purchasing departments. Lowest bidder mesh. The purchasing departments lump all mesh products in to one category, despite the device makers efforts to differentiate their products.

In other words, you need to become an expert in mesh devices and how they are supposed to work, if you want to increase your odds of success. There are at least four distinct polymer fibers used to make mesh, and many many different knit patterns. There are coated meshes, mesh-like biological materials, degradable meshes, and composite meshes. Supposedly they all have distinct pros and cons but few surgeon wills probably be able to describe well what they are, or why they believe in any certain product.

Take your time and learn. You’re at high risk of developing a persistent problem. You might also consider that you should not have acquired an infection from your original surgery. That clinic might be dirty, and best avoided.

Do you have any insight into the best way to compile this info?

[dalic_]

quote drtowfigh:

The type of repair is best chosen based on the size and location of the hernia, your own risk factors, and the skills of the surgeon.

There is no one best repair.

Pick a surgeon who can do all options and go through pros and cons of each.

Dr. Towfigh, how can you really tell who is a better surgeon?

[dalic_]

Thanks GI – I think I have read everything here on Incisonal Hernia’s, at least what I could find via search. I am curious about what type of repair techniques people have received with incisional repairs and/ or best type of repair.

I am due for a follow up with the surgeon and believe there are different tissue techniques that go hand in hand with mesh replacement.

My goal is to find a good surgeon, with a large number of incisional repairs.

Hopefully, one of the doctor’s here will chime in.