[dog]

I think here is below moist important info ..that everyone needs to understand !

We just take whatever information the doctor is telling us or selling us as fact

Dai Greene

[dog]

Thin people shouldn’t even think about mesh..:}..My humble opinion only !

[dog]

Thank you! and few you know do mesh..correct ?

[dog]

Dr. Steven Nishida
General surgeon at The Queen’s Medical Center

Do you him by chance :} ? He went to UCLA ? http://www.midweek.com/options-hernia-repair/

[dog]

It is from Dr, Brown
below

Dear Vladislav.
My original training was in the repair of inguinal hernias.
I repair about 200 inguinal hernias each year. I use a non mesh repair.
Several of the options for non mesh repairs can be found at:
https://www.sportshernia.com/no-mesh-hernia-repair/types-repair/
Thank you.

Bill Brown, M.D.
510 793 2404 Office
650 703 9694 Cell

[dog]

Jnomesh Thank you! Please let us know link ?

[dog]

UhOh! I was thinking about it ! however i was thinking about to perform tissue repair and reinforce with absorbable mesh .It it possible ? Dear dr. drkang ?

[dog]

Originally posted by seeker View Post
” ultimately, I trusted my surgeon.”

Trust but Check ..Blindly trusting surgeons it is like trusting to Fox guarding the Chickens :}

[dog]

drkang Very good point! But it will work just if doctor totally specializes in tissue repair. Here is what happened with one person

The person did repair with Good old school doctor … first time Desarda…second time Shouldice

It was more of a Shouldice type repair. it was a tiny hernia so he put two stitches in it. Here is the thing, Sometimes people have more weaknesses than one in the abdominal wall. In theory, the surgeon notices that as he is doing the surgery and repairs both at the same time. But in my case Dr. ..didn’t (at least that is what I am being told). After the second surgery Dr. …. said the first surgery looked great and was holding fine and his fix seems to be fine now too. But I can’t actually verify any of this as I am asleep as it is all being done. So if there was an issue with the original Desarda repair and he fixed it I would have no way of knowing that was the case. That said, I did some research and there are cases of two weaknesses in the abdominal wall in slightly different locations in some individuals so Dr. …story is certainly possible. The bottom line is that either the Shouldice or Desarda repairs require more expertise than mesh repairs and more expertise than most surgeons have. So there just isn’t a whole lot of choices if you want to go that route. And as you know, if you do have issues with either of those repairs, there is a fall back. With mesh not so much. Good luck. Overall I wish I had not had to go through it twice. The second time it was a lot easier as it was just so much less painful. And so far so good. I
–

[dog]

In your post today you asked about Dr. Tomas’ patented suturing. I had surgery on September 7 with Dr. Tomas for a ventral hernia with an umbilical component. The defect was about the size of a dime. If I understood Dr. Tomas correctly, he used 3 layers of suturing. These run up and back creating a vertical mattress. This part of the suturing is not patentable. He has another component to his suturing and that part is what he hopes to patent. As a potential patient I would believe he would disclose this to you. The sutures he used are Ethibond. I was told by an assistant that the repair was tension free.

Wishing you a good recovery. All the best.

Hi kcm Please let us know what Dr. Tomas you are referring to ?

[dog]

quote UhOh!:

I think the difference is that the “autologous” prosthetic in Desarda isn’t absorbed, mirroring non-absorbable mesh in that regard, no?

Simple put …Desarda it is ” mesh ” made from your own tissues/ Tissue Patch . My point Desarda like a Mesh doesn’t fix the actual defect…… But give us much better option .

[dog]

joep We are well aware about it :} How many other thinks { innovative approaches} isn’t recommended by traditional main stream medicine ! My point was dont look for method ..look for doctor who knows them all..and can pick the best for you ! Shouldice can be done with dissolve sutures as well but it is not the point here.

[dog]

quote UhOh!:

Perhaps this study is familiar to the surgeons on this site already:

http://novusscientific.com/us/wp-content/uploads/sites/4/2015/11/PG-426401-Study-Ruiz-Jasbon-1-A4-Booklet-Rev01.pdf

The conclusion, obviously, was that fully absorbable mesh was unsuited to direct hernia repair because of the very high recurrence rate. However, my question is this:

Is that true, or is it true that it is not suitable for use with direct hernias as a one-for-one substitution for non-absorbable mesh in conjunction with the Lichtenstein technique?

In other words, is this possibly the ultimate confirmation of [USER=”2019″]drkang[/USER] ‘s assertion that any repair is faulty if it doesn’t fix the actual defect?

The really interesting test would be to see the results if adding the step of sewing back together the torn fascia prior to mesh insertion. It seems logical that you might see different results down the road between a patient who literally had a patch of scar tissue covering a hole vs. a patient who had scar tissue reinforcing the (at the time of surgery) delicate repair of a hole, no?
[USER=”2019″]drkang[/USER] : for a surgeon not completely ready to abandon mesh, or learn an entirely new technique, could current techniques, with minimal modification, be adapted to actually make this type of product work?

Very good question …Desarda also doesn’t fix the actual defect… [h=2][/h]

[dog]

HiDdot14 It is my humble opinion only … but i would rather focus on doctor and not on the method ..Doctor needs to be not focus on one think…like one tool fits all ..but rather customize his approach after he opens and see what happens…..Dr. Tomas it too much commercialize his business i think ..doesn’t take insurance … Dr Grischkan is great ..but what if 2-layer Shouldice isnt a good option for you ? He doesn’t do Desarda …at list i didn’t hear it. I would recommend to speak over the phone with dr. Brown with https://www.sportshernia.com/no-mesh…repair/repair/ and see if it makes sense for you ! He does DESARDA ROUTINELY ..He also can perform 2 layers Shouldice One more doctor that fits in that category is Jonathan Yunis MD FACS …{Florida} ..I asked him to contact Dr. Desaeds and he did and starting performing his truly simple method.

I believe that they are Both very meticulous, detailed ..I had a great conversation with them! ..They addressed every my concern . They have a great education/experience and have a amazing reviews about their work all over internet .They can perform any methods! ..Just great and caring people !

Jonathan Yunis MD FACS …{Florida}
William Brown MD {California}

[dog]

quote paco:

The transvaginal mesh is a crime for many women, as like than hernia meshes, since their removal is maybe more complex and difficult to accomplish.
I’ve read “doctors suggesting anal intercourse as a solution”. A total lack of humanity.

I think that all surgeons must consider seriously waste some time performing previous screening tests (allergies, immunologic…) and evaluating age, youth, weight, is patient overweight? skinny?…, physical condition, athlete vs non athlete and carefully choice the type of mesh or “non-mesh at all alternative” accordingly, as well back to faculty and re-learn anatomy and classical anatomical repair techniques before put indiscriminately the first piece of “orange plastic mesh bag” they found.

Many of my friends who have had hernia repair on the early days before the advent of meshes are all perfect and without recurrence or pain after years. So after all such techniques maybe are not so bad.

A question: Would a surgeon allow a mesh to be placed inside its own body? Much as like many ophthalmologist wear glasses, or hair dermatologists are bald like a fucking orange?

Humanity and empathy please. Wish they work on it.

Dear paco NO!!! A question: Would You allow profit driven surgeon to place mesh inside your own body? Who cares about him.

[dog]

quote drkang:

Hi UhOh!,

I have searched about the Guarnieri technique to answer your question on whether it is similar to my repair method.

The only similarity is that direct inguinal hernia and indirect inguinal hernia are treated in separate ways. I have read that this technique is no longer used even in that hospital, and I can guess why. In my opinion, it is because this technique is too complicated. On picture, it looks like a very detailed and delicate method but not only is it extremely difficult to carry it out the way it is on picture, it would not be easy to get successful results. Reason being, surgery in reality, is like a battle so it does not proceed as planned or pictured. This is why surgeries have to be as simple as it can be. That way, the possibility of errors or unforeseen situations will be minimized and increase in the possibility of a successful surgery will follow. Furthermore, the simpler the method, more doctors will be able to provide equal quality of the surgery, which leads to its generalization.

One big reason behind the widespread implementation of mesh repair is that it is simple and easy for doctors to repeat the process. Thus, I believe that simplicity and easy-to-follow are important conditions for new tissue repair methods in the future.

i think dr. Kang made Great Comment …almost like he knows ours most surgeons .:} ..Yes it isn’t common to meet surgeons with very detailed with delicate approaches ! .Here is the Best Statement that every surgeon[B] must learn by heart .. Made By one German doctor credited his success. Once again for a few here who didn’t read it ![ before /B]
Dr. Reinpold of Hernia Centre Hamburg-Wilhelmsburg

[B]”The avoidance of chronic pain is a primary concern in inguinal hernia repair and may be considered the most important clinical outcome. This problem preceded modern mesh-based techniques; however, as recurrence rates have decreased, pain has become the more prevalent and important complication. Understanding the causative mechanisms and risk factors of inguinodynia help to prevent, diagnose, and treat this condition. Groin pain, especially in the absence of a bulge, often needs interdisciplinary diagnostics and no operation. Detailed diagnostics, meticulous operative technique with profound knowledge of the anatomy, proper nerve identification and handling, optimization of prosthetic materials, and careful fixation are of utmost importance. Further research on how to avoid CPIP and explore the effectiveness of treating it is necessary.”[/

[dog]

I have searched about the Guarnieri technique to answer your question on whether it is similar to my repair method.

The only similarity is that direct inguinal hernia and indirect inguinal hernia are treated in separate ways. I have read that this technique is no longer used even in that hospital, and I can guess why. In my opinion, it is because this technique is too complicated. On picture, it looks like a very detailed and delicate method but not only is it extremely difficult to carry it out the way it is on picture, it would not be easy to get successful results. Reason being, surgery in reality, is like a battle so it does not proceed as planned or pictured. This is why surgeries have to be as simple as it can be. That way, the possibility of errors or unforeseen situations will be minimized and increase in the possibility of a successful surgery will follow. Furthermore, the simpler the method, more doctors will be able to provide equal quality of the surgery, which leads to its generalization.

One big reason behind the widespread implementation of mesh repair is that it is simple and easy for doctors to repeat the process. Thus, I believe that simplicity and easy-to-follow are important conditions for new tissue repair methods in the future.

drkangi think dr. Kang made Great Comment …almost like he knows ours most surgeons .:} ..Yes it isn’t common to meet surgeons with very detailed with delicate approaches ! .Here is the Best Statement that every surgeon must learn by heart .. Made By one German doctor credited his success. Once again for a few here who didn’t read it !
Dr. Reinpold of Hernia Centre Hamburg-Wilhelmsburg

“The avoidance of chronic pain is a primary concern in inguinal hernia repair and may be considered the most important clinical outcome. This problem preceded modern mesh-based techniques; however, as recurrence rates have decreased, pain has become the more prevalent and important complication. Understanding the causative mechanisms and risk factors of inguinodynia help to prevent, diagnose, and treat this condition. Groin pain, especially in the absence of a bulge, often needs interdisciplinary diagnostics and no operation. Detailed diagnostics, meticulous operative technique with profound knowledge of the anatomy, proper nerve identification and handling, optimization of prosthetic materials, and careful fixation are of utmost importance. Further research on how to avoid CPIP and explore the effectiveness of treating it is necessary.”

[dog]

I believe also Testosterone replacement in older men..would help greatly !

[dog]

quote seeker:

I understand that for many cases – hernia repairs can be reliably done without mesh. But there are many cases where mesh is required. I had a femoral hernia and was informed that I could have a non mesh repair but that it would likely not hold as well as a mesh repair for that area of the body and that a second non mesh repair needed within 5+ years would likely effect the many pelvic nerves in that area and cause pain. I went to a top surgeon to have what I felt would be the safest mesh repair I could have. He was sincerely interested in my long term health from this surgery and I felt that with his guidance I made the best decision – which involved mesh. I’m not wild about having mesh in me – but so far I am doing fine – two years out. I often think about the many people who have surgeries after auto accidents or even from hernias that require immediate attention. You are left to whatever the local hospital em surgeon decides for you. To find a reputable surgeon you trust after doing your homework proves to be the best option. You can over analyze to the point that you build up too much fear to do anything. My surgery has made my life and health so much better. I find these studies interesting having opted for mesh. But ultimately, I trusted my surgeon.

I am wondering how they did it before mesh was invented ? :}

[dog]

quote fidel18:

Hi Dog, where is Dr Brown based in California? Im from San Diego. Thanks

Yes ! Great choice !