[dog]

Also Dr Brawn told me that thank to drtowfigh he using a lot of her natural pain inflammation cooling supplements after surgery !

[dog]

quote UhOh!:

Is there a way to address a collagen deficit through medical management or dietary changes either prior to, or directly after, surgery? Would seem to be an interesting study; half the patients randomly assigned to address the collagen deficit, the other half not, and see the results of pure tissue repairs.

Also Is it possible to use biodegradable mesh to reinforce collagen ?

[dog]

Thank You drtowfigh This forum was live savings for many peoples ! Do you know by chance of any no mesh hernia surgeon in this world famous center ? https://mayoclinichealthsystem.org/locations/owatonna/services-and-treatments/surgery

[dog]

Here is very respectfully doctor’s onion below !

The Desarda technique is very simple and seemingly sensible as a way to repair an inguinal hernia. However, as a responsible academically driven hernia specialist, I am responsible to data driven decisions. The Shouldice repair is also an elegant repair with a history of 70 years of success. It has been studied extensively and clearly remains the gold standard for a non mesh inguinal hernia repair. While it is more complex than the Desarda technique, the results from Shouldice are consistent with a long history of safety and patient satisfaction and long term recurrence rates of 2-4 %.
While initial results may be excellent from the Desarda repair, long term data does not exist.
For this reason, the Shouldice repair remains the gold standard for non mesh hernia repair.

Jonathan Yunis MD FACS

http://www.centerforherniarepair.com
941-953-5917

[dog]

Here is respond of very respectful doctor ..not having his permission to give his name …We all probably would love to know what Dr. drtowfigh would comment here !
————————————————————————————————————————————————————
The Desarda technique is very simple and seemingly sensible as a way to repair an inguinal hernia. However, as a responsible academically driven hernia specialist, I am responsible to data driven decisions. The Shouldice repair is also an elegant repair with a history of 70 years of success. It has been studied extensively and clearly remains the gold standard for a non mesh inguinal hernia repair. While it is more complex than the Desarda technique, the results from Shouldice are consistent with a long history of safety and patient satisfaction and long term recurrence rates of 2-4 %.
While initial results may be excellent from the Desarda repair, long term data does not exist.
For this reason, the Shouldice repair remains the gold standard for non mesh hernia repair.

[dog]

Dear drtowfigh Thank YOU!

[dog]

quote Chaunce1234:

I can’t speak from specific experience but you can find a lot of reviews and thoughts of Dr Grischkan around the web. Beyond that, his website says he has repaired something like 20,000 hernias, which is a huge number, I’m not sure if there are many other surgeons with that volume of experience fixing only hernias.

There’s also the Shouldice clinic in Toronto Canada, which is fairly close to the midwestern states as well. Most USA-based insurance probably won’t cover Shouldice, but then again the all-in cost of Shouldice is still often less than deductibles and co-insurance with many insurance plans.

Chaunce1234 You are SOOO correct about deductibles !!!! Boy i still like more [h=1]DESARDA technique…. If i would go for Shouldice ..My choice would be this doctor https://www.centerforherniarepair.com/meet-dr-jonathan-yunis/[/h]

[dog]

Dear Chaunce1234 Thank YOU! Good info !

[dog]

I am just wonder if stainless steel sutures or any nylon sutures can have similar effect on inflammation like we are all here against mesh …it is foreign to body with unknown long term effect [h=2]DESARDA technique using just dissoluble sutures and that is working ok ..WHY ?[/h]

[dog]

[h=1]A comparative study of Desarda’s technique with Lichtenstein mesh repair in treatment of inguinal hernia: A prospective cohort study.[/h]
https://www.ncbi.nlm.nih.gov/pubmed/28131917

[dog]

Dear Chaunce1234 thank you ! Do you mean in very beginning when it happened ? I had sharp pain as well..but after that just come and go

[dog]

Dear jeffmensch we have a great discussions about it here https://www.herniatalk.com/8199-desarda-technique

[dog]

Hi Dear Jnomesh That is what i think ! The only one think to my Big surprise claim to do laparoscopic repairs with no mesh ? It was his assistant told me. I will call on Monday to ask one more time… How it possibly ? I agree that more durable would be open. My problem getting worse..need to stop by job periodically to sit down to get some relive.. So needs to act.
How will i fly back after surgery this concerning me… ?

[dog]

muzik Thank You ! Was it bulging .and coming back ?

[dog]

Thank you to everyone who responded ! I was on Dr. Brown web but didn’t see that page….i wish he also would be proficient in laparoscopic, that way he would pick best option … I spoke with him and like him a lot . Will take me fly 1 hour and surgery be done very fast no waiting list.

I am just wondering will i miss something not visiting Dr. Chen http://surgery.ucla.edu/hernia/our-expert-team {Drive 1 hour but long waiting } he performs no mesh laparoscopic { possibly the only one doctor } but what methods he use ..not known ?

Regarding safety.. Dr Brown believes that open much safer because you see nerves much better….but others disagree . I think with out mesh open one would be more durable ..What is your opinion ? It is too sad that we must be almost doctor our self in order pick the best option.

[dog]

Jnomesh Thank you! I was on Dr. Brown web..but didn’t see that page. I think that would be the best option..i just wish he also would be perfect with laparoscopic surgery …that way his point of view would be even greater and i know i don t miss anything .. I can fly to him [ONE HOUR to FLY ..but how can i fly myself after that surgery ..any experience like that ? } but he can do quick .!!! and he is very nice person ..but i didn’t see too much online posts about his work

I think the only question ..Would i have will i miss something ..not seeing Dr. Chen,MD ? ..receptionist told me he does no mesh laparoscopic … Do you think he could do those methods just with laparoscopic ? https://www.sportshernia.com/no-mesh…repair/repair/ …..it takes a lot of time before i can see him !!! BUT it is ONE HOUR to DRIVE …

Also about safety concern…Dr Brown told me open surgery less risky because you see all nerves better.. however Dr. drtowfigh kindly told me it is wrong assumption .all about experience .Chaunce1234 John Fortem Jnomesh Good intentions and all Great members What do you think ?

[dog]

http://surgery.ucla.edu/hernia/our-expert-team [h=2]David Chen, MD does it without mesh but Laparoscopic..[/h]

[dog]

John Fortem Thank YOU ! Any Video ? Will this on work ? https://www.youtube.com/watch?v=OnNccKz_QdU&feature=youtu.be

[dog]

Dear Jnomesh Thank You ! Good point ! after reading it i start to think that first to determine what type of hernia i have ? Could you please advise me on that..it so confusing :{ ….

[dog]

Dear Dr drtowfigh can you please give a link to those exercises you kindly tell us about ?