[dog]

I still cant understand why chronic pain still is the problem with [h=2]fully absorbable mesh ?[/h]

[dog]

G-K Any hope to get your post back? If you don’t mind give me yours name { in private text} i will ask Dr.Brown myself to confirm and post here ?

[dog]

essnce629 Thank you for your story! Myself i felt the same very good about doctor!.Please stay save until you see him..do your best to take care of yourself so you would need to do anything urgently !

We glad that this forum helped you ! It helped me as well :} PLEASE tell us your feedback about outcome later.

[dog]

Outcome according this publication is better but pain still there.. https://www.ncbi.nlm.nih.gov/pubmed/28492358

[dog]

quote dog:

I also was interested in this and raised that question in the past…Goods point Jnomesh

Dear drkang .What is professional opinion about this combination ?

[dog]

quote Jnomesh:

Hi dr. Towfigh.
i have spoken to a few people who have had mesh removal and didn’t want new mesh implanted if the area was weak or if there was a hernia present post removal. These people were offered absorbable mesh (tiger mesh) as a compromise.
it got me thinking: dr. Kang has weighed in on this forum and he mentioned one problem with using permanent mesh (besides the nasty side effects it can cause) is that he feels the hernia defect isn’t closed or repaired when using permanent t mesh thus the defect is never properly repaired/closed and relies slowly on the scarification that the mesh causes to prevent a recurrence and some additional reinforcement that the mesh also offers.
He feels that this may be one of the reason a hernia may recurr with the use of mesh because the defect was never closed. Then you have a faulty piece of mesh inside with the most likely solution to have another piece of permanent mesh implanted the opposite way it was put in to fix the hernia.
so my question is : for people who don’t want permanent plastic based mesh implanted or for people who it is determined their hernias are to big or not enough strong surrounding tissue for a natural repair what about using a combination of a pure tissue repair (closing the hernia defect ) and placing a absorbable mesh that fully dissolves over say a year as a viable alternative to a permanent mesh repair for those that don’t want mesh.
This way the defect is closed and the absorbable mesh gives another layer of protection during the first year of healing which is the most important time frame after a hernia repair.
Seems like this idea could bridge the two sides of the debate between permanent mesh and non mesh repairs for concerned patients who today are primarily offered only one solution by most surgeons: permanent mesh.
The absorbable mesh also would offer some insurance for surgeons who aren’t experts on pure tissue repairs ( ie don’t do many) that in case they don’t do a perfect tissue repair they have the absorbable mesh as a “back up” or insurance to help fix the hernia.
curious as to your thoughts Dr. Towfigh and any other surgeons on the forum as well as any other members feedback.

Thanks

Dear dr. drkang That is your experience please with tissue repair combined with absorbable mesh for hernia repair. Point is tissues are week after removal and recurrence chances is HI….Did YOU TRY THIS APPROACH?

For everyone else chronic pain still problem with that mesh as well….but outcome is better..
https://www.ncbi.nlm.nih.gov/pubmed/28492358

[dog]

I also was interested in this and raised that question in the past…Goods point Jnomesh

[dog]

I appreciate and agree in many ways with Dr Kang’s approach.
Despite my independent thinking I have always tried to continue to offer techniques that are validated by many other surgeons.

Jonathan Yunis MD FACS

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

[dog]

Good intentions Why was it removed AS A SPAM…it means that we cant trust to her story ? drtowfigh

[dog]

Dear G-K Thank you for your time to sharing insights and your personal success story . I am also planing to surgery with dr. Brown in 3 weeks !

[dog]

How was your appointment with doctor Burns? Any update please

[dog]

Very interesting article about the shouldice clinic.
I agree that their results are partly do to the fact that they only operate on skinny healthy people.
I do agree that keeping the patient in the hospital is wrong.
I also believe that fixing the hernia the same way every time does not offer the patient the best method for repair.
Have a good day.
Bill Brown, M.D.
510 793 2404 Office
650 703 9694 Cell

[dog]

Even 1 % it is not ok !

[dog]

WOW !!! Truly unbelievable ! Thank you for that post.

[dog]

https://www.yelp.com/biz/william-brown-md-fremont C Jekid

[dog]

essnce629 o,,boy! Look here is what help me amazingly https://www.herniatalk.com/9743-hernia-support-belt ..
Also the person you are going to see isn’t dr Brow .
Bill Brown, M.D.
650 703 9694 Cell

– Dr Robert Burns very experienced good doctor in Newport Beach, but not the only hernia he does ……according to his words ..when he does he does it with no mesh ..Very Good. ..I communicate with few of his clients they like him.

– Dr. Chean is taking a very difficult cases ..so it is 10 times harder to get a good result.He is a GOOD doctor.
Dr Harris does great job with mesh but you wont without mesh ..correct?

Yes dr. Towfigh would be my first choice an amazing doctor .but .also out of my network..i have the same insurance. :{

..here is link to dr Brown https://www.sportshernia.com/ Call him on cell now to TALK about you problem ..possibly he will do surgery on Monday…Thursday ? it is 1 hoer to fly from you..more fast then driving from LA to Newport beach …It is ultimately your choice ..i just don’t want to see you go to emergency.

[dog]

WOW!!! It is Amazing dr drkang like we say in America..don’t fix it until it is broken !
It also less stress on surrounding tissues..
Now..when you repairing what is broken ..do you use any specific method ..not simply stitching it..correct ? We understand that you pay attention to the GREAT level of details the way you stitch .according the video even the way you hold the stitching tool …How can you get a balance between durable stitching line {i see you make it thicker then others } and affoding complications with scarining..

[dog]

Just to let everyone know that truly excellent doctor Jonathan Yunis …he takes 2000 without insurance for simple hernia..

[dog]

Sorry to hear about your problem.Try to call to dr.Brown.not far away to fly ..he is in network

[dog]

Sorry to hear about your situation ..just letting you know dr.Brown takes your insurance he even respond to cell phone call.