[DrBrown]

@joseph
If the sutures are not tied too tightly, sewing to the periosteum should not give you any trouble.
Regards.
Bill Brown MD

[DrBrown]

@watchfulwaiting
Dear Watchful.
Look for a surgeon who is at least 60 years old. He/she would have been trained before mesh was commonly used.
Regards
Bill Brown MD

[DrBrown]

@brunog
I agree with Dr. Towfigh, I have never heard of sutures causing an autoimmune response. If the patient is at very high risk for an autoimmune response then absorbable sutures can be used.
Regards.
Bill Brown MD

[DrBrown]

@momof4
After mesh removal, it is usually possible to repair any defect with a pure tissue repair. The type of repair will depend on the strength of the tissues. Often a bassini repair is possible.
Regards.
Bill Brown MD

[DrBrown]

@julian
Dear Julian.
After neurectomy you will slowly regain some of your strength, but it is a very slow process. Try to be patient. Exercise the pelvic floor with Kegel exercises.
Follow up with your surgeon frequently to get additional help.
Regards.
Bill Brown MD

[DrBrown]

@sean85
Dear Sean.
You could have a recurrent hernia, fibrosis around the mesh, nerve entrapment. I advise you to return to the surgeon and ask for his or her advice.
Regards.
Bill Brown MD

[DrBrown]

Dear Scott.
The hernia belt will not prevent a recurrent hernia, but it might make you feel more comfortable.
the most common causes of recurrent hernias are:
Coughing, smoking, constipation, BPH, Obesity.
Regards.
Bill Brown MD

[DrBrown]

@rosi
Dear Rosi.
Are you getting better?
Bill Brown MD

[DrBrown]

@ontarioanswers
Dear Ontario.
The next step would be to see a general surgeon and discuss the options for repair.
Regards.
Bill Brown MD

[DrBrown]

Dear Scott.
I would advise you to start with a pure tissue repair.
There is a small chance that it would fail. If it does a second pure tissue repair can be performed.
Regards.
Bill Brown MD

[DrBrown]

@alephy
Dr. Rolf Hunkeler is in Zurich.
Regards.
Bill Brown MD

[DrBrown]

@adamrussell
Dear Adam.
When the virus problem settles down, see your doctor. Usually, a careful physical examination can determine whether or not you have a hernia.
A standing ultrasound with valsalva is the best imaging test.
Regards.
Bill Brown MD

[DrBrown]

Dear Scott.
It is difficult to repeat the laparascopic procedure because the tissue planes are scarred together. Therefore if the Lap Hernia repair fails an open procedure is the best choice. The open procedure can be performed with or without mesh.
Regards.
Bill Brown MD

[DrBrown]

@tigerpawn
Consider the Gilmore Clinic in England and Dr Muschaweck in Germany for a pure tissue repair.
Regards.
Bill Brown MD

[DrBrown]

@good-intentions
Thank you for your history lesson. I had not heard the story.
Bill Brown MD

[DrBrown]

@brunog
After neurectomy 80% of the patients are 80% better.
Depending on the level of the neurectomy, there can be some muscle weakness.
There is should be no effect on sexual function.
Regards.
Bill Brown MD

[DrBrown]

@ontarioanswers
Dear Ontario.
Did the ultrasound identify if your hernia was direct or indirect.
Indirect hernias are more likely to cause spermatic cord pain.
If you are skinny, then the surgeon should be able to palpate the hernia.
Regards.
Bill Brown MD

[DrBrown]

There is a chance that autoimmune disease will improve after the mesh is removed.
Bill Brown MD

[DrBrown]

Dr Muschaweck
https://www.fortiusclinic.com/specialists/dr-ulrike-muschaweck
Gilmore Clinic
https://www.thegilmoregroinandherniaclinic.co.uk/

Regards.
Bill Brown MD

[DrBrown]

@columb-if
Marcy with tightening of the internal ring (ringplasty).
Regards.
Bill Brown MD