drtowfigh
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drtowfigh replied to the topic Survey finds 64.5 percent patients "unhappy" after inguinal surgery in the forum Hernia Discussion 1 day, 2 hours ago
That’s an incorrect interpretation of the study and not the purpose of the manuscript.
This is not a population study of all patients undergoing hernia repair. Thus it is incorrect to say that ⅔ of patients are unhappy with their repair.
The research study compares the different values and outcomes of those happy vs unhappy with their rep…[Read more]
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drtowfigh replied to the topic Interesting article comparing the costs of open, lap or robotic repair in the forum Hernia Discussion 2 days, 1 hour ago
Yup. A lot of ways to analyze the pros/cons of robotic inguinal hernia repair.
It’s certainly never been show to be cost effective purely from the surgery/Hospital utilization standpoint. But it the technology has made it so that more surgeons are offering minimally invasive inguinal hernia repairs, which is a good thing, as the alternative w…[Read more]
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drtowfigh replied to the topic Questions concerning open surgery fro Direct inguinal hernia in the forum Hernia Discussion 2 days, 16 hours ago
1) still have to dissect out the cord, as it lays on top of the direct hernia and prevents you from repairing it if not dissected out
2) for direct hernias it’s a weakness not a tear of the transversalis fascia
3) for direct hernias, the weakness
should be plicated prior to mesh placement. Most surgeons are unaware of this important step for o…[Read more] -
drtowfigh replied to the topic Ventral hernia with rectus diastasis in the forum Hernia Discussion 2 days, 17 hours ago
In general, incisional hernias are best repaired with mesh. Studies show 50-60% recurrence when repaired without mesh.
Incisional hernia in the midline of up to 2cm can be considered reparable without mesh if combined with a fascial plication.
A multiply recurrent incisional herniaeasuring 7cm requires some amount of fascial components…[Read more]
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drtowfigh replied to the topic Soliciting advice, and maybe input from Dr. Towfigh in the forum Hernia Discussion 3 days, 4 hours ago
@ajm222
– I don’t trust imaging reports. I look at the imaging myself and based on our own published study, 3 out of 4 times the imaging report is incorrect. So, I do not rely on a radiology report to determine my plan of care. Also, CT scan is not sensitive enough for small hernias which may be symptomatic. Also, the technique of the imaging…[Read more] -
drtowfigh started the topic HerniaTalk **LIVE** Q&A in the forum Hernia Discussion 3 days, 16 hours ago
There will be no HerniaTalk LIVE Q&A this week. Sorry, patient care comes first. I’ll see you all next Tuesday.
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drtowfigh replied to the topic Soliciting advice, and maybe input from Dr. Towfigh in the forum Hernia Discussion 3 days, 16 hours ago
I don’t know the specifics of your situation since you’re not my patient, but based on what you’ve shared, it sounds pretty convincing to me that you have a hernia recurrence. A) you have a bulge, B) you have symptoms, C) CT scan shows a hernia via the cord lipoma/retroperitoneal fat, D) you had no hernia repair once the mesh was remov…[Read more]
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drtowfigh replied to the topic Soliciting advice, and maybe input from Dr. Towfigh in the forum Hernia Discussion 3 days, 16 hours ago
I don’t know the specifics of your situation since you’re not my patient, but based on what you’ve shared, it sounds pretty convincing to me that you have a hernia recurrence. A) you have a bulge, B) you have symptoms, C) CT scan shows a hernia via the cord lipoma/retroperitoneal fat, D) you had no hernia repair once the mesh was remov…[Read more]
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drtowfigh started the topic HerniaTalk **LIVE** Q&A : Umbilical Hernias 01/24/2023 in the forum Hernia Discussion 1 week, 4 days ago
HerniaTalk LIVE is a weekly Q&A hosted by Dr Shirin Towfigh, hernia surgeon expert at the Beverly Hills Hernia Center, with invited special Guests to answer your hernia-related questions.
Topic: Umbilical Hernias
Guest Panelist: Dr Gabriel Arevalo, hernia and gastrointestinal surgeon in Houston, Texas
Join us this Tuesday 01/24/2023, at 4:30…[Read more]
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drtowfigh replied to the topic Need Referral for Non-Mesh Surgeon in Orange County, CA Surgeon in the forum Hernia Discussion 1 week, 4 days ago
Shouldice, etc are for inguinal hernias. If you have a ventral hernia, first it’s important to know if you are eligible for a non-mesh repair. It is not as easy or reliable to not use mesh if the hernia is large. Dr. Beanes is a good resource to ask this question for ventral hernias.
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drtowfigh replied to the topic HerniaTalk **LIVE** Q&A: Biocompatibility of Mesh Implants 01/17/2023 in the forum Hernia Discussion 1 week, 5 days ago
Regarding first line of care for those with allergies and urticaria, it depends on the extent of and details of that. It also depends on the hernia.
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drtowfigh replied to the topic HerniaTalk **LIVE** Q&A: Biocompatibility of Mesh Implants 01/17/2023 in the forum Hernia Discussion 2 weeks, 3 days ago
Will ask her!
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drtowfigh started the topic HerniaTalk **LIVE** Q&A: Biocompatibility of Mesh Implants 01/17/2023 in the forum Hernia Discussion 2 weeks, 5 days ago
HerniaTalk LIVE is a weekly Q&A hosted by Dr Shirin Towfigh, hernia surgeon expert at the Beverly Hills Hernia Center, with invited special Guests to answer your hernia-related questions.
Topic: Biocompatibility of Mesh Implants
Guest Panelist: Noreen Wideman, Patient Advocate & Medical Mesh Complications Survivor
Join us this Tuesday…[Read more]
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drtowfigh replied to the topic Marcy Repair in the forum Hernia Discussion 3 weeks, 1 day ago
The Marcy repair is a great option for children and women with very small inguinal hernias. It’s an old technique that has been around for over 50 years. I use it in specifically those situations. It is not appropriate for direct inguinal hernias or in most male hernias.
I believe Dr Kang’s repair for indirect inguinal hernias is a mod…[Read more]
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drtowfigh started the topic HerniaTalk **LIVE** Q&A: Training as a Hernia Surgeon 01/10/2023 in the forum Hernia Discussion 3 weeks, 4 days ago
HerniaTalk LIVE is a weekly Q&A hosted by Dr Shirin Towfigh, hernia surgeon expert at the Beverly Hills Hernia Center, with invited special Guests to answer your hernia-related questions.
Topic: Training as a Hernia Surgeon
Guest Panelist: Dr Kathryn Schlosser, Surgeon in Fellowship Training, Greenville, South Carolina
Join us this Tuesday…[Read more]
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drtowfigh replied to the topic Going into Labor while Pregnant in the forum Hernia Discussion 3 weeks, 4 days ago
Happy to help:
1- bulging in the groin during pregnancy can be inguinal hernia, femoral hernia, or round ligament varices (varicose veins). Does the bulging go away when lying flat? A simple hernia ultrasound performed to help find the answer.
2- Pregnancy rarely causes hernia emergencies. Also, delivery rarely causes hernia emergencies.…[Read more]
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drtowfigh started the topic HerniaTalk **LIVE** Q&A: National Hernia Registries & Databases 01/03/2022 in the forum Hernia Discussion 1 month ago
HerniaTalk LIVE is a weekly Q&A hosted by Dr Shirin Towfigh, hernia surgeon expert at the Beverly Hills Hernia Center, with invited special Guests to answer your hernia-related questions.
Guest Panelist: Dr Hans Friis-Andersen, hernia surgeon in Denmark
Topic: Learning from National Hernia Registries & Databases
***NOTE EARLIER TIME***
Join us…[Read more] -
drtowfigh replied to the topic The Gospel of Mesh in the forum Hernia Discussion 1 month ago
Not a fair statement, in my opinion.
Dr Felix was the first to introduce the TEP laparoscopic inguinal hernia repair. He was trained under Dr Nyhus, who performed a similar repair in open fashion.
Drs Felix & Daes wrote the initial paper in 2017, discussing the importance of defining the critical view for laparoscopic or robotic inguinal…[Read more]
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drtowfigh replied to the topic The Gospel of Mesh in the forum Hernia Discussion 1 month ago
Not a fair statement, in my opinion.
Dr Felix was the first to introduce the TEP laparoscopic inguinal hernia repair. He was trained under Dr Nyhus, who performed a similar repair in open fashion.
Drs Felix & Daes wrote the initial paper in 2017, discussing the importance of defining the critical view for laparoscopic or robotic inguinal…[Read more]
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drtowfigh started the topic Happy New Year! in the forum Hernia Discussion 1 month, 1 week ago
I’m so grateful to everyone for helping keep HerniaTalk.com the best platform online for sharing Hernia related discussions for all to learn from.
We will return with our HerniaTalk LIVE Q&A in the new year, January 3rd. Subscribe to YouTube.com/@herniadoc to keep abreast of all the episodes.
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