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What a great discussion we had. Dr. Janis helped shed some light on the role of the plastic surgeon in reconstruction of the abdominal wall, tummy tuck for hernias and diastasis recti, and pros and cons of components separation technique.

You can watch the entire hour here:

Great session with Dr. Bachman. She is among the top specialists in knowledge of mesh properties. We discussed mesh choices, laparoscopic surgery, and the role of hernia specialists.

You can watch it here: https://youtu.be/d4pMOY0ma9g

I agree with Alephy. It is a theme we have been trying to promote throughout HerniaTalk. There is no one best hernia repair. Or one best hernia surgeon. Everyone has different needs. For example, what would your answer be if you asked someone what car you should buy? Everyone’s needs are different. And every surgeon’s specialty and skill is…[Read more]

Also, as discussed on this webinar, the European Hernia Society has some guidelines provided for patients. They can be accessed here: https://www.europeanherniasociety.eu/patient-info/umbilical-and-epigastric-hernia

Glad you enjoyed the talk. I will be having more non-US hernia specialists. It is nice to see how different regions see different problems.

You can watch the full episode with Dr. East here: https://youtu.be/eoH_yJ8HOgI

And, yes, Dr. East does treat patients from outside of the Czech Republic.

Tissue repairs are best for Indirect inguinal hernias. Not as good for directs. But most surgeons would not image an inguinal hernia obvious on examination.

– the longer you wait after the prostate surgery, the better. Scar tissue will be less. This is most important for those who would benefit from laparoscopic hernia repair.
– Tissue repair Area is not related to prostate surgery area. So not much of an issue.
– almost all prostate surgery is performed robotically in the US and that is the…[Read more]

We had a great conversation about imaging and also the intricacies of parastomal hernias. You can watch it on my YouTube channel here: https://youtu.be/1CwDi1DvD2M

We had another great HerniaTalk **LIVE** session with Dr. Augenstein. You can watch it here: https://youtu.be/Lcb_Utz0p6o

We discussed management of complex hernias. This includes treatment of mesh infections, loss of domain, multiply recurrent hernias, indications for use of biologic mesh, protocols for preoperative optimization and…[Read more]

Ventrio ST is intended for use in laparoscopic ventral hernias, such as umbilical hernias. It is meant for intraperitoneal placement, which is why the “ST” portion of the mesh is added. ST mesh is not intended for use in extraperitoneal repairs, such as with the Kugel type repair or open preperitoneal hernia repair. Studies show using mesh with…[Read more]

Dr. Earle is a great choice in the Massachusetts area.

Also, thanks to your PT for viewing one of my HerniaTalks. I recommend you view the one on pelvic pain from a couple of weeks ago. It can be viewed here:

Also, you can read about it in a blog I wrote…[Read more]

Not sure where you read “Papers seem to show bio meshes are better than synthetic ones.” I do not agree with that statement and I know of no guideline that supports that statement, either.

There are risks and benefits to every mesh choice. Most absorbable mesh are biologic, though there are also synthetic options. Since they absorb, the risk…[Read more]

Evaluation by a pelvic floor physical therapist can help determine if you have pelvic floor spasm. These can cause pain, urinary problems, and bowel movement problems. Treatment of the hernias can help cure these problems. Also, some with diastasis recti have constipation issues, as their core is unbalanced and cannot coordinate the muscular…[Read more]

Imaging such as Ultrasound can help clarify. Examination is not always accurate, though it can be when done by a skilled surgeon while you are standing.

So glad to hear!

The Kugel patch and On-flex are both mesh products used for open preperitoneal repairs. None of us who do hernia repairs for a living use these products, as they are stiff (aka chronic pain) and can wrinkle (aka pain, recurrence). In fact, I think Kugel patch is no longer marketed and the On-Flex is considered the next generation for this product.