drtowfigh

As you know, nothing is perfect in medicine. The complications of tissue repair would involve neurectomy, pain management, and probably need for mesh repair in a revisional operation. My point is that it is not a benign pain-free perfect repair. There is a reason why we moved to mesh—-because the results from tissue repair were not good. I h…[Read more]

The round ligament is one of 5 suspensiry ligaments of the uterus, and the weakest of them.

There is no evidence that shows cutting the round ligament in anyway affects the uterus or pregnancy.

I am very interested in this topic as I treat a lot of females. I’ve queried scores of specialists in obstetrics, gynecology, Urogynecology, female u…[Read more]

https://link.springer.com/article/10.1007/s10029-020-02259-7

Just want to remind patients that non-mesh inguinal hernia repair is not a benign operation. There are risks with it as with any other operation. And also that there is risk of chronic pain after tissue repair, such as Bassini.

Sorry to hear about everyone’s pain after tissue repairs. It just goes to show that non-mesh tissue repairs also can result in chronic pain. And all surgery has its set of complications. It’s one reason why we recommend watchful waiting until the risks of surgery are outweighed by its benefits.

What is the question?

Shouldice is 4 layers. I’m not aware of surgeons doing it differently.

Will not affect the hernia.

To address @deeoeraclea, ultrasound or other imaging is used to diagnose an inguinal hernia when examination is non-diagnostic.

Multiple large population studies, modern and older, have shown that chronic pain rates are similar for mesh and non-mesh inguinal hernia repairs.

These are both US and European studies.

Let’s not forget that when mesh repair was invented, patients were admitted to the hospital for 1-2 weeks after their tissue repair. Pain was considered a g…[Read more]

Kegel exercises, when done correctly, should not be straining. You should be pulling up on your pelvic floor, not pushing it out. And so it should be ok with hernias.

Surgery has risks. If you had a gastric bypass or a colon resection or a gallbladder operation, they all have a long list of potential complications.

The chances of the bladder being involved in the repair is not among the commonly noted complications, but it can and does happen.

In some situations, the mesh either touches the bladder too closely or is intimately involved with the bladder and this can cause bladder pain, especially with full bladder, with urinary urgency. Also, sometimes, depending on the technique, the bladder is scarred over toward the hernia repair, and this can cause pain with full bladder.

In those…[Read more]

This was a great session with Dr. Krpata. Great questions from all who participated. We dedicated the entire hour to Chronic Groin Pain.

If you missed it, you can watch the entire session on YouTube: https://youtu.be/Y_7MYEFKCQY

Ice is an anti-inflammation. Hernia pain is inflammation. So, use ice.

Hear is a muscle relaxant. And it Increases blood flow to the area, which will increase the inflammatory response. Don’t use it for hernia pain. It will make the pain worse.

Fantastic and such an informative hour. We discussed in detail and very specific fashion everything you need to know about mesh reaction. If you missed it, I highly encourage you watch this on my YouTube channel here: