drtowfigh

@mark I hope we were able to answer your questions live.

The suture has its risks too. Can break, interfere with imaging. There are synthetic sutures that have less inflammation too. In most first world countries, the steel sutures have been abandoned.

Thanks for all who participated, making this the most interactive session we have had to date. If you missed it, you can watch the Q&A session on my YouTube channel here:

I don’t know how many of you were able to join me live, but that was an amazing two hours of insightful questions.

We discussed all types of hernias, their repairs, indications for pregnancy, online resources, exercise and PT protocols, etc.

You can watch it all here: https://www.facebook.com/141698152571123/posts/3916457325095168/?d=n on my F…[Read more]

We will be live soon, at 4:30 pm tonight, Pacific, on my Facebook homepage (Dr.Towfigh) and also on the Pelvic Guru homepage. If you miss it, I will send a link to the archived page.

This expert webinar about hernias will be LIVE in the #GPHAM membership Facebook group (and membership site) AND the public Pelvic Guru Facebook page AND Dr.…[Read more]

The AHSQC is unrelated to this survey. This was made by one of my Czech colleagues. She is trying to figure out what issues are important to patients and this how surgeons can better discuss and inform their patients.

You can watch this episode on my YouTube channel here:

I should have clarified: for OPEN inguinal mesh removal.

For laparoscopic, we rarely have to do a neurectomy, as the nerves are not exposed.

In my opinion, mesh removal should always be done by a specialist, as the risk of complications is not low.

Dr. Ramshaw has written about his experience with prehabilitation. Here is a sample article:

https://link.springer.com/article/10.1007/s00464-019-07082-5

Also, you can read more about it in the book:

https://www.sages.org/publications/sages-manuals/the-sages-manual-of-hernia-surgery/

Plus if you google Dr. Ramshaw and Prehabilitation, there…[Read more]

For inguinal hernia mesh removal, nerve damage from the mesh removal process is likely. Not all nerves may be at risk, but typically at least one may be. So, the surgeon should consider neurectomy at that time. If neurectomy is not performed, the risk of chronic nerve pain, neuroma is high and can be quite life-altering. And treatment…[Read more]

You can watch the entirety of this HerniaTalk **LIVE** episode here:

This is not a paper on tissue repair. It simply discusses what many of us already do for laparoscopic repair of direct inguinal hernias: we close the direct defect or imbricate the transversalis fascia prior to mesh placement. It reduces seroma formation and also, I believe, reduces eventration (pseudo-herniation) of mesh into the direct defect.

You can watch this HerniaTalk **LIVE** session here: https://youtu.be/6wQzS1hIU74

We discussed sports hernias/athletic pubalgia, tummy tuck, watchful waiting, and the future of hernia surgery.