drtowfigh

When the option for laparoscopic/robotic mesh removal is available, it makes no sense to impart extra injury to the inguinal floor by opening through it when the same operation cam be performed with increased precision and less invasively. Robotic surgery by specialists is considered safe and does not impart extra injury. I don’t agree with the…[Read more]

I believe that open/anterior hernia mesh should be removed via open/anterior approach. Laparoscopic/robotic/posterior mesh should be removed via laparoscopic/robotic approach.

I believe that Dr. Kang only offers open surgery and does not offer laparoscopic/robotic surgical options. If he only offers open surgery, then I would not consider an…[Read more]

Constipation does not imply obstruction. Those are two distinct clinical situations: one is non-urgent and the other is urgent/emergent.

If the hernia includes his colon and he is obstructing as a result, then that requires repair. Otherwise, it is common for elderly to be constipated, with our without hernias, and so the treatment should be…[Read more]

Jam Packed session. I hope you all enjoyed it. If you missed it, you can watch and share from you YouTube channel here: https://youtu.be/q9NfA_S8yVM

Thanks everyone.

We had a strong hacking attempt originating from multiple countries. We temporarily put a halt on non-US IP address access so that we could get the site back up as soon as possible for you all. We will reopen the site again and work on updating the website completely so that we can help as many of you around the world as…[Read more]

@chucktaylor, your situation is unfortunately not uncommon. It is one of the reasons I built this forum: so that you and others can seek help in whatever way is necessary to address hernia related problems.

Complications can occur with any surgery, and any hernia surgery. And the recommendations I provide are based on large population studies…[Read more]

I restored your post. Here you go, @pinto

Inspiring hour with Sue Blackwell, her struggles with parastomal hernia recurrences, and how she used her experience to become a patient advocate.

If you missed it, watch it all here on my YouTube channel: https://youtu.be/pV6fUomSWsk

This is a population based study. They don’t have data collection regarding type of mesh used

Amazing details shared by musculoskeletal radiology and nerve imaging specialist at NYU Langone. You can listen to it all here: 93. HerniaTalk LIVE Q&A: Imaging for Peripheral Nerve Disorders and Chronic Pain

All studies shows superiority of laparoscopic inguinal hernia repair with mesh over open repair with mesh or open repair without mesh in terms of recurrence and chronic pain. That is not refutable.

That doesn’t mean that I believe all patients should have laparoscopic repair with mesh, though some surgeons believe that. I don’t. I tailor the…[Read more]

In men the mesh touches the spermatic cord, but there is no bunching close to the genitals. All studies show less pain with the laparoscopic approach. But no study shows zero pain with any technique.

The IHC is not for patients. It is intended for physicians to talk freely about their patient cases so that they can learn from each other. The transparency is within-group. It is not a public forum. And it is the only one of its kind, outside of an institution’s Morbidity and Mortality conference (which is also closed) where doctors freely…[Read more]

Here is the link to watch the HerniaTalk session https://youtu.be/HrGl8eNchtA