drtowfigh

@drtowfigh I cannot claim to have anywhere near the knowledge you have concerning the literature on inguinal hernias. But, it seems a bit outlandish to claim that ALL studies comparing open-mesh, lap-mesh and tissue-based repairs conclude that lap-mesh is best in terms of chronic pain and recurrence. I’m quite certain data out of Shouldice would…[Read more]

Hopefully @drtowfigh can chime in here…but I found a wee bit of info from one of her HerniaTalk videos on umbilical hernias and pregnancy (timestamped at 56:02):

For women who had an umbilical hernia repair:
– higher risk of recurrence following pregnancy
– if a mesh repair, higher risk of chronic pain in…[Read more]

Happy New Year @DrTowfigh.

And a Happy New Year to everyone who posts on here.

I really appreciate this forum, I think it’s really important for those of us who want/need to debate, enquire and learn more about all things hernia related.

All the best for 2022 everyone.

Would @drtowfigh care to elaborate about Bassini? Does Bassini inherently have risk for chronic pain–apart from other methods? Here’s a recent glowing research study on Bassini success: https://www.sciencedirect.com/science/article/pii/S2405857221001066#!
[Bassini inguinal hernia repair: Obsolete or still a viable surgical option? A single…[Read more]

Hello all, I just wanted to give update and share my experience with you. After my initial post on forum I went to neurologist who gave me Lyrica for nerve pain. It didn’t worked i didn’t notice any better. Before Lyrica I tried with variety painkillers, also not working.

I had revision surgery one year ago. Revision was not performed by the…[Read more]

The critical error message is new, I just got the same thing. You clicked in the right place, but there is a problem with the site software.

@drtowfigh

Hello @drtowfigh . Could you provide some follow-up on your meeting with the FDA. I know that the times have been tough, and all government agencies were seriously handicapped by the last administration (no offense to anyone’s political views, it’s just a reality), and the ongoing COVID pandmeic, but, maybe, efforts can be re-initiated? The FDA…[Read more]

I think there is a misunderstanding on what a cure means….personally I think of that as “reduction of symptoms”. As an example in the past people were pushed into surgery whenever a meniscus problem was diagnosed: it has since been found that at 4 years the symptoms of those who had surgery and those who had PR were similar/identical, suggesting…[Read more]

I’m really disappointed to hear Doc Brown retired, if indeed he did. Also sorry to hear @Wes Adair you are ailing so. My best to you that you get the help you need. Finally, much appreciated to @drtowfigh and to @Goodintentions for your helpful replies. Hey, both of you, great to hear the shop talk between doctors in the linked video. Fascinating.…[Read more]

@drtowfigh Thanks for the video, it was really interesting!

Did I understand correctly that when the absorbable mesh is placed below the muscle the recurrence rate is around 12%? It was also mentioned that depending on the technique the recurrence rate with absorbable meshes can vary dramatically, which prompts my question:
I have often heard…[Read more]

@drtowfigh thank you so much for your prompt reply. Is there a specific protocol for ultrasound that needs to be requested?

After using the the search feature, I found this thread[0] which describes a protocol used for MRI of occult hernias. Unfortunately the image you posted back then (of the protocol) is blurry. Is there anywhere else I can…[Read more]

@drtowfigh The definition of success is what I have been wondering about (in fact many others have as well) i.e. does this include follow up for potential problems? Since joining in this forum I am inclined to say that most of the times it does not…I guess this is the question for many who consider hernia surgery i.e. whether they can follow the…[Read more]

Many thanks for your reply @drtowfigh, I very much appreciate it.

From the Moloney Darn reports and meta-studies I’ve read, as you say, the majority of more recent studies do tend to be in developing countries, but they do appear to evidence very low recurrence rates and chronic pain rates that are at least on a par with the Shouldice and…[Read more]

Thanks for your reply Good intentions, it’s a very valid point with big businesses so involved in medical supplies and pharmaceuticals.

Re the Moloney darn and other variants of the darn repair technique, they’re clearly more cost effective than a mesh repair, as long as the recurrence rates are pretty equal. If they are as effective or more so…[Read more]

@drtowfigh, for clarification I should add that my issue arose way beyond 90da., one approaching a year and a half post. I don’t want any readers to think mine happened within 90da. because if it did, the mistreatment would be outrageous, outrageous. 😀 (I don’t think the time is so different though because surgery is surgery.)

@drtowfigh, that’s awesome to hear. Because American society is an open society, its “dirty laundry” is easily criticized; yet it often leads toward advancement of civilization, a word I use sparingly. It’s great what you said. I never heard of such a formalized policy. I’m sure its helpful for both doctor and patient and overall advances medical…[Read more]