drtowfigh

No, I’m from Eastern Europe but from the research that I have done found dr.Muschaweck is one of the best in Europe for removal. Maybe @drbrown or @drtowfigh will have a clue what’s happening. Also is it true that ProGrip micro grips dissolve over time ? Is it harder to remove that type of mesh ? Just as I said I’m not thinking of removal yet and…[Read more]

@drtowfigh, Thanks for the interesting session. Shouldice Hospital wouldn’t touch me with a 10 ft pole!! So, how do we get some of those stainless steel sutures?? No inflammatory response sounds great!! Thank you for keeping hernia patients educated.

@drtowfigh – that makes sense, thank you. The side I’m having the pain on is the same side that all 3 layers were either cut through or cut too deep during component separation in June 2018 and the component separation totally failed – everything kind of ripped apart. I had two major recurrences after that before seeing a specialist (my mistake -…[Read more]

Thank you both for your responses! I am currently in the waiting phase during this pandemic to receive ultrasound guided injections. @drtowfigh – brief anatomy question : in the area of my pain I can feel separation between my rectus muscles and a small soft area near where my oblique was sutured back in place. Is this normal/okay? I can’t feel…[Read more]

@drtowfigh and @drbrown Thank you so much for the very informative HerniaTalk Live session tonight! I truly appreciate your time and expert opinions. Your passion for all things Hernia shows and we, the patients, are grateful. Stay safe and well. God bless you!

@drtowfigh thank you very much for your attention.

in my case I feel other symptoms, not only the brain fog, I feel body pain, fatigue, spasms, burning and numbness.

I will perform the surgery in Brazil by robotics.

I am confident but very scared, I believe it can improve.

would you have any advice that i can inform my surgeon?

thank you doctor brown.

is there any possibility that a necessary neurectomy, some nerve (ilioinguinal, iliohipogastrico or genitofemural) could affect the erection?

@drbrown
@drtowfigh

@drtowfigh @drbrown or any other doctor that is willing to weigh in about the post directly above ^ — can a doctor weigh in please? This thread sort of reached a point where there’s an interesting question hanging, and input from those who’s opinions would carry the most weight / respect I am guessing would be appreciated…

The question from ab…[Read more]

“Patient reported outcome (PRO)
The AHSQC plans to develop a questionnaire that is valid for addressing long-term catastrophic mesh related complications. ”

Maybe the questionnaire is done? @drtowfigh

I don’t see it on the web page.

https://www.ahsqc.org/

@baris thank you for following up with your results. You are one of the few people who has both types of hernia repair at the same time.

For removing the mesh that you have, behind the rectus muscle, that is the normal placement for a laparoscopic implantation, and for certain “anterior” approach open methods. It’s normal to have it there. The…[Read more]

@drtowfigh Perusing various posts and saw this one and wanted to share that unless I am totally mistaken, Dr Grischkan primarily does a modified Shouldice repair when tissue allows, and is in the midwest (Cleveland OH area), and has done around 20K of them.

Have you had a second opinion? Dr. Towfigh just posted a comment about being able to “sew” laparoscopically using robotics. That seems like what you would need and I don’t think that robotic lap would require cutting away your obliques. I can’t imagine obliterating the obliques for anything but a life-saving effort. Seems like too much. @drtow…[Read more]

Just to follow-up @drbrown and @drtowfigh I met with my original surgeon today and now he’s ordered an abdominal ultrasound. Valvasa? Any suggestions on prep or what to ask of the technician so that I get the most out of it? Thanks for the encouragement!

Thanks to all for your insights. I am going to push for imaging. Thanks @drtowfigh

@good-intentions I would respectfully counter that academic argument can go on forever, without consensus. For the practical purposes of providing laypeople who are looking at surgery with points that they can potentially bring up with their doctor, and open up these valuable discussions in greater detail, and become their own advocate, this can…[Read more]