drtowfigh
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brunog replied to the topic REMOVE MESH – BI LATERAL – AUTOIMMUNE REACTION in the forum Hernia Discussion 9 months, 4 weeks ago
thank you doctor brown.
is there any possibility that a necessary neurectomy, some nerve (ilioinguinal, iliohipogastrico or genitofemural) could affect the erection?
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dh305 started the topic Ultrasound prep in the forum Hernia Discussion 10 months, 3 weeks ago
Hello All and @drtowfigh
I’m getting an ultrasound this week to help to find out what is giving me discomfort.
Any prep instructions to get the best imaging? I’ve gotten no guidance, of course.
Do you fast before it?
All the script says is “abdominal ultrasound”.
The surgeon told me to tell the technician to get some images while I’m “be…[Read more] -
Casimir replied to the topic For Direct Treatment Only in the forum Hernia Discussion 10 months, 3 weeks ago
@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]
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Good intentions replied to the topic A new call for a registry in the forum Hernia Discussion 11 months ago
“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.
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Good intentions replied to the topic 14 months post surgery in the forum Hernia Discussion 11 months ago
@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]
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Casimir started the topic Tailored Approach? in the forum Hernia Discussion 11 months, 1 week ago
I am trying to put together a resource listing of premier “tailored approach” surgeons that do non-mesh tissue repairs as an option when the case permits. ( @alephy we were just discussing this 🙂
I am pretty sure @drtowfigh and Dr Conze in Munich do this.. I know there are others I am missing, can someone please advise? Does @drkang and @drbrown?…[Read more]
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Casimir replied to the topic Dr Kang and Dr Conze in the forum Hernia Discussion 11 months, 1 week ago
@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.
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Good intentions replied to the topic Cutting away Obliques -Ventral Hernia in the forum Hernia Discussion 11 months, 1 week ago
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]
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dh305 replied to the topic Exploratory surgery in the forum Hernia Discussion 11 months, 1 week ago
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!
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dh305 replied to the topic Exploratory surgery in the forum Hernia Discussion 11 months, 1 week ago
Thanks to all for your insights. I am going to push for imaging. Thanks @drtowfigh
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Casimir replied to the topic Pros and Cons of Open vs Lapro in the forum Hernia Discussion 11 months, 1 week ago
@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]
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Casimir replied to the topic Pros and Cons of Open vs Lapro in the forum Hernia Discussion 11 months, 1 week ago
@drtowfigh Can I ask for permission please to make an infographic based around this, or otherwise note it on my FB page? As either anonymous data, or credited, if you would have a preference? Wonderfully concise information. Thanks again.
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Casimir replied to the topic Pros and Cons of Open vs Lapro in the forum Hernia Discussion 11 months, 1 week ago
@drtowfigh So appreciate your response. Thank you so much.
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Casimir replied to the topic Pros and Cons of Open vs Lapro in the forum Hernia Discussion 11 months, 1 week ago
@drbrown Thank you.
And @drtowfigh.I am working on making a private group FB page for people searching for consolidated information, not so much a discussion group (as consolidated information does not exist as far as I can tell in an effective manner) as they start on the healing path from a hernia. This is due to my own experience which was…[Read more]
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Casimir replied to the topic Pros and Cons of Open vs Lapro in the forum Hernia Discussion 11 months, 2 weeks ago
@good-intentions Thanks. I’ll check out that video.
I saw where @drtowfigh mentioned there are benefits and risks more inherent to each without going into them. I was hoping for an unbiased condensed response. I hear from some no-mesh Drs that say you can get up and back in action in a matter of a week or two. And I hear where some people with…[Read more]
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Good intentions replied to the topic New website -> lost posts ownership? in the forum Hernia Discussion 11 months, 2 weeks ago
More spam with a link at the bottom. The posts should be removed to stop someone clicking through to a bad site.
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Casimir replied to the topic Recurrence with incisional hernia – living a nightmare in the forum Hernia Discussion 11 months, 2 weeks ago
@drtowfigh I’m sure you are far too fine of a person to come out and say it…after my experience I also have a hunch the surgeon, facility and aftercare is also a major factor…
I am seeing on FB and elsewhere so many people who are searching, many know they are uninformed — as unfortunately, I was uninformed too, but really didn’t know it af…[Read more]
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pmv replied to the topic Fat In Inguinal Canal in the forum Hernia Discussion 11 months, 3 weeks ago
Thank you @drtowfigh.
My valsalva protocol 3T MRI (1 year after robotic inguinal hernia repair on my left side & ProGrip mesh implant) states that there is fat in my left inguinal canal which is “stable” “without evidence of inducibility.”
Is this different from a “spermatic cord lipoma”? (It seems as though a lot of terminology is used…[Read more]
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Good intentions replied to the topic "app" for predicting hernia pain – Todd Heniford, 2012 in the forum Hernia Discussion 11 months, 3 weeks ago
Where can a person get the app? Is it still available?
Any thoughts on why J&J doesn’t make their results available? In this era of informed consent it seems like it would be an easy and logical decision. Get those positive results out there so patients know what they are getting in to. What possible reason would they have for delaying, since…[Read more]
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Good intentions replied to the topic J&J, Gold Standard, Bard, the tide is turning in the forum Hernia Discussion 11 months, 3 weeks ago
Thank you for the reply @drtowfigh
You seem to be implying that the problem might be more one of misguided perception than a real physical problem deriving from the use of mesh. One of my main points in many of my points is that the “standard of care” is flawed and is biased toward an assembly-line like repair system, losing focus on the…[Read more]
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