drtowfigh

This was a very interesting talk!
@drtowfigh what is your first line of care with patients with allergies and/ or urticaria? I happen to have both and while not debilitating but only annoying I would consider myself not a candidate for mesh repair or any implant in general…

@drtowfigh do you think I should consider mesh removal given my scenario and would I damage my shouldice repair if removed Lap/robotically?

Laparoscopy surgeons can work on the whole of the inside of the abdominal wall. They are very familiar with umbilical and incisional hernias because those are the entry points for their laparoscopy tools.

I reread your post and it’s not clear that mesh removal is the solution. The explanation that “the diastasis has recurred above the…[Read more]

@drtowfigh, thank you for taking time to reply and offer some suggestions.

I will reply below to some of your comments:

– Dr Radu was the person who performed the surgery. 🙂

– As far as I understood the mesh was not secured, just the space was created but it was also inserted starting below right side of the rectus muscle till my hip or at…[Read more]

I’d never heard of cord lipoma before.

It would be interesting to hear @drtowfigh’s thoughts on this.

This study states:

‘ A spermatic cord lipoma is found in 20–70% of all inguinal hernia repairs.

Spermatic cord lipoma seems to originate from preperitoneal fatty tissue within the internal spermatic fascia in topographical proximity to the…[Read more]

Dr. Towfigh apparently did one of her HerniaTalk Live sessions on mesh removal recently. It’s not on her Youtueb site though, maybe it will be there later.

@drtowfigh

HerniaTalk **LIVE** Q&A: Mesh Removal Myths & Facts 09/06/2022

https://www.youtube.com/results?search_query=towfigh+Mesh+Removal+Myths+%26+Facts

Chuck, Shouldice has nothing close to a 26% chronic pain rate…stop misrepresenting the situation…and referring to doctors as ‘mesh whores’, ‘criminals’, and ‘scum’ is not acceptable. You are doing a disservice to the community and embarrassing yourself.

I hope either you stop with these types of posts or that @drtowfigh bans you from this…[Read more]

Thanks again William and thank you @drtowfigh
When you say ‘When the testicle was moving up, this was the first sign that your inguinal hernia repair had recurred’. Do you mean it was the first sign that the hernia had reccurred?
If so, that does make sense to me.

Has anything been determined about Dr. Sea’s Topic, and his disappearance from the forum membership? Did he ask to be removed? Did Dr. Sbayi ask to have the Topic removed? You said that you would follow-up. Without a follow-up the void can be filled with conspiracy theories, to mirror the news of the day.

As you can imagine, it’s disturbing…[Read more]

Personally, I’ve found the patient.info site to be a poor resource vs this site, so echoing the points above, credit to @drtowfigh. Please do keep this site going @drtowfigh, it’s such a great resource and hopefully more surgeons with an interest in hernias will join, as I think they too would get a lot out of it that could inform their own practice.

I agree and hopefully @drtowfigh will be able to have it reinstated.

I checked my history as well and it also said oops, this page is no longer available.

It was such an interesting and valuable thread, so fingers crossed it reappears soon.

If it helps @drtowfigh, Mr Sea started the thread with a write up of his experience with Dr Sbayi.

Dr Towfigh also offers a Shouldice repair, following the traditional method I believe, having recently watched her Hernia Talk with Dr Yunis from a couple of years ago, so another potential option for the US list. Please correct me if I’m wrong @drtowfigh.

If I decided to have a Shouldice repair and cost wasn’t an issue, I think I’d curre…[Read more]

If there are questions about certain posts I hope that she will just remove those and leave the rest. It would be ironic to have a session about gaslighting then remove a whole multipage thread about the best pure tissue repair. At least give a reason.

Hoping for the best…

@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]