Forum Replies Created

Page 1 of 105
  • drtowfigh

    Moderator
    March 21, 2024 at 3:58 pm in reply to: Spigelian Hernia experience

    all true hernia specialists should be able to treat a Spigelian hernia.

  • drtowfigh

    Moderator
    March 19, 2024 at 4:15 pm in reply to: Shouldice Prophylactic Neurectomy

    The standard for most hernia repairs is not to touch or cut any nerves. With the modified Shouldice repair by the Shouldice Clinic, they have considered cremaster muscle resection (to reduce the hernia recurrence from the originally described Shouldice technique) and thus genital branch neurectomy as their common practice. With other open operations, many surgeons commonly cut the ilioinguinal nerve.

  • yup. which is why I teach all my residents in the OR and also show up to the Morbidity and Mortality conference to educate the rest of the Department and remind them of the tissue repair options and how to best do them.

  • drtowfigh

    Moderator
    March 4, 2024 at 1:02 am in reply to: Looking for Surgeon in Houston Tx

    See a hernia specialist.

    Here are two in Houston I’ve interviewed on HerniaTalk LIVE. You can search more on this site

    https://youtu.be/OLPxgKOfylc?si=wJzVBle9qzHo2Efw

    https://youtu.be/J-3HMPT1KLo?si=1ElVyFgl4A2ZxjJ4

  • drtowfigh

    Moderator
    March 4, 2024 at 12:57 am in reply to: What happened during my surgery ?

    – everyone gets the initial swelling at the groin incision. It’s called a healing ridge. It eventually flattens out.

    – not sure what exactly they mean by funicolysis. It may mean they narrowed the internal ring. Most of us prefer not to do that. It causes pain and tearing. Funicolysis may also mean the cremaster muscle was circumferential cut. That’s seen more with open tissue repairs such as Shouldice.

  • drtowfigh

    Moderator
    February 22, 2024 at 6:51 pm in reply to: Mesh Removal

    Search this site for North Carolina. We have interviewed many great surgeons from there on HerniaTalk live.

  • drtowfigh

    Moderator
    February 13, 2024 at 7:59 am in reply to: Warning Signs of Estrangulated Umbilical Hernia

    Mesh and non-mesh options should be discussed and you and your surgeon can review what’s best for you.

    I assume you’ve had surgery already. Wishing for a rapid recovery.

  • drtowfigh

    Moderator
    February 10, 2024 at 12:14 pm in reply to: Drs keep brushing off my pain.

    Sounds like you may have a neuroma due to iliohypogastric nerve damage during the Csection.

    If so, this is very treatable.

  • drtowfigh

    Moderator
    February 9, 2024 at 7:50 pm in reply to: Warning Signs of Estrangulated Umbilical Hernia

    Watchful waiting is considered safe for umbilical hernia that are asymptomatic. However, once it is symptomatic, as you are describing, then repair is indicated

  • drtowfigh

    Moderator
    February 7, 2024 at 8:50 am in reply to: New Forum, is it still clunky?

    It’s a struggle with these spammers.

    Thanks for helping keep the Forum active!

  • drtowfigh

    Moderator
    February 5, 2024 at 10:28 am in reply to: New Forum, is it still clunky?

    Looks like your post is in the Discussion. Any other issues?

    We are manually getting rid of the spammers that eek around the security system that is already blocking thousands! Looks like HerniaTalk.com is popular.

    Also, please report any fishy or spammy posts when you see them, thanks.

    • This reply was modified 1 month, 2 weeks ago by  drtowfigh.
  • drtowfigh

    Moderator
    January 26, 2024 at 8:50 am in reply to: Inguinal Hernia: Phasix Resorbable Mesh and Resorbable Suture?

    Bienvenue to our Forum.

    – the short stitch trial is relevant to abdominal wall hernias, not inguinal

    – tissue based repairs are an excellent option for you based on your need to remain extremely flexible

    – absorbable mesh for inguinal hernias is not standard and has a high risk of recurrence.

  • drtowfigh

    Moderator
    January 20, 2024 at 5:26 am in reply to: What happened during my surgery? Opinions welcome.

    Femoral hernia repair is part of the laparoscopic repair. The mesh covers the femoral space. It would be odd to have a new femoral hernia unless it was completely missed and not taken down during the operation. That said, if it were missed, the mesh would entrap it, so it shouldn’t reduce easily. The story doesn’t sound right. Unless the mesh is not appropriately covering the area from the start.

  • drtowfigh

    Moderator
    January 18, 2024 at 12:04 pm in reply to: What happened during my surgery? Opinions welcome.

    It’s not expected to have a lump within hours after surgery. Usually seroma/hematoma takes at least some hours to develop. So, the differential diagnosis for a lump can be retained spermatic cord lipoma. Missed femoral hernia is less common for laparoscopic repairs and in males.

  • drtowfigh

    Moderator
    January 16, 2024 at 12:40 am in reply to: Video describing life with mesh – pretty funny. “Solstice” Clinic.

    That was a good video.

    He has a hernia recurrence. So mesh removal would not be the typical first choice.

    The ulcerative colitis diagnosis is an interesting twist to the story. I’d be curious when he was diagnosed and how it’s being managed.

  • drtowfigh

    Moderator
    January 10, 2024 at 9:22 pm in reply to: Dr Towfigh Desarda repair perspective in 2024?

    Thanks.

    I keep an open mind. I’m also evidence based and use logic as much as possible in what I do.

    I do not consider Desarda equivalent to the Shouldice. It is another tool in the toolbox. I haven’t seen a situation among my patients yet to use Desarda vs another more vetted technique.

  • drtowfigh

    Moderator
    February 13, 2024 at 7:56 am in reply to: Mesh Removal Question

    Blood tests will typically be normal. That’s not a reason not to act. Symptoms and your history are the most important. Imaging can also help.

  • drtowfigh

    Moderator
    February 5, 2024 at 10:33 am in reply to: Inguinal Hernia: Phasix Resorbable Mesh and Resorbable Suture?

    It would be great if Dr. Kang would publish his study.

  • drtowfigh

    Moderator
    January 21, 2024 at 5:25 pm in reply to: What happened during my surgery? Opinions welcome.

    Please contact my office directly if you would like a consultation. [email protected]

  • drtowfigh

    Moderator
    January 16, 2024 at 1:25 am in reply to: Dr Towfigh Desarda repair perspective in 2024?

    I’d like to see more evidence via clinical trials and outcomes based on real use databases. It’s important to note the strengths and weaknesses of a technique so its use it tailored to those patients that would most benefit

Page 1 of 105