drtowfigh
Forum Replies Created
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Good for rejecting neurectomy during elective hernia repair. Your logic is correct.
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This is the current situation at Europe and also with pelvic mesh in US. We predict FDA will do same in US.
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Thanks, @OnlyKurt. Will add that to our next version.
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Couple of comments:
– Dr Victor Radu is the most talented surgeon I know in Romania. Not sure who your surgeon was.
– Lateral hernias are a different situation than midline hernias. The muscles are weaker. Hernia repair outcomes are worse. I’m curious how your repair was secured. Eg, we have moved away from pinning sutures into the bone. A TAR was likely performed because the defect was too wide to close without a TAR. Do you know how wide the defect was?
– Lateral/flank repairs will feel tighter than the opposite side. Fortunately you had lightweight mesh and it was placed retromuscular. That’s the best option.I’d review the operative report to see the technical issue that may be contributing to pain. Perhaps some sutures can be removed. Mesh removal will be difficult and likely result in worse outcomes. Physical therapy and even neurotoxin injections may help.
The surgeons mentioned focus best on groin and I doubt they would be able to help you.
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HerniaSurge provided their updates at this week’s European Hernia Society meeting in Manchester. Go to my Twitter account, as I am live tweeting from the meeting, to read more. The official publication is coming up soon.
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@notanewbeeok Not sure why there is unflattering discussion about Dr. Sbayi as if there is some conspiracy in his decision to change jobs.
I know there is interest in seeing him in consultation by many patients. I announced that in November I will update you all about his new office information or contacts. As it is not yet November… I have no news to share.
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Cord lipoma refers to fatty tissue adjacent to a spermatic cord in males. This is often the cause of the bulging seen with hernias. The fat comes from the insides (retroperitoneally) and is really the herniation of preperitoneal fat. It is rarely just a lipoma unattached to anything, like one sees on an arm, leg, or back. The name is really a misnomer. In rare occasions the lipoma is a real lipoma or liposarcoma (malignant tumor) and not a hernia.
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HerniaSurge is an impromptu group of experts led by the European surgeons. They are working in their next updated guidelines.
Read more about that here: https://www.linkedin.com/posts/european-hernia-society_inguinalhernia-euroherniasnews-herniaguidelines-activity-6970116740076732416-3hGD?utm_source=share&utm_medium=member_ios
Should have their publications by the end of this year.
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It is not a contraindication. But that history is important to share with your surgeon, as there are risks, especially with laparoscopic surgery, in the face of prior infection and scarring from diverticulitis.
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Thanks to all who joined LIVE and who submitted their questions. We had a lively discussion about the pros/cons of watchful waiting, when it is not appropriate, and how inguinoscrotal hernias change the algorithm for hernia care.
If you missed it LIVE, you can watch it here: https://youtu.be/TfnKHwVVE8I
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Hi, everyone. Thanks for all your questions. I believe we were able to answer almost all of them! We had over 40 questions. What a session.
If you missed it LIVE, here is the link to it on my YouTube channel: https://youtu.be/akkp0fApJDI
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If you missed this LIVE, you can watch it in full on my YouTube channel here: https://youtu.be/3lHjSFwVZ90
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Got lots of great feedback about this episode. We reviewed all the pesty non-hernia diagnoses that can mimic hernia type symptoms and trigger their diagnoses.
If you missed it, subscribe to my YouTube channel. You can watch it here: https://youtu.be/qr9hbCkOYlw
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I would say the Hernia Summit by Dr Novitsky is probably the best hernia meeting of each year. It is a skiing theme and very family friendly, which is nice to see for a surgical meeting. The scientific sessions therefore start at 6am and the room is packed. This is because the topics are the most impactful and insightful of any meeting.
Dr. Novitsky has been running this since before he started his new position in Columbia Hospital.
Dr. Felix, as you may know, was trained during the tissue-based repair. So he is an excellent surgeon to discuss this. Even more relevantly, his professor was Dr. Nyhus, who of course invented the Nyhus tissue based repair. This was the open precursor to the laparoscopic TEP inguinal hernia repair. Dr. Felix is a master innovator in all things laparoscopic, not just inguinal hernia. And we surgeons are not single hit ponies. We are able to invent one operation type but still perform others.
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@dm249, there are multiple reasons for this.
When the testicle was moving up, this was the first sign that your inguinal hernia repair had recurred. Once it was repaired, then the question is:
– is the testicle retracting because it’s used to being higher in the canal, and the spermatic cord is foreshortened, so now that there is a mesh holding part of the spermatic cord in place, the testicle doesn’t reach lower? There is a treatment for this. It can include dissecting the mesh off the spermatic cord or performing an orchiopexy. -
Your situation is complex and some of it doesn’t make sense: e.g., rectus abdominis shrinking. Perhaps best is if you seek a direct consultation with a surgeon who can help you.
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Also I reached out to Dr. Sbayi. Hopefully by November he can provide you with new contact information where he can see his patients.
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I looked into this further. You are right. Mr. Sea’s account was tagged as spam. It is restored now. I see this post by him.
https://herniatalk.com/forums/topic/shouldice-repair-dr-sbayi-stony-brook-ny/
And no, there is no conspiracy theory that is valid here. You would think with all the leeway that is permitted on this discussion forum to discuss topics as you wish, there would be a bit more trust in the system.
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Hey, everyone.
I got a lot of great feedback from this week’s HerniaTalk LIVE session. I went over a lot of symptoms that can be hernia-related that may be missed by non-hernia surgeon specialists, e.g., back pain, bloating, testicular pain, etc.
Watch it on my YouTube channel here: https://youtu.be/7OnVxDzRduM
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I have only seen this post: https://herniatalk.com/forums/topic/dr-samer-sbayi-shouldice/ of recent.
Let me see why any other post is no longer visible.