drtowfigh
Forum Replies Created
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drtowfigh
ModeratorSeptember 18, 2022 at 4:02 pm in reply to: HerniaTalk **LIVE** Q&A: When It’s Not A Hernia 9/13/2022Got 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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drtowfigh
ModeratorSeptember 15, 2022 at 7:19 pm in reply to: Another hernia “summit” in a pretty nice placeI 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.
- This reply was modified 2 years, 3 months ago by drtowfigh.
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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. -
drtowfigh
ModeratorAugust 23, 2022 at 3:21 pm in reply to: xenematrix mesh overlayed on rectus obdominus scabdominisaring and shrinkageYour 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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drtowfigh
ModeratorAugust 15, 2022 at 10:13 am in reply to: Mr Sea’s post appears to have disappeared?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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drtowfigh
ModeratorAugust 15, 2022 at 9:17 am in reply to: Mr Sea’s post appears to have disappeared?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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drtowfigh
ModeratorAugust 12, 2022 at 10:27 am in reply to: HerniaTalk **LIVE** Q&A: Which Specialists May See Patients w/ Hernias 08/09/22Hey, 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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drtowfigh
ModeratorAugust 3, 2022 at 9:26 am in reply to: Mr Sea’s post appears to have disappeared?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.
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@peterc I am glad Dr. Krpata offered you a surgical option. As for the risks of surgery, as you know there are always risks. The risk of losing a testicle is very rare in my experience.
I am also curious to know the details of your plan of care with Dr Krpata. Meanwhile, remember that in addition to your group here, please dial 988 to seek professional help to be able to handle the crisis in your life. I have treated many patients in dire straits, like yourself, and they are able to lead a much better life afterward.
I hope you choose to move forward with whatever the experts are recommending.
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drtowfigh
ModeratorAugust 2, 2022 at 4:09 pm in reply to: How the surgeons are influenced – trade journals.Good catch. General Surgery News is the most widely read journal by surgeons. I never saw that Strattice ad. Very interesting that they would facility replace any explanted mesh. I wonder what the indications for explantation would be. Maybe infection?
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Dr. Sbayi was a guest of mine on HerniaTalk LIVE Q&A. Search this forum for his name and you can watch the session with him on Youtube.
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drtowfigh
ModeratorAugust 2, 2022 at 3:54 pm in reply to: HerniaTalk LIVE Q&A: Busting Common Myths & Misinformation About Hernias Part 3What a packed session it was. If you missed it, you can watch it on my YouTube channel here: https://youtu.be/H_liO88MD7o
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drtowfigh
ModeratorAugust 1, 2022 at 6:35 am in reply to: HerniaTalk **LIVE** Q&A: Medical Gaslighting 08/02/2022Ask read this article on medical gaslighting from the Nee York Times July 28, 2022.
https://www.nytimes.com/2022/07/29/well/mind/medical-gaslighting.html
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drtowfigh
ModeratorJuly 23, 2022 at 10:31 am in reply to: HerniaTalk **LIVE** Q&A: How Robotics Has Advanced Hernia Surgery 7/19/2022We had a great in-depth discussion about robotic surgery pros and cons with Dr. Liu. If you missed it, you can catch it here: https://youtu.be/pg8AWBViYuw
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got it.
thank you! -
Really depends on your risk factors, quality of tissues, imaging and what it shows, exact size and dimensions of hernia, etc. There is no one correct answer.
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drtowfigh
ModeratorJuly 17, 2022 at 9:11 pm in reply to: HerniaTalk **LIVE** Q&A: Hernia Mesh Lawsuits 3/1/2022I’m Considering doing a session with a legal expert…
Any referrals or suggestions appreciated.
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drtowfigh
ModeratorJuly 17, 2022 at 9:09 pm in reply to: HerniaTalk **LIVE** Q&A: When Dr Google Can Do Harm 3/8/22@good-intentions good point. Scholar.Google.com is an excellent resource of peer reviewed articles.
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Thanks for your suggestions. All great. Keep them coming.
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drtowfigh
ModeratorJuly 17, 2022 at 9:04 pm in reply to: HerniaTalk **LIVE** Q&A: 100th Episode Recap 5/24/2022Thank you!! Hope you subscribe