drtowfigh
Forum Replies Created
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We did it! 100th episode is recorded. And it was flush with so many great flashbacks and current questions.
If you missed it, you can watch it here: https://youtu.be/9ubielpF9ZY
Subscribe to my YouTube channel to keep updated.
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Absolutely no reason to cut nerves as part of any tissue repair. Not sure who told you that is done.
No studies on women at all. You are right.
Cutting the round ligament has no effect on prolapse or other uterine support
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The round ligament has no sexual function.
I have not seen or been reported to by my patients that the Shouldice or any other tissue repair of the inguinal hernia in women confers any negative sexual function. If anything, inguinal hernia repair can reduce pelvic floor spasm and thus penetration is less painful.
Once caveat: we do not recommend cutting the ilioinguinal or genital nerve branches in women. These nerves provide skin sensation to the mons, which can enhance sexual pleasure.
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The king of watchful waiting answered all our burning questions. If you missed it, you can watch it here:
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So many stories shared. And so many lessons learned from each.
If you missed this week’s HerniaTalk LIVE, you can catch it here: https://youtu.be/vTrdd61Nq2M
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Amazing hour with Dr. Bahlani! The discussion was packed with information about all sorts of #pelvicpain, including bladder, vaginal, penile, vulvar, perineal, pudendal, and other pelvic floor disorders. If you missed it, you can watch it all on my YouTube channel: https://youtu.be/la4SsUecAqo
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Thanks everyone who participated. We had so many questions posed and answered.
If you missed it, you can watch and share from here: https://youtu.be/UWWHbFx1hog
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Got it.
You should be able to edit your posts.
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Constipation does not imply obstruction. Those are two distinct clinical situations: one is non-urgent and the other is urgent/emergent.
If the hernia includes his colon and he is obstructing as a result, then that requires repair. Otherwise, it is common for elderly to be constipated, with our without hernias, and so the treatment should be aimed at the colon, not the hernia.
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Jam Packed session. I hope you all enjoyed it. If you missed it, you can watch and share from you YouTube channel here: https://youtu.be/q9NfA_S8yVM
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Thanks everyone.
We had a strong hacking attempt originating from multiple countries. We temporarily put a halt on non-US IP address access so that we could get the site back up as soon as possible for you all. We will reopen the site again and work on updating the website completely so that we can help as many of you around the world as possible.
Thank you!In the meantime, please use this as an opportunity to provide me with feedback as to how you would like this site improved.
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I restored your post. Here you go, @pinto
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Inspiring hour with Sue Blackwell, her struggles with parastomal hernia recurrences, and how she used her experience to become a patient advocate.
If you missed it, watch it all here on my YouTube channel: https://youtu.be/pV6fUomSWsk
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This is a population based study. They don’t have data collection regarding type of mesh used
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Amazing details shared by musculoskeletal radiology and nerve imaging specialist at NYU Langone. You can listen to it all here: 93. HerniaTalk LIVE Q&A: Imaging for Peripheral Nerve Disorders and Chronic Pain
https://youtu.be/JWpPeLzqVc8 -
The IHC is not for patients. It is intended for physicians to talk freely about their patient cases so that they can learn from each other. The transparency is within-group. It is not a public forum. And it is the only one of its kind, outside of an institution’s Morbidity and Mortality conference (which is also closed) where doctors freely discuss their clinical situations and learn from them.
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Here is the link to watch the HerniaTalk session https://youtu.be/HrGl8eNchtA
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Thanks for highlighting the IHC. It is an online international group of over 13K surgeons who discuss hernia-related topics. As part of our mission, we choose one country a year to take expert surgeons to to provide high level hernia education to the local region. The goal is to help as many surgeons as possible have direct access to hernia specialists and learn from them, regardless of their socioeconomic status. We have been to Armenia, India, and now will be in Costa Rica.
The hernia meetings since their inception have never had DoD or any other governmental funding. As far as I know, none of the surgical meetings have ever had any governmental funding. Industry has always helped support surgical education and though this funding is dwindling and limited due to the Sunshine Act, most meetings remain very much dependent on industry funding.
Meanwhile, we surgeons donate our time and effort to help other surgeons learn from us. The IHC in particular has had the largest positive impact in educating surgeons about hernias in order to provide the best care for their patients.
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Thanks to everyone for making this session of HerniaTalk LIVE Q&A one of the most interactive and personal sessions we have had.
If you missed it, you can watch it on my YouTube channel here: https://youtu.be/TSNLaf1tLvw
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The 2003 study is terribly flawed.
– It was performed at a time when surgeons were not skilled in laparoscopic repair. In this study, the surgeons only had to do 10 laparoscopic cases before entering patients. My residents have done more than that in their first few years of training. That number is way below the number needed to get beyond your learning curve. Meanwhile, the surgeons were already experts in the Shouldice tissue repair
– nevertheless, the findings still show no statistically significant difference between lap TEP and the Shouldice. P>0.05. They only compared 130 patients in each arm, so possibly a larger study may have teased out differences in outcome.
– To interpret that the study did show a difference (Eg higher recurrence with TEP) is statistically incorrect.
– to claim the study nefariously promotes mesh based repairs is also not fair for this prospective randomized trial.
– sensibility means sensation.