drtowfigh
Forum Replies Created
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I got the same message while on my smart phone. We are working on it. I can check messages on my desktop now.
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Thanks to everyone who joined me for the last episode of HerniaTalk LIVE Q&A for 2021. You can watch it here: https://youtu.be/EOSViGtAccY
See you back in 2022!
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As a surgeon, it is not considered appropriate to offer an elective operation that has a 30% recurrence rate, even though to a patient that may imply 70% success rate and they are acceptable of that. We understand the implications of recurrence: more pain, more disability, larger hernia, more difficult operation the second time, more likely to recur the second time. It’s a domino effect we don’t like.
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The very very small hernias do not cause incarceration problems with femoral hernias. Anything more than that is at risk.
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Thank you!!
Suture repairs may Involve polypropylene or polyester or nylon but there are other alternatives used too. It is surgeon dependent
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I have had multiple instances where the operative report claimed the mesh was all removed and then I go in and there is all this mesh left behind.
That said, when Dr Belyansky says he removed 100% of the mesh, be assured that you have no mesh in place anymore.
Mesh remnants can be seen on MRI usually.
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Please contact my office directly to inquire about surgical consultation options. (Info@beverlyhillsherniacenter.com or 310-358-5020)
No, autonomic nerves not involved
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There is a lot of truth to that statement. The complications I see from hernia repair often stem from a problem in surgical technique and not intrinsically to the mesh product itself.
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FDA is seriously looking into ways they can be involved in improving hernia care. I know there were plans for them to meet with me as a followup, but it seems that may have been on hold due to pandemic, etc.
Meanwhile, The ACHQC has a close relationship with the FDA. It is the only hernia database we have in the US that is broad and follows patients prospectively. As part of their efforts, they have developed a patient advocacy arm that includes patient representatives who can help improve care.
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It’s hard to do. Best if you engage your abdominal muscles in preparation for any cough or sneezing.
Spirometry induces cough. If it’s necessary for your lung function, fine. That may be more important than preventing a hernia
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No harm
Really only useful if have hernia symptoms.
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The ACHQC is the only national database in the US that tracks hernia patients and their outcomes. It’s not a database that is mandatory and most surgeons performing hernia repair are not members. For those of us who are, it’s the only tool we have to look at hernia and outcomes trends, understanding that
1) the surgeons entering this data from their practice may not represent the whole of US surgeons
2) the majority of patients whose data is entered by the surgeon do not enter their followup long term data re how they’re doing.So, though in the perfect world we would have crisp data for everyone to munch on about hernia repair and their outcomes, in the US we don’t.
That said, the 15% number describes the % of patients that have ANY symptoms at 3 months postoperatively. This number significantly reduces to single digits at 1 year postoperatively. This number also does not reflect symptoms that affect quality of life. That number is also in the single digits. Finally, that % is reflective of inguinal hernias only. It is much less for ventral hernias.
Meanwhile, more surgeons in the US are offering minimally invasive hernia repairs nowadays. Almost all studies show the chronic pain rate after laparoscopic and robotic inguinal hernia repair is significantly lower than the open repair.
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yes. sneezing is a lot of abdominal pressure.
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Thank you to all who participated on this Episode of HerniaTalk LIVE. I shared every detail I could think of on how to best prepare for your hernia surgery, to optimize your outcome. It is a great episode to listen to over and over.
If you missed it, you can watch and share from Youtube here: https://youtu.be/6hEQu_iI0xQ
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Sounds like it’s a small hematoma. It should go away. Massaging it can help. This is something you should review with your surgeon.
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Sounds like it’s a small hematoma. It should go away. Massaging it can help. This is something you should review with your surgeon.
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Wishing everyone a Happy Thanksgiving. I am so thankful to all of you who participate on HerniaTalk and HerniaTalk LIVE.
To watch this week’s episode, go here: https://youtu.be/sqi0AQBUDfY
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This reply was modified 3 years ago by drtowfigh.
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This reply was modified 3 years ago by
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FYI, as of 1 month ago, Dr. Malcher has moved to NYU Langone.
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Thanks to all who participated. Dr. Malcher is a very knowledgeable surgeon and it is so enjoyable and fun to discuss hernia surgery with him.
If you missed this session, you can WATCH and SHARE here: https://youtu.be/atq5–X_Dso
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Dr. Horne was a wealth of information. I so much agree with her thoughtful analysis.
If you missed this session about mesh, you can VIEW and SHARE from here: https://youtu.be/0B3F3Q0TJJg