Forum Replies Created

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  • drtowfigh

    Moderator
    August 3, 2021 at 4:27 pm in reply to: “Occult” inguinal hernias

    – careful examination by a hernia specialist
    – Ultrasound
    – MRI

  • Amazing session with Dr. Youdim. We discussed all about nutrition, supplements, and other ways to optimize healing of your hernia and surgery.

    You can watch and share here: https://youtu.be/MSXUTH2foSg

  • drtowfigh

    Moderator
    July 26, 2021 at 10:13 pm in reply to: autoimmune syndrome and knee replacement

    Great question.

    You are so sensitized, that I is very possible that you will also react to the knee replacement implants. They do contain polyethylene, to which you may react.

    Contact Dr Tervaert. He has experience with ASIA syndrome in all sorts of implants, including joint replacement. He may have more experience than most others in this topic. I would think you would react.

  • I you missed this, we talked a lot about how hernia surgery and repair options and the practice of hernia medicine differs in the US vs the World. I also answered a lot of your questions.

    Thanks to those who participated LIVE. If you missed it, you can WATCH and SHARE here: https://youtu.be/siZBHiiMYJk

  • Another great session.
    You can view it here: https://youtu.be/fZHx6hclG38

  • drtowfigh

    Moderator
    July 9, 2021 at 2:36 am in reply to: We’re Told “Avoid Sneezing” but Never How

    Sneezing, coughing, vomiting exert a lot of abdominal pressure—-much much more than any sports.

    I recommend prevention. If you absolutely have to cough or sneeze, I teach my patients to engage the abdominal wall (such in your abdomen) first. i feel that this tends to reduce the amount pressure transferred to the abdomen and pelvis.

  • drtowfigh

    Moderator
    July 9, 2021 at 2:32 am in reply to: Moloney Darn Non Mesh repair method

    My recommendation typically is to follow the data. Data supporting success of the Shouldice and Lichtenstein repairs far outweigh case reports of other techniques.

  • drtowfigh

    Moderator
    July 5, 2021 at 8:57 am in reply to: ARE THERE NO POSITIVE RESULTS FROM HERNIA MESAH REMOVAL????

    Read articles and presentations provided by surgeons who perform mesh removal. Success rates (ie, cure) range in 70-85% range.

  • drtowfigh

    Moderator
    June 28, 2021 at 6:15 am in reply to: Possible Recurrent Hernia

    Exploratory surgery is almost never the first line. You likely have a recurrence. This needs to be worked up, with imaging at the very least. You need more information so there is a plan of care, before ever jumping into surgery.

  • drtowfigh

    Moderator
    June 25, 2021 at 6:47 am in reply to: HerniaTalk **LIVE** Q&A : Why Hernia Repairs Fail 06/22/2021

    Thank you!

  • drtowfigh

    Moderator
    June 25, 2021 at 6:46 am in reply to: Moloney Darn Non Mesh repair method

    The Maloney Darn repair in many ways inspired current mesh repair for inguinal hernias. It’s concept is very very old. They used to use silver filigree initially. It is basically many small back and forth sutures, effectively making a mesh in the body. The downside is there are multiple multiple suture points, plus tension, which may lead to chronic pain and tearing through tissues. It is only done in 3rd world countries who can’t afford mesh. The mesh is basically the darning without the sutures through the tissues, so less tension, less chronic pain.

  • drtowfigh

    Moderator
    June 25, 2021 at 6:39 am in reply to: A Confession

    Thanks for this

    I helped a family member with a similar experience. Not hernia related, but was told info by her doctors that sounded wrong and dismissive. And if she hadn’t asked me to intervene and connect her with a doctor that had more skills and caring, she would have had a shorter life expectancy and poorer quality of life.

    My two cents: doctors are human. We are not infallible. Many don’t like conflict. Many shy away from situations that make them uncomfortable, such as confronting a patient who has a poor outcome. Some have personality disorders, just like non-doctors. Most are overworked and tired.

    It takes a lot of courage to admit mistakes, directly confront angry patients. Most medical systems are not organized enough to follow through with phone calls, messages, etc.

    I’m not making an excuse. We can be better as humans. Certainly, it’s no fault of the patient to fall into a ghosting/communication trap. I deal with it daily for my own patients, family and friends, pushing the system to get optimal timely care and attention.

  • drtowfigh

    Moderator
    June 22, 2021 at 8:57 pm in reply to: HerniaTalk **LIVE** Q&A : Why Hernia Repairs Fail 06/22/2021

    Thanks for all who participated tonight. It was a fact-filled hour discussing how you can help reduce your risk of hernia failure.

    If you missed it, you can WATCH and SHARE from here: https://youtu.be/1Tq5u4crqWU

  • drtowfigh

    Moderator
    June 20, 2021 at 8:38 am in reply to: Non-Mesh inguinal repair in Colorado?

    Sorry. I do not know of any hernia specialists, personally, in Colorado. There is a dearth of specialists in many of our States.

    If you wish to contact Americas Hernia Society members from Colorado, you can search this site here: https://americasherniasociety.org/find-a-surgeon/

  • drtowfigh

    Moderator
    June 20, 2021 at 8:33 am in reply to: HerniaTalk LIVE Q&A: Mesh Removal Options 06/15/21

    Thank you!

  • drtowfigh

    Moderator
    June 15, 2021 at 8:41 pm in reply to: HerniaTalk LIVE Q&A: Mesh Removal Options 06/15/21

    Thanks to everyone who participated tonight. If you missed it, you can WATCH and SHARE my discussion of Mesh Removal Options on my YouTube channel here:

    https://youtu.be/jsVRt_jSBfg

  • Thanks to all who participated LIVE and asked such detailed questions. It was an informative session with Dr Brunt about sports hernias.

    You can WATCH and SHARE it from here:

    59. HerniaTalk LIVE Q&A: Sports Hernias & Other Athletic Injuries https://youtu.be/QceLXFSxTEk

  • Thanks to all who participated LIVE and asked such detailed questions. It was an informative session with Dr Brunt about sports hernias.

    You can WATCH and SHARE it from here:

    59. HerniaTalk LIVE Q&A: Sports Hernias & Other Athletic Injuries https://youtu.be/QceLXFSxTEk

  • drtowfigh

    Moderator
    June 7, 2021 at 8:31 am in reply to: A Question Never Asked the Surgeon but Should Be

    In the United States, the payment for surgery typically covers 90 days of care after the operation. Hence, availability for questions and visits related to the operation within 90 days should be expected from your surgeon.

  • drtowfigh

    Moderator
    July 26, 2021 at 10:15 pm in reply to: ARE THERE NO POSITIVE RESULTS FROM HERNIA MESAH REMOVAL????

    I measure success as cure of pre-mesh removal symptoms. Yes, I follow all my patients and they are also logged in to the ACHQC National database for followup.

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