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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

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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.

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Thanks for all who participated. We had a lively discussion about abdominal wall reconstruction, components separation, diastasis recti, various mesh options, and so on. If you missed it, you can WATCH and SHARE from YouTube here: https://youtu.be/3_1rCKWFGRQ

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Apologies for the rude and disrespectful user. I do not tolerate any of that on our forum.

Please, if you do see anyone engaging in inappropriate banter in this forum, message me directly and I’ll take care of it.

Meanwhile, carry on! Thanks for your participation

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Great discussions here. If you missed it, you can WATCH and SHARE on my YouTube channel: https://youtu.be/Mh7jAUlnKWo

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Hi there.

Show my protocol to the radiology center and see if they can reproduce it. Not everyone does it.

Dr David Earle practices in MA.

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Also, watch my HerniaTalk session with Dr Payam Vahedifar, pain management specialist. We discussed this very problem.

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It’s a good sign that you got at least short term pain relief from the nerve blocks. Serial blocks, as you had, plus medications is a good first option. If that fails, a pain specialist who does this regularly can then do a nerve ablation. If that doesn’t help, which it should, then surgical neurectomy is the next best option.

In Germany, Drs Conze and Koch are well versed in this. The average genera surgeon does not perform neurectomeis. Hernia specialists do.

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Thanks to all who participated. It is truly such a privilege to know surgeons such as Dr. Filipi who have spent years donating their time toward hernia repair for the underserved.

This hour of HerniaTalk LIVE was so inspirational. If you missed it, watch it here: https://youtu.be/yAn9ZW4lGI0

Also, you can donate to their efforts here: http://www.HerniaHelp.org

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Thanks, everyone for helping make another very exciting HerniaTalk LIVE session. We hoped most all your questions were answered about what core exercises are safe to perform and why you may be having pain when doing some of them.

If you missed it, watch and share from here: https://youtu.be/DQFN99yowjA

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Watchful waiting is appropriate for a lot of patients with a symptomatic or minimally symptomatic inguinal hernias. I recommend it all the time.

I also recommend that they consider repair if the hernia is starting to get larger. All hernias have the potential to increase in size over time. But they don’t all get bigger rapidly. The process may take years or be never.

Exercising will not increase the hernia. In fact, it may decrease the perceived size or reduce the symptoms, making watchful waiting even a better choice.

We will discuss all of this Tuesday on HerniaTalk LIVE Q&A.

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I’ve also had HerniaTalk LIVE sessions with some of them. You can watch and see if you feel like their expertise meets your needs.

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Maybe one day. Not today.

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The US has multiple hernia surgery training centers. Many, such as my own, are imbedded within accredited laparoscopic surgery training center.

Official accreditation for a hernia-only training center has been discussed but is not yet reality. Nevertheless, we do have a couple of US training centers for hernias only.

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This session was jam-packed with your questions. I amswered all of them!

Watch and share them from here: https://youtu.be/Tck5du5AjvY

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There are many issues with this manuscript.

First, mesh migration implies the mesh has moved from its originally intended placement. This has been seen with the plugs for inguinal hernias, though it’s not common and likely is related to surgical technique.

Mesh migration is not a major reason for recurrences or mesh related complications. Erosions, folding, and other happenings are more dominant causes.

I see a lot of posts talking about mesh migration. Perhaps patients are referring to mesh eroding or impinging on structures. From a surgeon viewpoint, that is not migration. Mesh tends to stick to where it is placed within minutes to days of its placement.

The comments in the conclusion of the manuscript alludes to potentially greater interest in reporting or studying migration issues. It should not be construed that we are having a greater incidence of mesh migration.

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Its possible the MRI is not correctly interpreted. Get a second opinion if you’d like.

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Multiple posts about Florida on this forum. Use the search function to help you

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I’d wonder if the mesh removal were complete. The densest area of mesh adherence is at the pubic tubercle. Also, I’ve seen a lot of situations where patients were told the mesh was removed and I go in and there is still a lot of mesh that remains.

Scar tissue can entrap nerves or cause intestinal adhesions but in and of itself is usually not a source pain. It’s also not strong enough to prevent hernias in most cases.

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Xenmatrix is yet another biologic absorbable mesh among a cadre of similar mesh products. As far as I am aware, it is more processed than many of its competitors, so it tends to act more like a foreign body and a synthetic than a pure biologic.

4×6 inches is not a large piece of mesh. I don’t understand what you mean by shrinking.