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Thanks to everyone who joined me tonight on HerniaTalk **LIVE**. Your questions were awesome! As usual, insightful and wide ranging questions. We discussed groin pain, mesh removal, robotic surgery, tissue repairs, mesh complications, athletic pubalgia / sports hernias, and more.

If you missed it, you can watch it on my YouTube channel here: https://youtu.be/OACtmSkyiNs

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That was a pretty informative session with Dr Vahedifar. We discussed mostly how to manage nerve pain, including discussions about nerve blocks, ablation options, and spinal stimulants. I shared data from our most recent research on outcomes after neurectomy—-hopefully soon to be published. We also discussed the use of PRP and athletic pubalgia.

If you missed it, you can share and watch via YouTube: https://m.youtube.com/watch?v=Wxk3LWBrWBg&feature=youtu.be

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Fantastic hour discussing pelvic floor physical therapy and its role with hernias with the Pelvic Guru, Tracy Sher. If you missed it, please watch and share from YouTube: https://youtu.be/xqKY-drE4a8

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Thank you!

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Thank you!

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This was such an informative session. We discussed all aspects of pudendal neuralgia and its role in chronic pelvic pain of men and women. Dr. Hibner is a true expert in this problem.

If you missed it, you can watch and share from here: https://youtu.be/w2WM98CXMIw

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I believe the literature shows the recommendation to be u see 25 CT scans before there is a risk of radiation-induced malignancy.

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Thank you all for sharing your stories. The patient point of view is very valuable to us surgeons. What we do often has permanent effects on our patients and all operations have risks. We hope to perform the operation that best suits your needs with least risk of damage.

I am available for either online or TeleHealth consultation if you wish to look into your particular situation.

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Not clear which side was repaired.

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This is a fantastic thread. Thanks for sharing.

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No

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I hope you all enjoyed HerniaTalk LIVE tonight with me. We blasted through tons of questions. Topics included hernias and pregnancy, mesh reactions, neurectomy, hydrocele, tacks, mesh, robotics, etc.

If you missed it, you can watch the full hour and share via my YouTube channel here: https://youtu.be/ooVL9Swq-pU

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I am personally biased against the Desarda technique. It has not been tested with the rigors of other tissue repairs. There has not been transparency in sharing the data results of Desarda publicly in peer reviewed studies to the extent that there has been for the more traditional repairs, such as Shouldice and Bassini and others. From what I understand, not every surgeon can claim to perform the Desarda technique. Dr Desarda charges to have his hernia technique name marketed by surgeons who provide that technique. I disagree with that approach. I believe that, similar to this forum, efforts to improve patient care should be widely encouraged and free of charge or other constraints to access for the patient.

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Dear Eva Tulip,

We are fortunate to have had many positive success stories in this forum. Please search the forum for key words, such as “success” and hopefully you can read them.

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Desarda is a poorly studied technique. The results are highly variable from surgeon to surgeon and not reproducible.

I personally am biased against the repair. There are much older and better studied repair options for inguinal hernias, such as the Shouldice, Bassini, McVay, Marcy, etc. Surgeons who were performing a surgery similar to the Desarda back in the 1950s abandoned the technique because of the high failure rate.

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Thanks to all who participated in the HerniaTalk Q&A today. We reviewed what it means for you to undergo robotic surgery, busting myths and reviewing its pros and cons.

To watch the entire session and learn more, go to my YouTube channel here: https://youtu.be/wHV8rQxwzIg

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This was such a great hour! We discussed anything and everything you need to know to have a safe and low risk anesthesia for your hernia surgery. These included topics of general anesthesia, IV sedation, regional anesthesia pros and cons. We also discussed what medications to take and which medications and supplements to prevent before anesthesia to get the best outcomes.

If you missed the session live, you can watch and share it from my YouTube channel: https://youtu.be/La7okTI3kck

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Wire is pretty benign, sometimes more so than synthetic suture. But it can break.

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This is true. Some times genital branch neurectomy can cause hanging of the testicle. It’s not 100%. It may be closer to 1-2%, as the original Shouldice technique and others routinely cut that nerve.

The treatment of the hanging testicle, however, is not orchiectomy. It’s a cremasteric pull-up procedure, where the muscle is pulled up and sutured to the pubic tubercle. I would question any plan for orchiectomy.

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Great hour with Dr. Sheen today. Thank you to all who participated. We discussed groin pain, sports hernias, how to evaluate and treat them, use of MRI, use of mesh, mesh complications, mesh reactions.

If you missed it, you can watch it and share from my YouTube channel: https://youtu.be/VTaT4j3zWv8