drtowfigh
Forum Replies Created
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Has nothing to do with cost cutting. My feeling is that surgeons and other doctors need to talk to their radiologists more.
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Then perhaps you should change doctors. It’s your privilege to be treated by someone with whom you’re comfortable. Doctors are real people and so they have a wide variety of personalities and attitudes just like any other person. If you find a doctor that you don’t like or trust, then change doctors. There is no reason to suffer.
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Thank you for sharing.
Please share the surgeons’ names on this forum.
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This is great. Thank you for sharing. Please let Dr Weise know that we would love to have him as a contributor to this discussion forum. His expertise would be helpful to share.
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The Shouldice clinic recommends cutting cremaster muscle and resuturing it up to the repair. They claim it reduces hernia recurrence rates. Most of us don’t completely cut the cremaster muscle.
If you have an enlarged prostate, the straining to urinate or completely empty your bladder is a big factor to worsening your hernia and may contribute to higher hernia recurrence rate after hernia repair. Make sure all prostate symptoms are cured prior to any hernia repair.
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No effect.
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In my opinion, Imaging is a must to help figure out why patients have pain after hernia repair. Examination cannot determine if there is a folding of the mesh, a fluid collection, bladder involvement, etc. To surgically explore without a plan of action, in my opinion and experience, is not a good idea.
Get a third opinion.
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I’m glad someone published this in family medicine magazine. Because they have little insight as to what we surgeons do as surgeons and how the operations we perform (of any kind) can contribute to the symptoms of the patient.
As I’ve written before, Imaging is often misread by radiologists and non-radiologists rarely look at images themselves and mostly rely on the report only. This just exacerbated the problem. I see so many patients that say their imaging was normal. And it wasn’t. And if their primary problem was diagnosed at the first misread imaging (likely the same for this patient), then the diagnosis could have been made then (13 years ago in this patient). I doubt erosion into the lumen was there 13 years ago. But adherence to mesh was likely there and could have been alleviated.
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🙏🏻
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Sounds great. Thank you for sharing. Let us know how you are doing in 1 Year, given your hernia was soo large.
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The CeQOL app is available for download.
I don’t believe the app is in any way linked to J&J. The data is derived from an ETHICON (J&J) database, however.
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@pmv Sounds like you have an inguinal hernia. If it’s not symptomatic there is no strong reason to address it surgically.
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Sounds like a great plan. I’ll see what I can do.
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Done. Thank you
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Neurolysis involves manipulation of the nerve without actually transecting or cutting it. Neurectomy involves cutting the nerve.
Cutting sensation to the skin does not affect muscle motor function.
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Thank you for your input. Please continue to provide feedback as we improve the site.
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This is an unfortunate but good example that there is no one best hernia repair. The tissue repairs have their own list of pros cons and complications.
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– no. All tissue repairs have tension.
– it’s possible to do. It adds a lot to the cost—-more than the reimbursement provided by the insurer. And patients do not want to pay out of pocket for this.
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– to be fair to Dr Felix: he was assigned to debate one side of an issue.
– the AHSQC is the US database that is formed to do exactly as you suggest. We need more surgeons to participate (I do). We also need the patients to respond for their longterm outcomes.