drtowfigh
Forum Replies Created
-
Permanent sutures are the standard of care for repair of hernias, especially if they are recurrent., ie after a previous repair.
-
Usually via open surgery. Some do it robotically but it’s not easy.
-
Yes and yes.
-
Excellent result. Best of all ventral hernias methods.
-
I don’t agree with that
-
This primarily applies to inguinal hernias, but also true of other abdominals as well. it is recommended during laparoscopy in a virgin space, ie, no mesh repair.
-
After TAPP ventral mesh removal, the only way to replace mesh away from intestines is a retro muscular placement.
-
That X alone doesn’t help me figure out the cause of your pain. My patients often undergo over an hour of detailed investigation, examination, imaging review, etc., before a plan of care can be determined.
-
Try
– The Pain and Healing Institute,
– Nuvo Spine and Sports Pain Management, and
– Dr Timothy Davis -
[USER=”2883″]Victim73[/USER] There is treatment for vas damage and testicular pain due to vas damage. If you’re told otherwise, seek another consultation.
-
This paper discusses neurectomy for chronic pain. That is a different situation from elective or prophylactic neurectomy. Also, it was done by neurosurgeons. That’s a different situation than treating chronic pain by a hernia expert. Post inguinal hernia repair chronic pain is often more complex than a single neuroma.
-
Your operation is covered for 90 days after date of surgery. Go see your surgeon.
-
I am not aware of preventive neurolysis. That doesn’t make any sense. Only neurectomy. Some do it for inguinal hernias. Studies don’t support any particular method. Many of us experts recommend not disturbing the nerves during primary (first time) inguinal hernia repair. In mesh removal, neurectomy may be necessary.
-
Sounds like a small sports hernia. Nothing that would require mesh or surgery unless you fail all attempts at healing.
-
1. Fibroids do not cause hernias or in any way affect hernias
2. Seek a hernia surgeon to help determine if your symptoms are related to a hernia. Sounds like they may be. -
Make sure your surgeon is skilled and aware of risks associated with neurectomies. Prior to committing to them, nerve blocks and even nerve stimulator may be a good choice.
The nerves have motor function the closer they are to the spine. More distally, they become mostly sensory, so cutting them in the front (anterior, open) has less abdominal weakness issues.
The sexual dysfunction described by some is not directly related to the neurectomy. It’s often related to chronic pain and use of opioids.
-
Tailoring surgery to the needs of each patient is important. For example, tissue repair is not a good idea for most obese patients, for femoral hernias, for many direct hernia or large hernias.
Its important that you and your surgeon have a discussion about what he/she recommends for you and why not other options. To insist on a certain technique without understanding how that fits to your specific needs is not ideal. It’s like saying skinny jeans are best and so everyone (including great grandpa and obese auntie) should choose skinny jeans. That would be a disaster.
-
Highly variable. Lap has Better outcomes in terms of recurrence rates. In some patients it may be overkill as it involves 3 scars.
-
Laparoscopic has the lowest recovery time and least chronic pain so we tend to provide athletes with laparoscopic repair with mesh.
-
No dye. We have posted the protocol in one of the pages here