drtowfigh
Forum Replies Created
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Umbilical Hernias 1.5cm and higher are best repaired with mesh.
your BMI is low, so I prefer to use the lightest weight mesh infection I do choose to use mesh.
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Most professional athletes have mesh based repairs of their inguinal hernias.
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Laparoscopic repair with glue for fixation has very low likelihood of nerve injury except for genitofemoral nerve. So triple neurectomy is not a good idea.
I would seriously consider removal of the mesh and just see how that goes. -
Not necessarily.
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You need to see surgeons. There are a lot of good ones for hernia in the UK.
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Please us the Search option in the drop down menu for keywords, such as NY. We have many great surgeons.
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No other center has been able to recreate the statistics claimed by the Shouldice Center.
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Sounds like you need a second opinion.
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Depends on the size of the defect and mesh and your risk factors for recurrence. Short answer is yes. Longer answer is depends.
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Thanks for the comments about our paper.
Our purpose was not to look at specific mesh. That was already done in a prior publication “Why We Remove Mesh.”
our purpose was to standardize handling on mesh explants in an evidence based manner. We recommend the mesh be sent to pathology for gross identification. Further studies on the explanation, such as microscopic evaluation, sounds like a good idea but in fact provides to additional information of any clinical value. All explants, whether done for pain or not, for mesh reaction or not, will show similar microscopic pathology. What happens at the tissue level does not represent what the patient is experiencing clinically.
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The majority of hernias last a lifetime. Depending on the type, size, repair type, and risk factors associated with the hernia, recurrence rates can range from 0.5% at 5 years to 60%. We don’t have great data to report accurate numbers any longer than that, with few exceptions, but the majority do last a lifetime.
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No. Unrelated. It’s related to the width and angle of the defect.
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Laparoscopic mesh placement is not near or against the intestines.
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Contents do not determine whether a hernia should be repaired.
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[USER=”2029″]Good intentions[/USER] Is exactly right!
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All mesh is theoretically removal. There are risks based on where the mesh was placed. Time is not a factor. Seek a second opinion.
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[USER=”1391″]UhOh![/USER] indirect hernias are more likely to incarcerate contents than direct hernias. And overall the risk is low.
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Adhesions are basically scar tissue. They occur with any trauma or surgery. Laparoscopy causes less trauma and so less adhesions. Mesh can cause adhesions and how much depends on where the mesh is placed, what type of mesh, and the body’s specific tendency toward making more or less adhesions.
Adhesions are usually not painful and cause no problems. Also, they lessen over time as the body remodels scar tissue constantly.
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I suggest you follow Dr Koch’s suggestion for your particular situation. He’s a gifted and knowledgeable surgeon. You will be in great hands.
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Responded to you in a different post.
In short: hernia recurrence is top on my list of causes for you.