drtowfigh
Forum Replies Created
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AMERICAN Hernia Society is the original name of the founding society. However, it truly represents the Americas and not jus the US. Thus, about 6 years ago, we voted to change the name to the Americas’ Hernia Society.
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This has been discussed multiple times throughout the Forum. Sensitivity of MRI is higher. But CT can be adequate for most hernias.
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Maybe consider evaluation for an inguinal hernia. That is one reason for testicle to ride up into the groin.
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Outer thigh is usually lateral femorocutaneous nerve issue. That can be injured or irritated with laparoscopic or robotic hernia repair with mesh. Less often with open repairs.
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Mri is best option. Again, sutures and nerves will not show. The mesh and any suggestion of recurrence will show.
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CT may show the mesh. Sometimes it’s hard to see it if it’s lightweight mesh. No imaging will show sutures.
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Agree we need more.
These are not closed door meetings, but open to whomever chooses to register and attend. It is quite expensive to broadcast the meetings themselves, whether live or on Youtube, and so only a handful of the larger, richer societies do so. Surgical conferences and meetings are on string budgets and surgeons no longer travel for meetings in the ways they used to in the past. The economy just does not allow for so much expense by the surgeon nor so much time away from a clinical practice.
It’s a multifactorial problem.
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Yes. We have talks about mesh removal at our meetings. We need more.
We just published our video manuscript on tips to safe laparoscopic and robotic mesh removal.
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Tensor fascia lata grafts are how native tissue grafts used to be used prior to invention of cadaver Biologics. It is still used but rarely. It’s a highly morbid operation with many complications, pain, risk for nerve injury, cosmetic deformity, long recovery, and disability.
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Awww. Thank you so much!
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Hi there! Welcome to our Forum.
Ovitex offers a hybrid mesh. I use it in patients who are poor candidates for synthetic mesh but require mesh repair. I have had excellent results with it. It is not currently standard for inguinal hernia repair. -
The discussion of repairing an asymptomatic hernia on the other side of a symptomatic inguinal hernia at the time of laparoscopic hernia repair is an individual discussion you should have with the surgeon. There is no single perfect for everyone.
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Most drugs in the US have a standard adult dosage. I’m not aware of weight-based drugs for the majority of oral medications given to adults.
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Standing is not a risk factor for developing hernias.
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Hernias can cause nausea and bloating.
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Standing does not increase risk of hernia. It’s mostly a genetic predisposition and things that increase abdominal pressure may expedite a symptomatic hernia. These include chronic cough, straining for constipation.
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Yes. Can be the hernia. Need exam by specialist who can tell if your history and exam are suggestive of hernia being the cause of your symptoms. If not, then need urology workup.
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Yes. Testicular pain, pin to inner thigh, radiating around the back, front of thigh, up toward umbilicus, with nausea and bloating can all be signs of inguinal hernia.
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Can be hernia.
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Intuitive Surgical is a medical device company. They do not offer training courses on mesh removal. Surgeons are using the device for the clinical purposes.
type of instruments depends on type of mesh, area of mesh, etc.