drtowfigh
Forum Replies Created
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Thank you!
Never give up!
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MRI protocol
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So glad to hear!
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Surgeons have long “experimented” with variations in surgical techniques. That’s how each of the different named hernia techniques have become part of the normal options.
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Hopefully it’s a benign fatty lipoma. That’s very common. Pathology will confirm.
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There is no mandated registry or system in the US.
Of recent, the AHSQC was developed and those of us who are members, register any hernia procedures. See the stickie on our HomePage.
Not enough surgeons are enrolled in these registries, mostly because it’s extra work and not mandated.
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In Europe: most countries have their own registry
in US: the AHSQC is the only hernia registry with longterm reporting. See the stickie on the Home Page. -
– prefer to not cut any nerves, especially given your current chronic pain situation and nerve disorder.
– sounds like tissue repair is feasible
– I don’t believe the PHS hernia mesh is a good one for women and for small hernia
– delay your repair unless the discomfort is preventing you from performing your daily activities
– consider traveling. -
One of the stickies on our HomePage discusses the AHSQC. I highly encourage that you ask each of your hernia surgeons to become a member and input their data into this quality collaborative. It tracks outcome by exact mesh brand and model in addition to a whole lot of other factors it tracks. Plus, patients can input how they are doing, for long term outcomes data.
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Dr Koch is an amazing surgeon and an excellent option in Europe. He’s also very in tune to tailoring to the needs of each patient.
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You’ll do great!
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Check out the sticky on the home page for details. Lots of personal experiences posted on this forum. You can use the Search option.
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As many have mentioned on this forum… pick a surgeon you trust not the technique. Dr Vargo is great.
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No contrast
This has been addressed multiple times on this forum. You can search the forum using the Search function in the drop down menu above to learn more about my proposed MRI protocol.
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Lymph nodes are not related to hernia risk.
If ultrasound is diagnostic and the history is suggestive, then that’s what you should believe.
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We have a lot of Northern California doctors on this site. Use the Search function.
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Some comments:
– there is still risk of chronic pain after surgery with absorbable mesh because it’s still surgery. This is more common in the groin area, where you have to cut and sew around sensitive areas including nerves. Don’t forget there is chronic pain for hernia repair without any mesh (for inguinal hernias).
– with abdominal wall (not groin) hernia, we tend to close the defect and not patch it, though the patch remains a common and accepted repair option.
– Are you referring to groin hernias only? I believe that is what Sr Kang has been referring.
– the slowly absorbable new synthethic absorbable mesh (Tigr and Phasix) are inflammatory products. They are also quite expensive.
– We have not proven the theory that though the first year’s healing time is most important, absorbing afterward will not adversely affect the recurrence rate. It’s a good marketing idea. Likely, the recurrence rate may just be shifted over by a year or two. -
In our study, if the ultrasound showed a hernia, it was always accurate and we believed it. The reverse is not true. If an ultrasound or MRI does NOT show a hernia, it’s often incorrectly interpreted.
History is more important than imaging. Imaging helps confirm the clinical suspicion based on history and exam.
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For ventral hernias, chronic pain is lower risk with mesh than for groin hernias.
Search this site for more information about the great surgeons st UW. The search tool is in the menu.
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Smoking marijuana causes a lot of coughing, which can exacerbate hernias and contribute to recurrence after hernia repair.
THC in and of itself is not harmful to hernias or affect healing. CND is supposed to have anti inflammatory properties.
Chronci marijuana use use may cause challenges for the anesthesiologist.
