drtowfigh
Forum Replies Created
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Thank you for your contribution.
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Ice / cold therapy is a fantastic anti-inflammatory. Hernia pain is inflammatory in nature. Ice packs work great for direct therapy.
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We’ve discussed this issue at length in past posts. Consider reviewing those answers.
If you look at most studies, laparoscopic repair with mesh has the lowest chronic pain rate, especially among women.
However, as you pointed out, that statement may not represent the right answer for an individual patient.
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I don’t personally know anyone in GA that does tissue repairs.
Dr Maggie Diller is great at Emory.
You can also search for Georgia on this forum and see what comes up
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Phasix is not made from E. coli, it’s made by E. coli.
Of course testing has been done on this synthetic material to assure complete sterility.
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Femoral hernia can be the causes. That said, the quality of hernia ultrasounds is not always great. I have seen ultrasounds that erroneously call an inguinal hernia a femoral hernia, and vice versa. MRI can help clear that up. It will also help identify an incisional hernia (uncommon with C-sections) and other hernias nearby.
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The whack-a-mole efforts are becoming extremely tiring.
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Obviously, follow your surgeon’s lead as it is too early to worry yet about long term problems. But, since you are better with ibuprofen, then you have inflammatory pain. So, that should reduce over time in most patients.
Sometimes a binder helps take pressure off the area, in the short term. Massaging the area can also help reduce scarring and improve blood flow to the area in the short term.
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I hope to share my results. Please share the survey with your friends who may have had adverse reaction to meshes.
This can happen to any implant, including absorbable ones.
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Thanks so much.
For all the participants, you may be asked to log in again, for security purposes as we clean up the old site.
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It is incorrect to feel that incisional hernias never open. The overall risk of incisional hernia is 11% and that number can vary based on the specifics of the operation and the patient.
The inguinal area is more prone to herniation because of the collagen in the area being abnormal. Also, we are upright beings, so there is more pressure in the pelvis. Lastly, male pelvis is narrow, so from a physics standpoint there are more forces into the inguinal canal than in females.
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Contact my office directly and speak with Sheila. My office has experience with VA care and perhaps we can help.
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Just use the Search function for Miami or Florida.
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Dr Grishkan sometimes does a combination Shouldice + Lichtenstein repair.
The picture is inaccurate in that the transversalis fascia should not be open at the stage of mesh onlay placement.
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Yes. All professional athletes I’ve operated on so far have had laparoscopic inguinal hernia repairs with mesh.
For their umbilical hernias, all but one was non-mesh. These were all small hernias.
Biologic or absorbable meshes are improving. Almost all of the newer ones have clinical trials showing okay results.
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Discussed this week!
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We looked at why we remove mesh over a span of about 5 yrs. The majority of mesh removal was after prior open operations (83% total). However, over time, we noted that the need to remove mesh after prior laparoscopic/robotic surgery significantly increased in a stepwise fashion. So, your observations are valid: we are seeing more complications after lap/robotic surgery than we were seeing before.
The full article can be found here: https://pubmed.ncbi.nlm.nih.gov/30382481/
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Done.
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Unfortunately this paper is an open access article in a non surgical journal.
I’m not saying absorbable suture fails in everyone. It’s just common knowledge that the results are inferior to those with non-absorbable sutures. And scar tissue alone is inadequate to prevent hernia recurrence.
As long as you and your surgeon have an understanding of what risks and benefits you are choosing, and are informed, that’s what matters.
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Recurrences are higher with absorbable sutures. It is not how they were originally described. You cannot expect the same outcome by changing the sutures.