drtowfigh
Forum Replies Created
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Have you seen a surgeon? It seems most of your questions and concerns would be answered if you had.
Sounds like you have a left inguinal hernia. That is based on many of your symptoms and it’s proven on ultrasound. It would be very uncommon for a female hernia to incarcerate and/or strangulate.
Dont worry too much. See a general surgeon to get diagnosed and have your questions answered to alleviate your concerns.
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Ho
im glad you chose this forum for your questions. Lots of information here for you.
A traumatic hernia is exactly that: you need to be in a really bad car accident, for example, to exert the force needed to case an burst of muscles. It’s typically a flank hernia and large. You don’t sound like you have a traumatic hernia. Those are quite challenging to repair. -
Interesting reflexology information.
I must say, though: in my patients, from whom I can get a complete history and examination, I have never found their complaints below the knee to be hernia related. And they don’t get better after addressing the groin issue. It’s harder to judge the full story from patients who post their story online.
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Yes. Still teach at all levels. I agree with you…
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Al interesting ideas.
We we need a spray that can have the early strength to hold the hernia in.
The new long term synthetic absorbables have many surgeons raving about them. I’m a bit pessimistic about their applicability. They are super expensive and long term data seems to hint at relatively high recurrence rates. The recurrences may occur later than with BIOLOGICS which resin much faster.
Stem cells etc are all great ideas. Cost is the major issue. Insurance already reimburses so poorly for hernias. You can’t sell a mesh that costs more than the reimbursement for the operation.
The new hybrid mesh products have potential. I’ve become a fan of TelaBio’s Ovitex hybrid mesh. It’s a high quality biologic with a small amount of nonabsorbable synthetic sewn into it. I’ve had great success in patients with chronic pain, athletes, infections. Clinical trials pending.
Yes! Robotic tissue repair. I’ve been offering it as a minimally invasive non-mesh technique for inguinal hernia repair. I’m studying the outcomes. No one else is currently performing this. To date, have had excellent results.
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Those are all excellent plans. Anything below the knee should be worked up at the level of the spine
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Let me ask my colleagues. I have never met Dr Kang or heard about any of his statistics at our surgical conferences.
Sounds like Ike he is doing a Marcy repair, which we know doesn’t work for adults.
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Hi there
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Thank you! -
Tissue repair was taught before the 1990’s. Mesh repair started to be applied in the 1980’s. Once we saw that patients were having less pain with this procedure, had less recurrences, and it could even be done as an outpatient surgery, tissue repair fell out of favor. It was used only in situations where mesh was contraindicated (e.g., strangulation, infection).
The current wave of mesh-related complications and pain was not notable until this century. It’s debatable why we are seeing it.
There is for sure a need for more education and practice with the different tissue repairs. I agree with you. I offer it and a handful of surgeons older than me. The younger generation of surgeons are not adequately trained in it.
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Can’t agree more. Been designing some stuff myself. For the groin, there has been no advancement in design it seems for a century.
Would love to see a picture of your prototype.
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NathanHarris,
How did your Doctor’s visit go? -
Bloating is a symptom I hear often among my patients with hernias.
Did you meet meet with your surgeon? Plans?
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Yes. Lots of exciting technology in the works.
– Hybrid mesh where the amount of synthetic is dramatically reduced. Thus, less inflammation or reaction.
– New sutures that are just as strong but less reactive than what we are currently using. Steel breaks so it’s no longer a viable option for most surgeons.
– New less invasive techniques. I’ve been performing robotic-assisted non mesh (tissue) repairs with good success. -
Are you in Las Vegas?
Let us know where you live and we can suggest local surgeons.
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Inguinal hernia mesh is considered ok in those older than late teens as it relates to growth issues.
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Many of your symptoms are suggestive of inguinal hernia, including pinching feeling while sitting, needing to roll on your side when getting out of bed, sitting up or getting out of bed.
Try Dr Sharon Bachman in Virginia.
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It was lovely to see you
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Right. No point in delaying the diagnosis.
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Dr Burns is very reputable senior general surgeon.
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Looks like an infection. Smells like an infection.
Sometimes these can can be infected urachal cysts. If antibiotics don’t cure, may need local surgery.