Forum Replies Created

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  • drtowfigh

    Moderator
    October 13, 2016 at 3:02 am in reply to: Hidden Hernia questions from Ohio

    Hidden Hernia questions from Ohio

    Wonderful to hear you got the diagnosis and treatment to cure you of your pain.

    Endometriosis, hip labral tear, hernia–they all share similar symptoms. This is just a short list.

  • drtowfigh

    Moderator
    October 13, 2016 at 2:59 am in reply to: Open ingunial hernia surgery

    Open ingunial hernia surgery

    Yes!

  • drtowfigh

    Moderator
    October 13, 2016 at 2:58 am in reply to: top hernia in wisconsin

    top hwrnia in wisvonsin

    To clarify, the studies show a 20% rate of ANY pain at 3 months postoperatively after open inguinal hernia repair with mesh. The prior comment is not acccurate.

  • drtowfigh

    Moderator
    October 13, 2016 at 2:50 am in reply to: Femoral hernia pain

    Femoral hernia pain

    Yes yes and yes!

    As I’m reading your story I recall how many hundreds of times I’ve heard the same story, and a hernia was the cause of the chronic pelvic pain. In my patients, they never really had the diagnoses they were labeled with, such as IC and IBS. It just led them astray and delayed their diagnosis and therefore treatment. Many of my patients had hysterectomies unnecessarily. I even had a 20-year old female last week who was told she needs a hysterectomy for her chronic pelvic pain and endometriosis. I fixed her hernia. She’s pain free after 8 years.

    Hernias can be painful. Size is not a determinant of the pain. If anything, smaller hernias are more likely to hurt than larger hernias.

    Femoral hernias should be repaired regardless of symptoms. Laparoscopic repair with mesh is the gold standard.

    I know your NY hernia and sports hernia specialists. They are excellent. Stick with them. Your investment will be well worth it.

    And please tell them about our forum.

  • drtowfigh

    Moderator
    October 12, 2016 at 6:09 pm in reply to: advice on abdominal wall reconstruction

    advice on abdominal wall reconstruction

    Having multiple hernias can be difficult. It’s also so important that you correct all risk factors for hernia recurrence prior to undergoing another operation.

    Yes, weight loss is critical, as it can contribute to hernia recurrence.

    Correct any constipation. So important. Treat it like you would any other disease. This means you may have to take a medication daily.

    Exercise to strengthen the abdominal core muscles will help you.

    I agree with you: it’s so ridiculous that insurance companies only approve a same day surgery for an incisional hernia repair. Almost all of them will require a hospital stay. That is a big and complex operation. This is just the insurance company’s way of having the opportunity to deny any hospital stay. Fortunately, they usually don’t. So don’t worry. As long as your surgeon documents why you’re in the hospital that should be ok

  • drtowfigh

    Moderator
    October 12, 2016 at 6:02 pm in reply to: Bowel issues with Hernia pain

    Bowel issues with Hernia pain

    Do NOT push or strain. That is the worst for hernias. It will increase abdominal pressure and cause hernias to recur.

    That said, if you are missing Core abdominal function, it is possible that bowel function may be difficult, because you cannot make a concerted effort to push stool down into the pelvis and evacuate and you are completely dependent on colonic motility alone.

    A strict bowel regimen is imperative so that stool is soft and not hard. Can include mineral oil, magnesium mallate, Miralax, milk of magnesia, prunes, water.

  • drtowfigh

    Moderator
    October 1, 2016 at 7:53 pm in reply to: Referrals

    Referrals

    Dr Alaedeen is in Cincinnati.

    Do not consider surgery for at least 12 months, preferably 18 months, after your stent.

  • drtowfigh

    Moderator
    October 1, 2016 at 5:40 pm in reply to: AHSQC: Am Hernia Society Quality Collaborative

    AHSQC: Am Hernia Society Quality Collaborative

    Agree
    Membership in AHS does not imply specialty in hernia. At the least, there is an interest in hernias. The reverse may not be true. I would question a hernia specialist who has not taken the initiative to be an active member of the AHS and also participate in the AHSQC.

    One clarification about residents and their role in the surgeon’s experience. Residents do not perform surgery on their own. They are under the direct supervision of an Attending surgeon. Having a resident participate in an operation does not in any way reduce the amount of skill or experience of the surgeon. Quite the opposite.

    The surgeon must be present and typically scrubbed in for the important part of the operation. Allowing residents to participate in one’s operation takes a lot of skill on the part surgeon.

  • drtowfigh

    Moderator
    October 1, 2016 at 5:31 pm in reply to: MRI with valsava for imaging & diagnosing hernia?

    MRI with valsava for imaging & diagnosing hernia?

    Hi LindaS
    Any updates?

  • drtowfigh

    Moderator
    October 1, 2016 at 5:27 pm in reply to: Referrals

    Referrals

    Consider Dr Diya Alaedeen of Cleveland Clinic I believe he works at Cincinnati branch

  • drtowfigh

    Moderator
    October 1, 2016 at 5:19 pm in reply to: Suffocation after Removal

    Suffocation after Removal

    Hi Mesh,

    Any updates on your situation?

  • drtowfigh

    Moderator
    October 1, 2016 at 5:17 pm in reply to: hernia specialists/surgeons in the southwest

    hernia specialists/surgeons in the southwest

    Natalieplee,
    Did you find your surgeon?

    I also recommend Dr Conrad Ballecer in AZ.

    There are a lot of great surgeons in TX

  • drtowfigh

    Moderator
    October 1, 2016 at 5:13 pm in reply to: Chronic Pain After Inguinal Hernia Repair (Boston)

    Chronic Pain After Inguinal Hernia Repair (Boston)

    Excellent
    Looking forward to seeing you.

  • drtowfigh

    Moderator
    October 1, 2016 at 5:09 pm in reply to: Inaccurate medical records

    Inaccurate medical records

    The notes you posted are just one part of your records–the least important. The actual progress note is most important

  • drtowfigh

    Moderator
    October 1, 2016 at 5:01 pm in reply to: Repeated hernia surgery

    Repeated hernia surgery

    It’s not possible during c section to snip a nerve that causes muscle atrophy

  • drtowfigh

    Moderator
    October 1, 2016 at 4:59 pm in reply to: Inguinal hernia mesh removal

    Inguinal hernia mesh removal

    I disagree with the statement that it is unsafe to remove mesh. It for sure has its complications. Thus, best outcomes are with those surgeons who perform this procedure on a regular basis.

  • drtowfigh

    Moderator
    October 1, 2016 at 4:48 pm in reply to: Positive Cough impulse but negative ultrasound

    Positive Cough impulse but negative ultrasound

    So sorry to hear.

    Yes, it is possible that an inguinal hernia is missed on laparoscopy alone. That said, the chance is lower in men, as women tend to have occult hernias much more than women. Also, I am. It sure what your specific situation may be

    It seems that you shouldn’t suffer so much pain if there is a treatable cause.

    If you wish, you can choose to send me your images and any pictures and history so that I can help review them and provide you my opinion. Email me at info@beverlyhillsherniacenter.com if that interests you.

  • drtowfigh

    Moderator
    October 1, 2016 at 4:43 pm in reply to: Have had pain for about 3 months

    Have had pain for about 3 months

    You don’t have to have a bulge to have a hernia. In women, occult or hidden hernias are more likely. And they hurt.
    CT scan is often incorrectly negative for hernias. Dynamic ultrasound or MRI pelvis is a better imaging modality to help diagnose this.

  • drtowfigh

    Moderator
    September 28, 2016 at 6:12 pm in reply to: Recommended Hernia Specialist In Colorado?

    Recommended Hernia Specialist In Colorado?

    Great resource that you quoted. Thank you!!

    In Colorado, there is no one that I personally know.
    Consider: Rebecca Knight.

    If that doesn’t work out, then come back to us. Perhaps you can travel to a nearby state, such as Arizona.

  • drtowfigh

    Moderator
    September 24, 2016 at 4:14 pm in reply to: Painful hernia

    Painful hernia

    Pain with hernias is an indication for repair, though it’s not an emergency.

    Weight loss is not only good for the hernia repair, but also will reduce your hernia pain.

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