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  • David M

    Member
    February 16, 2020 at 11:34 pm in reply to: Pros and Cons of Open vs Lapro

    In the following video, one of the doctors asks the audience(at the 17:25 mark) of doctors how many “take” the illioinguinal nerve and the answer was 20%! Then he said that he also did in the older patients, but tried to preserve it in the younger. He then says that they don’t notice.

    The presumptiveness is bothersome. What justification is there for this way of thinking? Is the nerve in an older person more fragile?

  • David M

    Member
    February 16, 2020 at 11:08 pm in reply to: Pros and Cons of Open vs Lapro

    I appreciate the thought, effort and objective of this thread.

    1)Is one or the other methods recommended based on size of the hernia? If so, at what size, generally, would one method gain preference? (my hernia on the right side is about the size of the top half of a tennis ball.)

    2)I’ve read on this forum that thinner folks who engage in sports to some degree are more prone to have problems after laparoscopic. How much importance should be given to weight in making a determination? Is there a bmi dividing line?

    3) How does age affect outcomes with regard to pain and recurrence for the mesh-open, tissue open, and laparoscopic methods?

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