Good intentions

You were 28 when you had the hernia repair? Do you know what type of mesh and how it was used? There is a very wide variety of materials and methods, even in open repair. 12 years ago is probably a plug or a Kugel patch or the Prolene Hernia System. The details of the procedure will be useful.

There are some recent posts from jnomesh about…[Read more]

That’s a shame Spanish, but maybe it’s best in the long run. What if you had complications? Would Dr. Koch help then?

It’s interesting that Naholm appears to monitor and read the posts on this forum, and keep his surgeons informed. But does not participate even though he and his company have been discussed in…[Read more]

You are in a difficult spot for finding good information. If you read through the posts on the site you’ll see how healthcare has moved almost completely to mesh implantation for hernia repair, even doing repairs for asymptomatic hernias, under the premise that potential strangulation is a risk, and that mesh is completely safe and almost…[Read more]

Hello Scott. @tigerpawn

I was referred to a urologist when I was having mesh problems and he made a comment about how they had to cut through the mesh to do prostate surgery, sometimes. He made it sound like mesh made his job more difficult. I would see or talk to a urologist to get their opinions.

As far as choosing a repair procedure, I say…[Read more]

@Forest According to Gore’s literature, the PTFE mesh should be fully surrounded by vascularized tissue and the absorbable portion of the mesh should be gone, absorbed by the body. There will be some shrinkage, because all of the mesh products do that.

The PTFE mesh used in this product is fairly new for Gore. Their old products were based on…[Read more]

That is a shame, and bizarre. Could it be someone from the bodybuilder.com forum? I know that you post over there also.

I bet that Dr. Koch himself might understand what happened. You have been talking to someone in the front office. It might be worthwhile to try to get past them.

Good luck.

I don’t think that Dr. Koch reads the herniatalk.com forum. There is no route to Dr. Koch’s office from here. How would they know what was written on the forum?

Maybe somebody has been on your computer or phone. Good luck.

The Shouldice procedure does not remove the mesh. A surgeon performing the Shouldice procedure might remove mesh, but there is nothing specifically “Shouldice” about mesh removal. There is no “Shouldice mesh removal” procedure.
Removing mesh and repairing hernias are really two different specialties.

Most surgeons that remove mesh do not…[Read more]

https://www.cochrane.org/CD004703/COLOCA_two-different-laparoscopic-techniques-for-repairing-a-hernia-in-the-groin

TEP has a lower chance of intestinal adhesion because the peritoneum is not breached. Totally EXTRA-Peritoneal. Meaning completely outside of the peritoneum, where the intestines are.

TAPP surgeons like TAPP because they can see more before they decide to open the peritoneum and place the mesh, I think. There is a series of SAGES educational…[Read more]

What you’re describing would be called preperitoneal mesh placement via anterior approach.

The Kugel patch and the Prolene Hernia System (PHS) are examples. The Onstep procedure is another. There are others.

A hole is created in the abdominal wall to work through and a space is made between the peritoneum and the abdominal wall. The mesh is…[Read more]

I think that Dr. Brown will probably be able to at least determine if your mesh pain can be moderated or eliminated. It might be that the ways that you’ve changed your activities to avoid mesh pain have created the conditions for your leg pain, and that the two are not directly connected. I know that when i was much more active that if I got out…[Read more]

Dr. Andrew Wright of UW Medicine also removes mesh, robotically.

https://www.uwmedicine.org/bios/andrew-wright

Here is an old Topic with some good replies about people with problems similar to yours. It has a list of surgeons who might be able to help you.

Considering triple neroectomy or inguinal orchietomy

The GSN web site went down right after I posted that. I received an email from GSN about the new issue. I would not be surprised if the web site crashed due to high volume. The topic is one of the hottest around right now. The healthcare industry is turning doctors in to mechanics, assembly-line workers. It can’t continue.

The site seems to…[Read more]