Good intentions

Avoid creating abdominal pressure. Don’t hold your breath when you exert yourself. You can also hold your hand over the hernia to see if what you’re doing is causing it to project. A truss might be helpful also.

https://www.mayoclinic.org/diseases-conditions/inguinal-hernia/expert-answers/hernia-truss/faq-20058111

They are in the reply to the interview notice.

HerniaTalk **LIVE** Q&A: Sports Hernia & Minimal Repair Technique 09/20/2022

Thanks for posting this Jack2021. I might actually watch and ask questions, knowing who is being interviewed. I have noticed that many interview subjects defer to Dr. Towfigh’s area of expertise, at the expense of their own standing, but Dr. Muschawck has built her own reputation, world-wide. I hope that it is a good conversation.

Please discuss with her your results of repairing professional athletes with mesh with her reluctance to use mesh on professional athletes. You have posted in the past about using mesh on professional athletes but have never reported the results of the repairs. Dr. Muschaweck is world-renowned for repairing abdominal injuries, including normal…[Read more]

Here is an example of where business factors could drive change in the mesh-based hernia repair industry. “workdays missed”. Once a dollar figure gets put on the problem, people with power start to think differently.

The study is broad-based, including all types of chronic pain. But the concerns are the…[Read more]

Dr. Campanelli has been studying chronic pain from hernia repair for quite a while. Here’s a paper from 2011.

Interesting that the problem was serious enough in 2007 that a group of nine experts was assembled in 2007, eventually resulting in this work. But, somehow, the problem persists.

The same general strategy was used to produce the…[Read more]

Here is another reference to Dr. Koch and one of the “modified” Shouldice methods.

Indirect Hernia no-mesh repair by Dr. Koch

Sorry William, maybe you are right. If you could copy the post or Topic where he discussed that, it would clear things up. I gleaned what I could in the time I had to find and read a few posts.

Here is the reference to Shouldice being bemused (apparently). The odd grammar made me think that Baris was…[Read more]

Here’s another and Baris’s page link.

https://herniatalk.com/members/baris/

Indirect Hernia no-mesh repair by Dr. Koch

I have a vague memory of a person expecting a pure tissue repair but getting a mesh repair. But I looked around and it does not appear to be Baris. Apparently he wondered, after the fact, why he had received a mesh repair. It’s not clear what he expected though when he had the repair. I think that for his first repair he just accepted what he…[Read more]

Dr. Towfigh has updated her Youtube channel. I have not watched the video but it might have some value. I have to assume that the “myths” are from the perspective of the surgeon. It would be interesting to see the myths written out so patients could add their real-world experiences.

Thanks for the reply Dr. Towfigh. I think that the innovation urge might be part of the overall problem with hernia repair problems. In the “tech” world, “new” is almost always assumed to be better. New markets to exploit. New products are heavily marketed and sold so that shareholders can make money.

But in healthcare, this urge to invent…[Read more]

I was replying to Watchful.

But, on the other hand, where will the people with money and influence go if Shouldice fails? Rand Paul, for example.

It might be that there are reasons for the recent “Expert’s Consensus” paper from the Shouldice Hospital. Maybe they are laying the groundwork for expansion or a move. It will probably take years before Shouldice gets pressured…[Read more]

Political lobbying is incredibly powerful. Oil, tobacco, pharmaceuticals, herbicides… Anything that has large quantities of money running through it is going to be lobbied for at the highest levels. Right or wrong don’t matter. Just the size of the stream of money.

“Cash cow” doesn’t necessarily have to do with profits. It’s the steady…[Read more]

William, PSA stands for Pain with Sexual Activity. It’s in the reference. They also provided the definitions.

“BACKGROUND:
The reported incidence rates of sexual dysfunction (SD) and pain with sexual activity (PSA) after inguinal hernia repair in males vary considerably. This meta-analysis explores the rates of SD and PSA after different…[Read more]

I can’t remember all of your details or past posts. But have you penciled out the actual cost of going to see Dr. Kang in South Korea? Of all of the methods out there his seems to be the most minimally invasive, in all ways. Physically and anesthesia-wise. It seems the safest.

That is a really interesting article, thanks for posting. Dr. Andresen (not involved in the study) is one of the big names in hernia repair research.

Kind of disturbing that the conclusion of what to do with this information is only to include it in the informed-consent process with the patient. Not work on understanding the cause and fixing…[Read more]

Dr. Towfigh apparently did one of her HerniaTalk Live sessions on mesh removal recently. It’s not on her Youtueb site though, maybe it will be there later.

@drtowfigh

HerniaTalk **LIVE** Q&A: Mesh Removal Myths & Facts 09/06/2022

https://www.youtube.com/results?search_query=towfigh+Mesh+Removal+Myths+%26+Facts