@good-intentionsActive 19 hours, 11 minutes ago
I think one question you should ask yourself is if you can still do all you used to do, or all that you want to do, with the understanding that the hernia is maybe now preventing you from doing it…
Many doctors will tell you that watchful waiting is not recommended anymore; however Dr. Towfigh has endorsed it (when symptoms free).
Other than…[Read more]
@good-intentions thanks for the link…if I understood correctly there is an ongoing effort to reduce the risk of infection, both for absorbable as well as non absorbable meshes, which is a good thing.
I had the impression though that the main criticism against absorbable meshes was that the recurrence rate was too high, and/or it caused too…[Read more]
Alephy replied to the topic Dr. M. Pawlak – a new surgeon worth following (and hoping for) in the forum Hernia Discussion 6 months, 1 week ago
What are natural tissue repairs? I have heard of tissue repairs, but not the natural type ones 🙂 you get vegi sutures?:)
Alephy replied to the topic Before Good Intentions…Trail blazer Nick mesh removal in the forum Hernia Discussion 6 months, 2 weeks ago
I agree with @good-intentions, set the limit (minimum that is) of what you want to be able to do in life: if you cannot achieve it, then surgery may be warranted…(this is what will push me to get surgery actually)
I would also consider exercising as an option first, this may not fix your problems but might improve your body and mind, which is…[Read more]
Quite frankly, the long term performance of the various meshes in the market is not well assessed either…
Again, I have not seen any study that reports high rates of recurrence for the synthetic absorbable meshes after e.g. 3 years….I have heard Dr. Towfigh mention that in her opinion after few years they may start failing, but I could not…[Read more]
Yes, with Dr. Heniford.
Here is the link to the video
and the relevant bit is after 43:30 more or less….it seems as though Dr. Heniford is in favour of absorbable meshes, whereas Dr. Towfigh has reservations…
It is mentioned in the video above that synthetic absorbable meshes…[Read more]
From my (ignorant) side, what caught my eye was all the different “surgeries” that were mentioned, some of which I never heard of….
BTW are 3d meshes all considered a no-go, or the problems were associated to only a particular type? This also I found confusing, as it seems on the web site that 3d mesh is considered as a viable mesh, but as…[Read more]
Yeah, I am just wondering though whether there are people out there who are researching hernia treatments that do not fall into the two categories of pure tissue hernia vs mesh (surgery) repair….I would be curious to hear what researchers are thinking that might come in the future as an option…
Was trying to understand the latest development on absorbable meshes:
It was mentioned by Dr. Towfigh during a weekly contribution from a panel guest, that
1. bio absorbable meshes do not work, and
2. that absorbable synthetic ones release possibly dangerous substances into the blood when they decompose (apologies if I misunderstood this point…[Read more]
I just came across this medical cabinet in Berlin
which mentions several hernia surgery types that I never even heard of, as well as a mesh plug option (PerFix Light Plug), Ultrapro plug, TIPP: can anyone chime in on these techniques?
Some involve a partially absorbable mesh apparently…
A minimal…[Read more]
Apparently a Polish startup came up with a fluid like substance that becomes solid if exposed to light: these patches are supposed to replace the mesh i.e.
There was a post from some years ago which asked if anyone ever heard about this, I just repost the question, out of…[Read more]
I stumbled on this article
which points at the slow adoption of AI in the US healthcare system…
One excerpt suggests that AI could “replace” radiologists, which would have a huge impact for the patients in terms of speed, costs and allegedly quality (better)…
Hi Watchful, what symptoms do you experience now, as opposed to before you did the core exercises?
I have always wondered what could increase the pain of an hernia, and barring nerve inflammation the only thing I can think of is that the “defect” got smaller, while the hernia tissue got somehow more trapped than before…but I am wondering…[Read more]
The way I see it, there are lots of variables at play e.g. the skills of the surgeon, materials, patient’s anatomy etc etc….there is one thing though that people seem to agree on: if the mesh needs to be taken out, it is really a difficult procedure and requires a true specialist! Also the recovery from this procedure may take a long time too…[Read more]
Alephy replied to the topic HerniaTalk **LIVE** Q&A: Mesh- vs Tissue-Based Hernia Repairs 2/15/2022 in the forum Hernia Discussion 7 months, 1 week ago
It was indeed a great session! May I ask when are these new studies on biological or absorbable meshes coming out? Some papers were mentioned with promising results on those….
As for the title, are absorbable meshes treated the same way as the non absorbable ones i.e. can you also insert them laparoscopically? I would assume so, but I thought I would ask just in case there are subtle differences somehow…
@pinto I can understand your point about a University hospital. The question is: was the patient informed before surgery that it would have been handled by other surgeons, with the occasional supervision of the chief surgeon? The article criticising what had happened described the way the “many surgeries” were handled as not acceptable and I agree…[Read more]
I read the second article where another doctor openly criticises Dr. Ramshaw, and I totally agree with the comments therein! I do not understand how the description of what happened could not be the subject of a lawsuit, and one that would be very easy to win!
Going back to the volume tenet, and the idea that the medical corporations push for…[Read more]
@good-intentions I agree 100% with your post!
I wonder whether in the future genetic engineering of the problematic tissue might provide the ultimate cure to the problem…whether this will happen or not, the PT component will never go away i.e. one should always exercise the body, whether with or without an hernia, or after an hernia fix…
I am wondering, when someone goes under the knife for a major surgery of the abdomen, do they use mesh to reinforce the tissues before closing up?
What is the surgery touches the inguinal area? is mesh used in this case i.e. outside of an hernia related issue?
ps: I know mesh have been used in women for a different problem with very adverse effects
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