Good intentions

Hi brother, to answer your question. I was never able to hear back from Belyanski when I reached out months ago and quite frankly got tired of waiting. Dr.Billings is a great person who really took my situation seriously instead of disregarding me and giving me the run around asking for 10 different tests. The reason why he was not able to remove…[Read more]

Forgot to add, thanks to @good-intentions for recommending Dr.Billings to me 🙂

Just had my hernia mesh removed on left side Dr.Peter Billings here in Kirkland,WA. Same surgeon who did it for @good-intentions . We was supposed to remove both sides but looks like my left was very complex and had moved down to Testicle so no time to do right side. I plan on coming back and remove it within 6 months. I must say, great experience…[Read more]

@good-intentions Great info as always man, much appreciated.

@good-intentions All good brother, In my case I have a shit ton of pulling and tugging, its affecting me during intercourse, exercising. Also giving me testicular pain. None of these problems I had before the mesh.

@good-intentions thanks, will ask Billing on our next meeting before surgery.

@good-intentions What was your experience when you arrived to see billing like beginning to end?

@good-intentions Thanks bud for the tip, I will have my wife come with me for the trip. Side note I recall on another post you mentioned doc requesting to see a Urologist 1st, he did not ask that from me Today. Just took a look at my operative report from last surgery and my CT results. Regarding the profile, I updated it today 🙂 That go kart I…[Read more]

@good-intentions Looks like Dr.Billing will be the answer, Will be traveling over there end of month, will let you know how it goes. Hopefully I come back with both testicles and all is well =D

PS: the man has a great personality, I had a great conversation indeed. Wondering which hotel did you stay at when you saw him? I am looking for one near…[Read more]

@good-intentions, first of all thank you for your thoughts and ideas.

Well thightness and lack of flexibility might be a common problem for mesh , but in my case as it is on my right flank it took away the ability of the tissue to expand.. i’m not a doctor or PT , but i know my body very well and somehow that changes how the internal pressure f…[Read more]

@good-intentions thanks for your replay and thoughts.

I know tho in open mesh removal nerves have to be cut as well to eliminate the risk of chronic pain.

There isn’t a lot of information about open mesh removal on the web and seems to be true for this forum as well.

Any other information about open mesh removal would be greatly apriciated!

@good-intentions yes, I had Lichtenstein repair with the progrip mesh, no plug and patch was used.

Maybe I didn’t ask my question clear enough.

I wonder if it’s easier/safer to remove mesh that is in the inguinal ligament(Lichtenstein) than if the mesh is in the extra-peritoneal(TEP) or peritoneal cavity(TAPP) since well-known Drs. remove mesh…[Read more]

@good-intentions

I read the full paper. I think the most controversial aspect of the procedure as they do there is completely cutting the cremaster and the genital nerve branch. Most surgeons outside the Shouldice Hospital don’t do this.

It’s interesting that there’s some disagreement on this within the Shouldice Hospital as well. The paper…[Read more]

@good-intentions

This confusion of cause and effect (as well as correlation and causation) is really disturbing to see. How can it be one thing in the abstract, and then the opposite in the conclusion? Some sort of circular logic?

This kind of vague ammunition for dismissing patients with chronic pain after groin surgery is likely to be abused.…[Read more]

@good-intentions

Yes, that’s an interesting approach for indirect hernias. Much less problematic than mesh or tissue repair when it works. However, I think I passed the age where it would apply.

It’s laparoscopic high ligation of the hernia sac which should work fine if the internal ring tightens by itself after the hernia sac is removed. That…[Read more]

@good-intentions

The only other muscle there is the dartos muscle, and it is innervated by the same nerve that’s cut (the genital branch).

Maybe the muscles on the intact side have some residual effect on the operated side.

@good-intentions good point. Scholar.Google.com is an excellent resource of peer reviewed articles.

Best advice by @good-intentions.

@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]