Good intentions

@good-intentions
Dear Good Intentions.
I agree. If you review the papers from the shouldice clinic, they do not report any chronic pain after hernia repair. In my experience, if the patient does not have chronic pain before surgery, then there is no chronic pain after a pure tissue repair. There are no articles in the literature that report…[Read more]

@good-intentions

I agree with James.
I have not used mesh to repair an inguinal hernia in 20 years and I have been very happy with the results.
Regards.
Bill Brown MD

Brilliant example. It’s like the fox speaking for the hens. 😀 😀 From the start he clearly puts himself in the ring of mesh proponents, which makes me wonder why in the world does this conference choose a mesh provider to give us the state of the art for tissue repair??? (He stated he was invited to speak on the topic.) Oh but he states he does t…[Read more]

@good-intentions
The hernias in young adult and children are indirect hernias and the results for recurrence are the same with or without mesh.
Regards.
Bill Brown MD

@good-intentions, Thank you very much but UC Irvine doesn’t focus on occult hernias – I called. Honestly most surgeons don’t know much about occult hernias and that is why I am posting here. I wish someone could help me.😔😢

@good-intentions, thank you so much for responding. I would love to have a consultation with Dr. Towfigh, however, she charges $600-$750 for a consultation, which I unfortunately cannot afford.😢

Thanks @good-intentions. I am in a classical hernia dilemna. Should I operate now opposed to later or not? The hernia is small and has only fay but symptomatic. The surgeon says symptoms will get better with time and there is no risk in the near future. He would not operate unless I report pain. Then he would offer open without mesh, general…[Read more]

@good-intentions When I consulted with Dr. Zoland a few weeks back he was very candid about the subject and basically told me that some of these surgeons are very eager to cut nerves but that even a nerve block is not the most accurate diagnostic tool and is so vague that it can be completely useless because at the end of the day – any pain you…[Read more]

@good-intentions
Thank you for always finding interesting articles.
Your comments are spot on.
Bill Brown MD

@good-intentions
I agree that his funding sources limit his ability to fully endorse pure tissue repairs.
I disagree with the statement that the chance for chronic pain is the same with or without mesh. I almost never have any chronic pain problems after pure tissue repairs. If you review the literature before the 1980s there only a few articles…[Read more]

@good-intentions
I hope this means that more patients will be getting non mesh hernia repairs.
Thank you for the update.
Bill Brown MD

@good-intentions
It is scary what is being taught.
Bill Brown MD

Hi @good-intentions yes I read it, tragic and it kind of resonates with me…
I have not had any surgery yet and I am on watchful waiting. I also have no intention to get a mesh (even if all went well, it would remain at the back of my mind as a potential source of nightmares afterwards), but in case of an emergency (where pain or whatever spirals…[Read more]

@good-intentions is correct again. I was 95% pain free for the first five years, and then a rip occurred, and now I have daily pain that I have to take meds for. I would strongly disagree with the “no limits after surgery” mantra as that mindset assuredly contributed to my complications. In particular, soccer players tend to have complications.…[Read more]

@good-intentions i have my surgery report for my right side to show exactly whats been done and what they have seen.

‘An oblique right skin insicion was first made avoiding the previous high almost transverse skin scar. The incision was extended through fairly heavy scarring to reach the external oblique aponerousis which was opened in line w…[Read more]

@good-intentions Thank you for the positive words 🙂 Much appreciated.

I really hope it can help. I am thinking of spending a small $10 a month or so to run targeted ads so it gets more exposure. It won’t make any profit or anything like that, not my goal. My business is B2B online retail, so this is sort of what I do and know I…[Read more]

@good-intentions (I changed my username)

I know there are others in much worse shape than me, for various reasons, some it’s just bad luck. I feel so terrible for them. I see them in various groups.

Due to the lesson I learned from what should have been a relatively simple surgery and statistically likely a healthy recovery and back to…[Read more]

@good-intentions I had the Desarda. Then a recur of the initial indirect quickly followed. Incisional followed.

Second surgery followed — mesh used to reinforce the abdominal wall (I’m not exactly sure how), and there was a thin strip of mesh in the groin area which is more flexible I believe (goretex) than polypropylene. The tissue frayed,…[Read more]

@good-intentions Just an update. First, I think the Desarda doesn’t like incline walking early on because it wraps around a ligament that gets stressed more walking on an incline. I could be wrong though. That did happen once before too — I thought I was wrong about something, but, actually I was right 😉 Some levity..ok seriously…[Read more]

@good-intentions Ha — yes!! That wayback machine is great. Fun to also look at the old amazon and apple sites, etc. Technical archeology.

Too bad about the images here… maybe there’s a setting in the backend that needs to be turned on…