Good intentions
Forum Replies Created
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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 pushed through the hole and manipulated to spread out in that space over the area that the surgeon desires to cover.
I think that it has the same problems as laparoscopic mesh placement. The mesh is in the same general area and the body’s response is the same. It’s just another way to get the mesh in.
Here is a writeup of the Onstep procedure with illustrations.
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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 of my normal routine new aches and pains would appear for no apparent reason. Getting back to my normal activities would make them go away. One common pain was lower back pain, that actually needed more activity to feel right. It was counter-intuitive but it was real.
I hope that you can make it to see Dr. Brown, with all of the pandemic limitations happening. Good luck.
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Dr. Andrew Wright of UW Medicine also removes mesh, robotically.
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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.
https://herniatalk.com/forums/topic/considering-triple-neroectomy-or-inguinal-orchietomy/
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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 be back up now, I just opened the article.
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Also, when doing your research make sure that you distinguish inguinal hernias from the other types. I’ve seen instances where ventral or incisional hernia data is used to talk about inguinal hernias. They are not the same. Incisional hernias are much more problematic.
Good luck.
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No offense donjack, but it would be foolish to have surgery for an asymptomatic pain-free “hernia”. It’s almost malpractice that your doctor is suggesting it.
The experts agree on watchful waiting, see Twitter link below, and even general surgeons would wait, according to a survey done at one of the big conferences in the recent past (can’t find the link). The probability of pain from a mesh implantation is also agreed by most experts to be 10-15%. Read through some of the posts on the site and you’ll find several from people who had no or very little pain but decided to get surgery to be “safe”.
https://twitter.com/search?q=watchful%20waiting%20hernia&src=typed_query
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Thanks for posting John C., here and in your other Topic.
I don’t think there is any serious speculation here. The point was that the Biohernia web site is uninformative. The question was – “What is this Biohernia place?”. The internet is used by many people for research. As you did.
I hope that you can see the irony of the fact that if you had not, very luckily, happened upon the BBC report, on the internet, not by phone, that you might actually be on this forum talking about your laparoscopic mesh repair instead of your experience with Dr. Wiese. In sum, we have two accounts from Biohernia: yours and Baris’s. One good, so far, and one not so good. They are both helpful.
You got lucky and found something on the internet that informed you. You should be thankful. Good luck.
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Won’t the lowered lung capacity only have effect at low exertion?
Interesting thoughts. I see some of Dr. Bendavid’s work in your theory.
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I think that any “mesh-like” product that is used in the body is known as a biological mesh. Shortened to “biomesh”.
There was a professional paper recently about agreeing upon common definitions for words and terms used in hernia repair. It turns out that certain words mean different things to different surgeons so they were having difficulty understanding what their colleagues were talking about.
That site that you found seems to be for “generic” hernia repair mesh. That’s the state of the situation, it’s moving to generics for cost-savings. It looks like the generic has just copied the four big mesh types, with poor translations of other companies literature.
“Free of strange particles, it recovers its initial shape after manipulation. It can be of rounded or straight edges”
https://vitalsutures.com/biomesh-dual/
Looks like they are based in Peru.
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The Onstep mesh procedure uses polypropylene mesh, Onflex, from Bard, now BD. I was just pointing out that Andresen seems to be an inventor, with a mesh procedure and product behind him already. The Onflex product from BD has already been modified to correct an error in its design. Modified Onflex. Andresen introduced the new product. So, that’s who the authors of that article are. It’s just good to know.
I wonder why they are getting in to the “biomesh” world. Eventually he/they will need to show why biomesh is better than synthetic mesh, if they develop a biomesh product. Like Tela Bio is doing. Or try to differentiate the markets for biomesh from the markets for Onflex.
It’s an interesting problem, and from a scientific perspective, it’s the right way to do things. Separate and define. It will be difficult though when even the experts talk about all of the different mesh products as one single “mesh”.
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If you use the Search function on the upper left of the first page you’ll find many stories about Dr. Brown. I think that Dr. Towfigh generally performs mesh implantations. Her current focus is Ovitex, apparently, a new “bio-mesh”.
I have not heard of Dr. Nguyen and can’t find any information about him on the internet. But Dr. Chen is well-known at the Lichtenstein Institute. The Lichtenstein procedure is a mesh procedure. And, apparently he does mesh removal and mesh implantation, via laparoscopy.
Good luck.
https://connect.uclahealth.org/2019/06/24/revision-bi-lateral-hernia-surgery-with-mesh-removal/
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I point this out often, but the mesh industry is a multi- BILLION dollar industry, and growing due to older people getting hernias, according to the market research. Sad to even think about an older person, with lower energy, having to fight the pain of hernia mesh. I’m sure the pan medication industry is in parallel.
This is what the VP’s and directors at the big companies see. Not people, but markets.
Sorry to be a downer again…
https://www.grandviewresearch.com/industry-analysis/hernia-mesh-devices-market
The pain meds market is small compared to the mesh market.
https://www.alliedmarketresearch.com/pain-management-therapeutics-market
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Here is a good article about Dr. William Meyers of the Vincera Institute, and “sports” hernias. Hoe does not see the conditions as specific, he sees the balance of how the muscles and parts work together. An interesting person, I wish that he would write a book or start teaching. He’s getting old and his knowledge will probably die with him.
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Andresen and Rosenberg are the inventors of the “Onstep” method that uses Bard Onflex mesh, I believe.
https://scholar.google.com/scholar?hl=en&as_sdt=0%2C48&q=andresen+onstep&btnG=
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5 to 10 years in the past (my mesh implantation was five years ago) I think things were about the same as now. The problems were well-known. With no oversight by government or professional society, it’s basically a “what the market will bear” type of industry.
The mesh makers just calculate their lawsuit settlement fees in to product costs. The medical schools “weigh” the benefits of the monetary contributions by the mesh makers against the harm caused, and the surgeons and doctors try to do the best that they can with no support.
There could be some sort of tipping point in the future. It would probably need somebody famous, wealthy, honorable, and smart to get it done though. Famous so that people would listen, wealthy so that they could afford to speak out and make things happen, and smart enough to see the wider picture for what it is.
I often imagine Bill Gates getting a hernia and a bad mesh repair. Followed by a successful mesh removal, of course, so that he would have the energy to take up the cause afterward. I’ve also thought that if the mesh problem were looked at similarly to a virus, it might get more attention. Like the opioid problem.
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Thanks for replying baris, here and in the other Topic. I had a feeling that I had seen more about Biohernia in the past but couldn’t remember the details.
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I had problems from the mesh. Removing the mesh solved the problem. The mesh was removed laparoscopically, without robotics.
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The void left when the hernia sac is pulled backed in can fill with fluid. I had a lump there that would swell then shrink with each activity cycle. Eventually it just became a hard lump.
If it’s not painful and doesn’t hinder your activity it might be best to leave it alone. Every time they break the skin there’s a possibility of infection. That’s a whole different problem.
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I finally found Dr. Muschaweck’s name on the site.