Herniahelper replied to the topic New article by Dr. David Chen, President of the Americas Hernia Society in the forum Hernia Discussion 1 week, 6 days ago
Everyone has their biasis. He runs the “Lichtenstein…” Clinic. It was a huge part of his up bringing as a surgeon so I’m not surprised he touts it as a strong option in his hands. However what I find most interesting here is the admission that because he was operating on a VIP, he selected the TEP repair. Presumably because I’m his mind, out of…[Read more]
Personally I would skip Dr. Harris. While he is a thoughtful and very experienced surgeon I sense he feels there are others more specialized in hernia repairs and revisions than himself and that people would be better served seeking the advice of those experts.
Dr. Chen runs a very very busy clinic. The waiting room is packed tight with patients…[Read more]
Herniahelper replied to the topic ARE THERE NO POSITIVE RESULTS FROM HERNIA MESAH REMOVAL???? in the forum Hernia Discussion 2 months, 1 week ago
We would love to hear your story and how things go. Please update us with your progress.
Herniahelper replied to the topic Completely divergent opinions. How is this possible in this day and age? in the forum Hernia Discussion 3 months ago
When it comes to subtleties on imaging, things are a bit like reading tea leaves. Even among radiologists they will all have different impressions. Depending on their experience one doctor may be able to convince another. And even if there’s a consensus that doesn’t mean that’s what you’re going to find interoperatively.
I think the imaging only…[Read more]
The hoops are:
1) See a doctor. Tell them you want to see a specialist about your chronic groin pain, but need an MRI. The reason for your visit is to obtain a prescription for this and for the referral to the specialist you researched(if required by your insurance).
2) Call outpatient imaging centers and find out how much a the MRI…[Read more]
It’s not an uncommon story. People have a difficult recovery the first year. Things settle down and they have a period of significantly reduced symptoms or they return to activity. But for lack of a better term it’s just not a good repair and they end up in a cycle of reinjuring themselves with minimal things and then convalescing and repeating.…[Read more]
I think most surgeons will check for a hernia on physical exam and if none is detectable, and none is detectable on imaging, they just chalk it up to chronic pain. The surgery from their point of view is a success, “there is no recurrence” they will proclaim triumphantly and then walk out of the room.
However this story is a very common…[Read more]
It would be great to hear if anyone, patient or surgeon, had such a case operated on and what the result was?
Question for the surgeons:
When a patient complains of symptoms such as new onset pain with lifting, but has no exam/ imaging findings to suggest reoccurance, how often is an occult reoccurance found intraoperatively?
Herniahelper replied to the topic Dr. Bruce Ramshaw acknowledges that "mesh" is not perfect. in the forum Hernia Discussion 3 months, 3 weeks ago
Dr. Ramshaw does not seem to be alone here. Many of the most common names in complex hernia revision/ mesh explantation seem to be moving on to other things.
I imagine its exceeding challenging. The surgeries are tedious, patients already injured/ upset and have unrealistic expectations. Volumes are low along with reimbursement.
Many doctors…[Read more]
[You speak specifically in the case of mesh? Such a “weak spot” is a precursor to hernia or is already formed one?]
Speaking of previously poorly placed mesh. If things get pulled on or torn, there’s still a foreign body reaction and perhaps if babied And I’ve scar tissue may form to stabilize things. It’s just a thought as a mechanism for why…[Read more]
I mean you will need to see somebody in order to get a plan together but in general overall you can probably give it a year and see if it works itself out. Sometimes if you have a weak spot it will scar down. Or if it doesn’t get better or you can’t live with it you’re probably going to be faced with having someone go in again.
If you are able…[Read more]
If you were pain free and now have pain similar to your prior hernia… Illicited by lifting and better when laying flat…
That’s a great story for occult reoccurance. Sometimes I feel there’s enough coverage to prevent clinical reoccurance, but things are weak. Maybe there isn’t enough strength and when strained tissue tears or is pulled on.…[Read more]
Herniahelper replied to the topic Shouldice technique shown to be better than mesh – but still not recommended in the forum Hernia Discussion 4 months ago
I think the real question is whether many of the next generation of general surgeons should (or even could) be trained how to do a good primary tissue repair as part of their armamentarium?
Even if someone is an excellent candidate for it, it’s just not an option right now it seems.
So many generations have been brought up on mesh based repairs…[Read more]
“The Millikan modified mesh-plug hernioplasty.”
He published a case series in 2003 and again in 2008. Instead of deploying the plug in the traditional manner, the outer leaflets of the plug are deployed through the hernia defect and pulled back like a pre peritoneal patch in the pre peritoneal space. The idea being you get the benefits of a…[Read more]