Herniated
Forum Replies Created
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There was a recurrence rate study that compared the recurrence rate of patients whose primary repair occurred at the Shouldice Hospital with those of patients whose primary repair occurred at various other Ontario hospitals. They did this by scanning the Ontario Hospital Insurance Program (OHIP) records, which captures recurrence codes in hospital billing requests (which captures Ontario recurrences regardless of whether the recurrence is repaired at the site of the primary repair. They found that the recurrence rate for patients receiving their primary repair at the Shouldice was dramatically less than that of patients served at other Ontario hospitals.
Not perfect because it missed the subset of patients who had their primary repair in Ontario but then had a recurrence repaired outside of Ontario. Nor would it capture patients not covered by OHIP (e.g. foreign patients). Also it only studied patients whose primary surgery occurred prior to 2008, and things have changed since then…
Malik et al., 2016, Recurrence of inguinal hernias repaired in a large hernia surgical specialty hospital and general hospitals in Ontario, Canada. Can J Surg, 59, 19. DOI: https://doi.org/10.1503/cjs.003915
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The following is a quote from the Beverly Hills Hernia Clinic web site (Dr. Towfigh’s clinic):
“Since the introduction of mesh in the 1980’s, most surgeons have lost the art of non-mesh tissue repairs of the inguinal hernia. Dr. Towfigh is experienced in non-mesh tissue repairs and regularly offers it to her patients who she feels are good candidates for that. Dr. Towfigh offers robotic-assisted laparoscopic non-mesh hernia repairs as well!
The benefit of tissue repair is mainly to reduce the risks associated with mesh implantation.”
Cost – I have no idea – but I have heard that everything in California is very expensive.
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Hollywood is close to Orange County, and Hollywood offers the esteemed hernia specialist Dr. S. Towfigh, who offers no mesh repairs.
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@maxl – Dr. Shirin Towfigh, who created this HerniaTalk web site, is in California. She is a hernia repair surgeon offering either tissue or mesh repairs.
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Watchful, stainless does sound good except that its potential interference with quality NMR imaging of the region has not been well described. Your prolene sutures should not interfere. So should the need ever arise, you will be able to get pretty pictures of your pelvic organs (or of the prolene-induced granulomas ;).