[kaspa]

If you want best non-mesh-treatment for your hernia IMHO you should choose Shouldice Clinic in Toronto. Surgeons elsewhere might disagree but a specialized center is always a best option.

Not that I think it’s funny to spend 4 or 5 days closed there without anything interesting to do. I think smokers can’t even smoke a cigarette. Only some exercising and asking for pain pills.

But they do the most reliable non-mesh repair, I truly think.

• This reply was modified 4 years, 3 months ago by  kaspa.

[kaspa]

Actually in Europe it’s unethical to discourage second opinions anyway. You can even demand a report to show another Doctor. But don’t expect Doctors to find it funny anyway, not even to be very aware of that.

A confident Doctor won’t fear second opinions and will even encourage them.

But don’t expect to find one, as they’re not that common.

Just one question: why don’t you simply omit you had another opinion before? That’s what I do. Not just with doctors, but also with my car for repairing…

• This reply was modified 4 years, 3 months ago by  kaspa.

[kaspa]

After searching through literature I found that they cut cremaster to inspect canal’s floor, which is a frequent seat of second hernias (2/3 of missed hernias).

In Shouldice, “cremasteric tissue is divided leaving the distal end long enough to support the testis, thus avoiding a dependent testis and the proximal stump reasonably short to be incorporated to a newly formed internal ring.”

Source:

https://onlinelibrary.wiley.com/doi/full/10.1111/j.1464-410X.2009.09155.x

[kaspa]

That’s the most common use for cyanoacrylate in hernia repair research. Mesh is always there!

[kaspa]

There are some experiments with chemicals with good results in China. They simply obliterated the hernial sac with cyanoacrylate. Thus, even with a great hole, abdominal contents has nowhere to go. There are also some such experiments in animals and small babies, but for some reason professionals insist injecting that by laparoscopy instead of a simple trans-cutaneous injection. Anyway, only new mesh details are highly broadcasted by professional associations, so the show must go on.

[kaspa]

Quite interesting indeed, but worthless if you expect to cure your hernia.

[kaspa]

I’m not in US, but it’s possible that it be freely available in some parts of the world. If you can post another link or an abstract (or send me a copy), that will help.

[kaspa]

It seems your article requires a login or a payment.

[kaspa]

If I ever decided to use a mesh, I think I’d use an Onstep. Even is there’s not much experience so far, studies published seem quite safe and that mesh looks much more sound than conventional meshes to me.

I had already read that article, and it’s positive to me that you can remove the ring after 6 months. I think I’d have it removed anyway after 6 months. Only problem is that they recommend general anesthesia.

Problem with medical devices is the same all over the world, not enough data requested and analyzed by authorities, and was recently disclosed by International Consortium of Investigative Journalists.

[kaspa]

That link is useless. Can you give name of authors (first one at least), title, publication and so on so that one can search for it?

[EDIT 1]:

I think you mean

Usain, Hazakilu, and Abdulkadir Yakubu. “Single-layered tissue inguinal hernia repair.” Archives of International Surgery, vol. 2, no. 1, 2012, p. 18

[EDIT 2]:

Don’t be too surprised with prices. A mesh won’t cost more than some US$50.

[kaspa]

I didn’t know you had to take such a load of antibiotics before laparoscopic hernia repair.

[kaspa]

Now I see you mean Clostridium difficile. How did you get that?

I can’t that if that was caused by diarrhea but bubbling or gurgling gas sensation in inguinal area likely means your intestine isn’t in it’s correct position, that is behind EO, IO and Tranversus muscles.

[kaspa]

My comment here didn’t show up and said “unapproved”. This happens again and again.

Sorry for your bad experience. Meshes do cause problems in exchange for lower recurrence (they say).

I think you’ll need a second surgery by an experienced surgeon. Hope you’ll get better in the meantime.

In Shouldice Clinic surgeons’ opinion a second surgery shouldn’t be done before 12 months to allow for full tissue healing (unless urgent of course).

[kaspa]

You have an inguinal defect, but not a hernia at this time.

You’re likely to have one in future, but I can’t tell when.

Unfortunately I know nothing you can do to prevent that, except perhaps protecting your inguinal area when coughing and straining. Coughing in horizontal position when possible may be safe.

If your hernia is like mine, which also started like that, you’ll feel pain around your inguinal area months before it shows up (it may seem hip pain).

Sometimes there can be some premonitory symptoms and you were very wise admitting that could be a hernia.

[kaspa]

I’m sorry you’re having such a bad post-op.

What type of surgery did you have and where? Which type of hernias did you have?

I think bubbling and gurgling isn’t supposed at all after repair and seems something went wrong.

Did you have infection? That’s a serious complication and can ruin the repair. If you have a mesh, I think you may need to remove it to treat infection.

All this is IMHO.

[kaspa]

Mesh invention and profitable industry interrupted tissue repair evolution.

Perhaps we must invent a “patentable” expensive suture material specific for hernia repair for tissue repair to continue evolution.

[kaspa]

This is the best I know for men, but it’s expensive:

Erniaboxer made in Italy by Pavis.

It’s quite discrete and confortable, but hard to dress (elastic fabric is very strong).

[kaspa]

It’s not always that easy to distinguish direct from indirect outside operating table, so I’m not too impressed. That’s no big deal and it’s unlikely to make treatment much different.

I had gastric symptoms long before my hernia appeared and I couldn’t correlate them until I had a hernia and they disappeared when I reduced the hernia. I’m not impressed your Doctor can’t tell. Anyway those gastric symptoms can be a consequence or not of hernia and IMHO shouldn’t be the reason to decide operating or not.

[kaspa]

After searching through literature I found that they cut cremaster to inspect canal’s floor, which is a frequent seat of second hernias (2/3 of missed hernias).

In Shouldice, “cremasteric tissue is divided leaving the distal end long enough to support the testis, thus avoiding a dependent testis and the proximal stump reasonably short to be incorporated to a newly formed internal ring.”

[kaspa]

What about alcohol?