kaspa
Forum Replies Created
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That’s it, but how can one explain that simple ligation in adults was that successful in Poland until the 1950’s, including Pope Pius XI in his sixties?
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[USER=”2758″]Dill[/USER] after researching for a while I found that they can use absorbable sutures. Even Dr. Desarda did it with good results:
Simply that doesn’t make a lot of sense, but for some reason that works.
I think any suture is better than a mesh.
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quote Good intentions:You can name names. Nevada is probably Dr. Petersen.
Don’t overlook Dr. Brown in California. Don’t overlook the Shouldice Hospital in Canada.
Also don’t overlook that you can always do mesh if a “pure” repair fails. But you can’t go back from a mesh repair. The effects are permanent and last a lifetime.
Can you tell me how much do they charge at Shouldice for a unilateral hernia repair (otherwise sound person), all inclusive?
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That’s a nice question and not simplistic at all. What I’ve read is that if you have pain before surgery, that’s the greatest risk factor for pain after surgery. As I understand it, if you have pre-op pain and keep it after successful surgery, that’s the most difficult post-op pain to treat.
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Too much emphasis on minimally invasive and robotics and devices have a topic, as expected. Tissue repairs seem against Nomenklatura as usual.
I haven’t heard of any new regulations, but this area needs strict regulations after the scandal revealed by the International Consortium of Investigative Journalists. How can people trust a mesh under this environment.
Congresses are highly welcome, but unlikely to change the status quo.
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I wish you good luck. I think you did a right decision. Don’t worry, they’ll do the same repair they would 10 years ago.
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Don’t worry about weekend. Perhaps you could try a men’s truss? A strangulated hernia MUST not be reduced for your curiosity.
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Incarcerated means non-reducible. Not the case. Anyway your hernia seems to progress quite fast and getting harder to reduce. I think you should have surgery ASAP as your risk of strangulation is much higher now. Maybe you should put a truss after it’s reduced and painless until surgery. It’s my opinion. If you can call your doctor, do it. If you can anticipate surgery, perhaps that would be best. Anyway if you go to EM and must have surgery, that will be worse for you and will interfere with your new job anyway. This is my opinion.
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[USER=”2944″]mattl[/USER] Personally, I wouldn’t risk a hernia repair at this time. Perhaps you have conditions for a hernia, but that may take years to show up (or never do).
Sometimes imaging is too sensitive and can detect a clinically meaningless hernia.
I’d first exclude all possible causes and then take treatment as adequate. That aching doesn’t seem to disturb you too much and if your groin is not the cause, a hernia repair will help nothing and you can gain new problems (specially if you do a mesh repair).
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[USER=”935″]drtowfigh[/USER] Will you please review my post flagged as spam and publish it? I thank you very much.
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That’s too early to tell anything. Anyway it’s good to hear from Dr. Jorge Celso next Tuesday and you might wish to share here.
I think you’re lucky to have an old doctor there who does Shouldice.
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Can you be more precise? Did surgeon reproduce your pain in examination? Was hip for instance excluded? How did surgeon detect your hernia? With finger through scrotum? How do you describe your pain?
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These are just some postulates of mine, but another fascinating fact, perhaps, at least for indirect hernia, is the hernial sac. I think there will be no hernia without a sac, even if you have a large ring. I believe sac formation is a random event. In children they just ligate sac, nothing more. Then as child grows up, everything changes position and hernia is cured by nature. I think that if you ligate a sac in an adult you have hernia cured, too. The reason is that there’s no way abdominal contents can escape outside. Difference is that there’s no growth and defects will remain. Thus hernia can recur, but maybe it could take years for another random event, or simply never happen again. I’m not so sure about direct hernia. An important reason why hernia recurs so often is that surgeons often don’t ligate sacs high enough or not all sacs. A sac can be invisible during surgery so you need a trained surgeon to look for them patiently. Dr. Kang and Shouldice Clinic do that, but I’m not that sure all surgeons do that. I’d like to know about other people’s thoughts here.
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I think both sides are exactly the same complexity. They work on belly wall, which is just a mirror image of the other side. I’ve never heard of any type of repair specific for right or left side.
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Right side is no big deal. On left you have sigmoid colon against wall that protects from herniation.
I didn’t know about Afro-Americans. It must be quite common among them given it’s so prevalent already among Caucasians.
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Can you please tell first why did you see a general surgeon so that one can understand your problem and perhaps be of some help.
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I think so if you get a well experienced technician. But given no change in mesh surgery I don’t know if it’s worth the while.
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If you search “shouldice inguinal clitoris” in Pubmed you get 0 results.
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What seems a little incongruent is that he first said the numbness will very often spread to the labia and sometimes the clitoris, only the half of the clitoris on the side of the hernia repair. But then he did say he had never had a patient have a numb clit from his experience but it is possible.
Is he talking about actual or theoretical side-effects? Anyway, most people repaired by him must be men, not women.
I think Shouldice would at least tell you that’s a possibility if they had at least heard of that. It doesn’t seem very ethical telling you otherwise.
Shouldice is typically done with steel sutures, but it can be done with other materials, even in Shouldice Clinic.
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Not very easy to tell before surgery. But don’t worry, mesh surgery will be exactly the same irrespective of hernia type.