[VitalSign]

<div>I myself cannot locate any negative reports with Desarda repairs, so far everyone here and on Reddit who’s done it seem very happy. That concerns me, it can’t be all that good. I’m quoting some of you guys below in this topic, but cannot locate the information you are referring to, please advise…</div><div>

@Mike M quoting you below…. where did you read about Desarda mishaps? what are Dr kang’s concerns about?</div><div>>> Desarda – I read some pretty extreme mishaps with that procedure from patients. Also there was mention of being more delicate in the initial years than the other methods by members researching it on these forums as well as Dr. Kang’s concerns. </div>

another quote below from “Unknown Member”(deleted account)… which anti-desarda facebook page? and which JF’c comments?

>>After speaking with many desarda patients i thought i would go in that direction…but the anti desarda facebook page…JF’s comments and your own have dissuaded me from that repair

[VitalSign]

Can you clarify, did you have a laparoscopic mesh or open anterior mesh repair?

[VitalSign]

Surgeons who practice plug repair swear by it and say it would not cause any issues if done properly. I consulted one such surgeon myself. However, the majority of other surgeons out there seem to discourage it. I saw one presentation where a top surgeon says that patients often feel the 3-dimentionality of the plug, even if they don’t have pain. In more rare cases there are reports about plug migrating and poking into things, since its’ conically shaped with a pointed tip.

I presume the first question would be if you had this kind of pain before surgery, before the mesh is implicated. I have no idea how they go about diagnosing this kind of pain, and it also scares me. I’ve read that plastic meshes do not show up on xrays, so I don’t know what type of scan they can do to check the plug condition and position. How many surgeons have you consulted about it already? I wonder if they are dismissing it because they have no idea also. I also would like to know which doctors out there specialize on post-op hernia repair pain….

• This reply was modified 2 weeks, 1 day ago by  VitalSign.

[VitalSign]

Which data/studies are you referring to, the ones that identify the mesh itself as the problem? The studies I’ve seen report the statistics for a particular mesh repairs (e.g. TAPP), but I have not seen a study that somehow differentiates between mesh pain caused by wrong surgical technique vs. mesh pain that occurred despite a good surgical technique. I don’t even see a way how such analysis could be conducted, unfortunately. Please tell me that I’m wrong here, I would like to see a more precise breakdown of the pain causes myself.

[VitalSign]

Curious, how many doctors you have consulted suggested that your condition was an “annoyance” rather than chronic pain? Could that be the explanation why they tell patients that chronic pain is very rare? Perhaps they label most of such cases as not being chronic pain, unless it gets to be so severe that they simply don’t have a choice to admit it.

[VitalSign]

Hello @drtowfigh , in the video you mentioned the Desarda method was similar to something that was done back in the 1950s but later abandoned. I searched for it and even instructed ChatGPT to do a deep search, but nothing specific came up. It found some references to an “aponeurotic strip” in the past, but there is no meaningful data to assess what it was or how it performed.

I see multiple studies done on Desarda over the years, some involving thousands of patients, with consistently favorable results if compared to the Lichtenstein mesh repair.

I’m considering my tissue repair options, so this caught my attention.

[VitalSign]

I wanted to understand her reasons for not liking the Desarda repair, but she did not explain her arguments well in my view. Her
opinion was a little generic about the risk of touching the “very important external
oblique muscle” – but so it can be argued any repair touches important muscles and structures in one way or the other. She also cautioned about risks to the Ilioinguinal and Iliohypogastric nerves, but aren’t there similar risks to it in what she is doing (and even bigger risk during the Lichtenstein repair)? She also did not refute main points Desarda proponents use for the repair, for example that it only creates tension during activity, but no tension at rest. But I realize it was not the focus of the talk.

I’m considering Desarda repair for my surgery, so I’m very interested to hear multiple viewpoints.