Mike M
Forum Replies Created
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Forums not form. Using speech to text on my phone and I can’t even go back and correct my previous replies.
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I cannot start discussions either.
The discussion format brings the forms back to traditional and usable forum.
That should really be the default format to be honest.
The other formats remind me of old bulletin board storyboard when logging in back in the 1990s.
Very primitive and archaic system of discussion.
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That is great news Ivan. Cheers to a permanent healthy repair!
I am going on 18 months with my Dr. Kang repair.
No issues so far and I started lifting pretty heavy again about 2 months ago.
Keep us updated.
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There is a recent review on here. It is mixed. I had a consult with him and I ultimately went with Dr. Kang.
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#1. I went from 0 (no hernia) to a 7 in pain with direct hernia in matter of 4-6 weeks.
#2. Sooner I did the surgery I felt I had better chance to recover completely. Age is always a factor in surgery imho.
#3. There was someone I found that I felt could resolve all my linger doubts with this type of operation and thankfully I was correct – Dr. Kang
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Dr. Kang is the best in regards to pure tissue repairs.
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I had mine done the same time as my direct inguinal hernia repair. No issues. The only option that was “highly” recommended was using perma sutures vs. absorb.
My umbilical hernia was 1cm. It was a joke compared to the direct inguinal hernia. Pain was never present at that location before, during, or after the procedure. I woke up during the operation when they were wrapping that part up.
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@chuck I had significant tension for the first two weeks. Stephen and Dr. Kang said it would resolve on its own and it did resolve after a month? I wasn’t too worried about it. The only thing I couldn’t do because of it within the first two weeks to four weeks was stand up for long periods of time or run. I cannot detect any tension now and can stand just like before my hernia and run full speed again without any issues.
I have been at the Orlando parks all this week doing +-G rollercoasters, standing, walking all day, no issues at all. I have been walking around 5-7 miles per day and standing for hours for the last two weeks.
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@Chuck In case you or watchful are wondering – Dr. Kang takes as long as necessary regardless and cuts no corners. He took his time for my repair due to the difficulty and thus lasted a bit longer than expected per Stephen.
Circling back to the first few days after surgery – yes painful but a small price to pay for the overall successful results.
There are so many factors involved in a successful repair but as Chuck has mentioned Dr. Kang has seen it all and has successfully tackled many challenging patients others might have turned away.
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@pinto You are arguing with a ghosts that arent there. I was just paraphrasing info from your previous replies on the forums to assist a member who asked. If some of your info got lost in the transcribe feel free to correct.
Cheers!
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One other quick note is you can really feel all the swelling and scarring tone down after the first week. I moved around a lot on the 5th day, like crazy, walking flights of stairs at the lotte tower. By the time my 2nd ultrasound a week or so later all the swelling was gone.
You do sweat some bullets wondering if the surgery “took”, if you over did it, it is easy to see, etc. But mine was perfect knock on wood!
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In regards to “scar tissue” – Moles, calcium deposits, etc. Things in the human body that you can “feel” but cause no pain. I have had scar tissue in other spots from playing sports and it’s really nothing.
One spot is the outside and inside of my left hand. I caught a football, hit the turf, kept moving except for that part of my hand thus the injury. After a few weeks no impact at all. I was in my early twenties and now Im in my late forties.
We’re really pulling at strings here guys. The key point is I was at a 7 in pain prior to surgery and I am at a 0.0 now.
Thanks guys and I hope this helps.
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Just to clarify a third time I never said anything whatsoever about pain after 1 year.
Not sure where they came from other than I can feel maybe a slight bit of scar tissue, maybe, but no pain.
What I did say is that I was told prior to surgery some cases could take longer than others (even a year+) but that was coming from multiple sources including Shouldice doctors that I went to in the U.S. I also read that on here from previous Shouldice patients.
AGAIN – NO PAIN after 1 year.
The only time I really had “pain” was the 1st week then it was mostly tension after that that went away and faded after a few months.
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Budget eyes vs non budget eyes
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Hen sized egg is how it was described to me for the direct hernia.
I also had my belly button hernia repaired which was 1cm, pretty small?
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Corrections: Sizes (not side stupid autocorrect) and Dr. Edward L. Felix, MD and *NOT* Dr. Voeller. Not sure how youtube sent me to the wrong interview* https://www.youtube.com/watch?v=mbgzMlPQcuU
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Pardon my ignorance but is the AI also making a mistake regarding Dr. Kang Kim ? This should be Dr. Kang in South Korea I would suspect?
I started to research some of those names after Dr. Towfigh’s corrections peaked my interest. I watched some of her youtube sessions with a few of the surgeons mentioned.
Dr. Voeller seems very accomplished but I got the feeling he is “compromised” when it comes to being open minded about possible solutions to hernia repair that did not involve the mesh industry. I feel like he is stuck in the late 1980s when mesh might have been a breakthrough discovery?
Dr. Michael Rosen with Dr. Towfigh youtube interview was impressive. A lot of back and forth and very reasonable open minded dialog in regards to the different types of hernia repairs and their applications. All of the feedback, open discussion, etc. was very insightful and genuine. Dr Towfigh makes a very striking point whereas if you have a hernia the sides of the width of her shoulders is mesh still not a solution?
Not that it matters but I really have a respect for both of those doctors after watching that interview.
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“Uncorrupted” Bassini is the direction I would have gone if I had not visited Dr. Kang. It seems the least evasive open tissue no mesh repair in the U.S. that is still effective.
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.
Mesh – Seems safe and the most reliable until its not. Biggest concern is entanglement near “sensitive” parts or your bowel getting perforated by even the most expert of surgeon (albeit very “low risk”)
Bottom line: We have to commend Hernia Doctors who are continuing to innovate and make all types of Hernia procedures more accessible and safer. Patients are going to rule out types of procedures that are not going to be acceptable to them for varying reasons. This is an area of healthcare where there needs to be real and effective alternatives. Hernia doctors do not always get the same type of acknowledgement and compensation from the mainstream health insurance industrial complex as other procedures even less complicated ones. Hernia surgery is a *major* surgery that involves operating near critical key areas easily damaged and directly responsible for long term quality of life.
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@watchful Just to clarify I have no lingering pain and no real pain after the first few days. Also nothing of what I would consider of consequence after the first few weeks. The outcome to me was as “perfect” as I had hoped.
Keep in mind prior to surgery I was to the point (pain wise) where I wasn’t even sure if I would be able to make it on the plane to South Korea. Size doesn’t always tell the full picture imho.
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@chuck
Dr. Kang’s repair that is similar to Marcy is only if you have indirect.
Dr. Kang repair is closest to Bassini for direct hernias.
Pain was only bad that first week. Some tension the weeks that followed and then it fades into nothing. I can still feel something in that area but nothing of mention. You can only really feel the scar tissue the first few months maybe. The nerves seem settle down and accept the repair after a while. I am starting to “forget” I even had hernia surgery now which was the end goal.
I know his son is completing the Kang repair now. I do not have any other information on that but maybe Dr. Kang can comment.
Dr. Kang elaborated on the corrupted vs. uncorrupted Bassini on these forums.
https://herniatalk.com/forums/topic/kang-repair-question/“Although I said the Bassini repair belonged to Group 1, the Bassini repair published in 1890 was a surgery that belonged to Group 2. The essence of original Bassini repair was to repair the damaged transversalis fascia barrier. While the recurrence rate of inguinal hernia repair announced by other hospitals exceeded 50%, the same rate announced by Bassini in 1890 was merely 2.7%. Owing to this remarkable performance rate, the Bassini repair quickly became famous and many surgeons adopted it. However, it was unfortunate that the method was ‘corrupted’ in the course of it being widely propagated – the initial (and essential) process of transversalis fascia repair was omitted, and the new main barrier was built by pulling and sewing together the separated muscles and ligaments. Some called so ‘corrupted’ surgery method the ‘corrupt Bassini repair’ and the original Bassini repair the ‘authentic Bassini repair’. Thus, the Bassini repair that was said to belong to Group 1 in the above was actually corrupt Bassini repair. However, the authentic Bassini repair is certainly a method that belongs to Group 2 and should be regarded as the most advanced method in the Group. In fact, the processes of repairing transversalis fascia (the main barrier) under the Shouldice repair and the authentic Bassini repair are almost the same. The only difference would be how to create the auxiliary barrier. Thus, some call Shouldice repair the ‘Bassini-Shouldice repair.
Sadly, the Bassini repair most surgeons learned, knew and practiced was not the authentic type, but the corrupt type.I believe that correctly and strongly repairing the transversalis fascia, the anatomical barrier, is the most important issue in preventing recurrence of hernia. That is why the recurrence rate of initial authentic Bassini repair was only 2.7%, which is an excellent rate even today.
However, as the corrupt Bassini repair became the golden standard of hernia repair thereafter, the recurrence rate had to show a high level of 10 to 30%.”