[MO]

Can you tell me the name of the absorbable sutures used?

[MO]

In the Midwest, does anyone remove mesh if needed? I want my original surgery to be done by one who could fix any possible complication from whatever repair type is done, mesh or no-mesh.

[MO]

Were any or all of your sutures absorbable?

[MO]

Just told you the above two points to let you plan your thinking for tomorrow. Not trying to tell you what to do.

[MO]

Some staff at surgical offices have told me that the repair will fail without mesh.

[MO]

It is very common that surgeons under a certain age are not experienced using a suture repair.

[MO]

Can you name tentative surgeon?

[MO]

After clicking on https://www.sciencedirect.com/scienc…72751519301334 listed above,
I saw under the list of authors the following line https://doi.org/10.1016/j.jamcollsurg.2019.02.038

That sent me to full article.

[MO]

Is your painless fat containing hernia indirect, direct, or both?

[MO]

quote Good intentions:

I just came across this recent video by Dr. Bruce Ramshaw. There might be others from the session, I haven’t looked yet.

It’s an interesting and thoughtful presentation about the current state of the “mesh” repair problem. The whole thing is worth watching. A few specific things caught my attention.

He describes the huge number of “mesh” variations at one point but then later does not distinguish between the variations when showing explanted mesh properties. I think that in his mind they might still all “be” the same. Even though he is working with several device makers and should be well-versed in the qualities of the different materials. He is either not seeing any differences because there are none or the test procedures aren’t recording those differences. Is Gore’s PTFE no different than Bard’s polypropylene, for example? Is there room for improvement by tailoring material properties to the problem?

At ~3:48 he says that misinformation to patients is causing “negative cognitive neural wiring in their brain that results in poor outcome”. I had to watch it several times to be sure that’s what he said. It seems to be along the “it’s all in your head” explanation. Not sure what to make of that comment. My neural wiring was well-developed to have a fantastic outcome when I had mesh implantation. I actually had to overcome that neural wiring to realize that I would have to deal with the real physical problems that the mesh caused.

Later, at ~5:35 he shows how the various combinations of mesh and patient lead to dramatically different compliance properties in the body, measured from explanted meshes. Real differences in physical properties, explaining the stiff “boardy” feeling from the mesh that many patients end up with. That doesn’t jibe with the psychosomatic approach.

At the end he suggests that open pure tissue repair should be an option for patients that don’t want mesh, and that the possible complications of that approach should be discussed with the patient.

Another promising development, but there’s a long way to go.

In this video he stated that patients should be allowed to choose between mesh repair, non-mesh repair and watchful waiting. I know an intellectually challenged person who is afraid to go to unknown doctors that may insist he have his painless hernia repaired.

It is HUGE that Dr. Ramshaw cares about the right of patients to make informed decisions.

[MO]

Will you need to ride hours in a car or plane post-op?

[MO]

Chaunce1234 said, “So how does an interested surgeon learn the non-mesh hernia repair skill, let alone master it?” I have been wondering about this, too.

[MO]

You wrote, “It is funny how everything can somehow be correlated to Mesh.” Please tell me more things that are incorrectly correlated to mesh.

[MO]

Was original hernia indirect, direct, femoral, or combination? Original symptoms before surgery?

[MO]

I agree. The percent body fat is now about 16.5 %.

[MO]

At what BMI do you start to see increased risk for mesh-related reaction?

[MO]

https://www.sportshernia.com/no-mesh-hernia-repair/types-repair/
More discussion of Marcy

[MO]

Preferred type of surgery?

If mesh problems occur, is it easier to get the mesh out after an “open” or “lap” procedure?

[MO]

Surgery VS Watchful Waiting

Are there published guidelines that are credible to most surgeons?

[MO]

Surgery VS Watchful Waiting

It is partially reducible when lying down, at least 2/3 goes back in.