Luke
Forum Replies Created
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Dr Towfigh that helped tremendously thank you!
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I think you make both good points but at the end of the day…finding a pure tissue doctor is more frustrating that having the hernia!
Called Dr michael mastrangelo they refuse to tell me if he does no mesh surgery and what types
Dr henifords office said they will not say if he does pure tissue it not without paying a consult fee.
Dr reinhorn was the same refused to tell me what he does without consult fee.
I think it is crazy you can’t call a doctor’s office and ask if they do no mesh repair and have people rude as heck to you saying no. I guess I’d rather die with hernia than support a doctor like that. Most other doctors I spoke to push mesh down my throat not knowing what I know they think I’m stupid like 99.9 percent of everyone else they pushed the repairs on. Ethics unbelievable.
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So why does the one side testical hang so much higher than the other? Could you elaborate on why this is happening and what’s going on inside?
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Would your response also hold true regarding supplemental hydrolyzed collagen? So much hype online about this being the superior bioavailable collagen you can get. Not to mention super expensive and helps to know it won’t do anything to aid my pre or post hernia surgery.
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Not sure where your getting your figures but I was just quoted $3500 for a small indirect Inguinal hernia…which is almost double your $2k suggestion.
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I agree with your comment that pure tissue repairs are best for indirect hernias. But which ones do you suggest so I can read on them?
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They gave me his email address which I reached out. This guy don’t respond. Period. So frustrating and your correct the office staff are oblivious.
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Dr brown,
There seems to be a large amount controversy on using a shouldice for an indirect hernia repair. Most everyone that offers a shouldice suggest to use them on indirect hernias the same as direct hernias because they seem “bulletproof” when it comes to being the best pure tissue repair out there for the majority of all inguinal hernias. Then you have many of those doctors that say they perform shouldice repairs but only use a 2 layer repair still calling it a shouldice..like dr grischkan…it is confusing to the general public because you have shouldice 4 layer, shouldice 2 layer, modified shouldice, bassini, all interchangeable names with shouldice. Yet doctors say they are doing the shouldice. General public like myself has no clue what your getting. Can you perform the exact shouldice traditional method but only use 2 layers and not 4? Is the basic difference less tension and less reinforcement with the 2 layer? Could you do 3 layers and add a bit more reinforcement and tension than the 2 layer? Does it work like that?
Your suggestion of using the marcy does make logical sense…only fix what is broken. I’m confused as many surgeons who offer the shouldice do not offer a marcy repair. So if it is more simple to perform this repair on indirects and the outcome had greater success then why is there no other surgeons besides yourself offering this that I know of? Rather, most offer the shouldice, modified shouldice or desarda.
The marcy seems like it is too good to be true..very simple…close the inguinal ring and your fixed! But it doesn’t seem just closing the ring will not hold up long term or under as much physical activity stress as a shouldice repair. Obviously there is a genetic disorder to begin with and a few sutures in a faulty inguinal ring seems almost like puting a bandaid on a very large open wound so it is inevitably going to fail. It would be very uneasy and anxiety filled living daily being active knowing only a few sutures is holding everything together.
If reinforcement us needed on top of her marcy, do you offer a marcy with a 2-3 layer shouldice for the added reinforcement? Or do you prefer to he desarda for the reinforcement? The desarda does not have study’s supporting it’s effectiveness over the long term like the shouldice is tried and true. The desarda also seems to alter the human anatomy much more than the shouldice. Thoughts on this?
Please don’t think I am questioning you methods…I know you are a top reputable surgeon with great reason and success. These are only questions coming from a novice but I’d imagine others are scratching their heads like myself on these issues