Mark

Its confusing if they see the hernia on physical examination and don’t want imaging to distinguish between an indirect and direct hernia because there the pure tissue repair options are different based on if you have an indirect vs direct hernia. For instance dr brown, dr kang, dr Szotek are fans if using a marcy repair on a mid to small sized…[Read more]

You suggest core based excersises can relief symptoms for inguinal hernias..does that apy to both direct and indirect types? I’ve been doing no core exercises in fear the twisting and movement will “spread” the hernia making it worse. Is that true?

I’m shocked this question never seems to develope good scientific answers over time. Answers tend to be guesses and various opinions but nothing is every quoted with science or study’s. I’ve spent 25 years working out it has become a way of life. BUT IF I KNEW JEAPORDIZING WORKING OUT EVER AGAIN WOULD CAUSE HERNIA COMPLICATIONS OR RECUURRANCE…I…[Read more]

And the most controversial question..after waiting plenty of time after healing from a hernia surgery, should someone ever go back to training abs, low back and core? Or should that person give core training altogether to avoid reccurances and simply diet and exercise other parts of the body besides the core indefinitely?

I don’t see where is specifies what types of hernias the rehab program applies to…say for example male bilateral inguinal hernia??

I emailed them twice to find this out and they DO NOT RESPOND!

Dr Towfigh,

Your response was beyond helpful. You deserve a reminder…spending a minute to reply to someone’s concerns can help them obtain new insight and help them pursue such a more informed course of direction.. ultimately changing their life for the BETTER!

I have pumped the brakes on the hernia surgery. I see the light with needing to…[Read more]

Dr towfigh – thank you for the response…I can now breathe and be more patient getting the surgery having less sense of urgency knowing my testicle isn’t is danger. Panic started when I thought the blood flow was being cut off when I saw it moving when breathing…but priceless response thank you!

Alexander – were in the same boat…I agree…[Read more]

So say someone has a surgery for the prostate. You indicate a minimum of 3 weeks is needed to then have the shouldice, or any other open pure tissue repair, completed. Does waiting longer to have the hernia surgery increase the chances of a more successful hernia repair? Does the prostate surgery cause scarring or compromise the ability to get the…[Read more]

Thank you docs for the replies! Is it even important or is there even a need a test to help verify if I have a direct or indirect hernia? I ask this because I gather a general consensus that most surgeons do the repair the same way? Meaning of if I was to have a pure tissue shouldice or similar repair…essentially they will cut you open and…[Read more]

I couldn’t agree more with going in the tailored approach direction…but real world it is not too feasible because there are so few choices. I think dr brown I a great option which I’m exploring but facing a hurtle of being on the east coast. And I don’t know if any other surgeons who offer a tailored approach in the USA.

What if a prostate surgery is needed, how long does someone have to wait before pursuing a pure tissue repair for the hernia? Does having the prostate surgery before cause scar tissue or compromise the pure tissue hernia repair in anyway?

Thank you for this insightful reply!you bring a good question to why I’m going after the shouldice. I guess I have my blinders on a bit because I know that is the statistically most successful pure tissue repair. Too many choices becomes paralyzing..and finding a great surgeon who “does it all” with a taylored approach seems to be good and bad.…[Read more]

My question is for both Dr. Towfigh and Dr. Netto.

I’m a 43 year-old male in excellent health, very active with exercise and outdoor activities. I’m 190lbs at 6 feet tall about 15% bodyfat. Non smoker, no medical issues, no prior hernia surgeries. I have a bilateral inguinal hernia and have read myself into confusion and am overwhelmed in trying…[Read more]