[newagehernia]

Can they take some fascia from the same person , amplify it in a lab, and then use that laparascopically? similar to hair follicle multiplication in transplants…

[newagehernia]

yes that’s it. so is crosslinking any different than a standard propylene mesh?

[newagehernia]

Thank you , that makes sense. A little bit like homeopathy, where it is not the quantity of a substance but its mere presence in small quantities that is the issue.

I just wish the scientists would get their act together and develop a non-rejectable, non immunogenic, collagen-self cell or alternative biosubstance that is more biocompatible than petroleum product, and do it faster! The concept of mesh does seem to have advantages, but so does actual tissue.

[newagehernia]

by surface area do you mean pore size? the widest size polypropylene only mesh I’ve seen is a Polish mesh optomesh ultralight which has 6mm pores.

[newagehernia]

I think people underestimating the difficulty of access methods. If you have 2 hernias AND want some light suturing of the defect AND then a bio or resorbable mesh on top AND have it attached with glue or sutures, this is adding massive complexity in a limited viewable space. If you now want TEP so don´t enter the abdomen, who can do this? maybe this eTep and how long will it take the operation?
Maybe 2 people in the world will try it? Btw, this is the surgery I would like for bilateral hernias as it seems you have 3 layers of redundancy like you see with a NASA spacecraft where you need redundant systems because you are doing something new and can´t afford even a small chance of failure…but more things can go wrong the more complex or steps there are. What is the solution? A permanent plastic mesh weights like 2grams for 2 sides for the lightest ones. I sometimes wonder if 2grams of foreign material can cause so many symptoms. Maybe one day they will have a collagen matrix with your own stem cells grown on it like in a hair stem cell transplant for baldness that will be implanted, won´t be attacked, will be solid, and friendly to your body.

• This reply was modified 2 years, 9 months ago by  newagehernia.

[newagehernia]

I like this mesh but it´s not available in na. 21gm and 2.3mm pore size, for thin people who want less inflammation.

https://www.cjmedical.com/products/specialties/laparoscopy/ami-laparoscopy/hexapro-mesh

I am not sure if this can be used for hernias but looks interesting
https://www.seri.com/about/seri-at-a-glance.html

[newagehernia]

does any of this clinical, imaging matter? You are going to have to be opened up anyway no matter what if the symptoms are bad enough to live with so…
I have no lump, severe pain and intermittent nausea, 1 ultrasound said hernia, 2 others said no hernia with valsalva but inflammed ganglions. Frankly i don´t think they have a clue unless they take a look.
Maybe MRI will be more useful if you can get a referral for it. Even the private MRI clinics want a referral although in some countries they got a doctor at the private MRI clinic just waiting to give out a prescription )

[newagehernia]

i´ve had a cremaster muscle overactive on left and testicle riding up all my life and didn´t have a hernia. the small scrotum and tight muscle explanation makes sense. I also wonder if the penis leaning left in many men might have something to do with it?

[newagehernia]

good intentions. are you in the camp of natural or synthetic meshes?

[newagehernia]

is that rTapp or reTep?

[newagehernia]

I am interested in using this ovitex mesh for bilateral hernias I have. right one direct (perhaps the permanent bio hybrid version and the left one indirect (perhaps the resorbable version). The two problems I always have is finding a doctor who you can find out if they will even entertain using this mesh before shelling out a consultation fee to find out ´no´. the other issue is does this mesh able to be implanted using some version of laparoscopic TEP or a very thin instrument or its a little thicker and could cause challenges? Also can it be glued in place or does not need to be?

[newagehernia]

Hi, I saw your post.

I have a right Inguinal hernia . Started 1 year ago. Pain developed quickly and have been suffering in very high pain , discomfort, groin weakness and heaviness since. I force myself to walk 5km to 7km a day though it’s not fun. Strangely walking is less painful than sitting, standing , or walking slowly (like a museum) . Very up and down. Mostly down. When irritated, can be painful for a few days above normal background pain.

I do not want plastic mesh. And I have some (irrational?) fears and anxiety of both current access methods of repair.

My research has found the following assuming it is an indirect hernia down the canal like mine is (from a coughing accident due to a bad cold )

1. Lcepc, pediatric laparoscopic extracorporeal non mesh repair. I have seen a Japanese study online and a USA doctor in Ohio doing it on adults. How simple ! Ultra minimally invasive. Don’t know if it works but why not? This kind of hernia is not always from a broken Inguinal floor.

2. Tigr matrix , a mesh dissolves in 2 phases ultra long term. The founder ( see novus scientific website) says he has to educate surgeons that long term dissolvable mesh 100 percent works for indirect hernia . Can be used tep lap or open.

3. Ovitex , a mesh of sheep and dissolvable plastic. It is almost better then number 2 as it’s biological mixed with a dissolvable support of plastic making it easier to insert. Very new not yet available in europe. There is some doubt of biomesh degrading too soon but studies I read say 90 percent of these indirecr hernia can be fixed this way but at higher cost and maybe higher recurrence. Is there added risk (plastic mesh or no mesh has risk too)

4. As a last resort , there is convincing evidence that pvdf (dynamesh) has low inflammation and elasticity superior to polypropylene. It’s not ultra light but apparently material matters more then weight. As a second choice in this category maybe a dual absorption mesh like ultrapro, seramesh pa, or maybe timesh?

Problem. Who to find to do these new and non standard fixes that soon will be standard for this specific subgroup? Or to have a customized approach and choose best option for you ?

Most centers do the nuclear option , they don’t care what specific hernia type or location you have.

a surgeon who is open minded and sees the advantages of above would be great.

I’m also travelling making it hard to find a surgeon since they are everywhere and don’t know if it’s worth the cost and bother to find out. Most don’t answer email so If you pick a traditionalist you’ve just wasted a big consulting fee and travel expenses.

What to do ? So far I’m struggling along but no doubt a surgery is necessary, current methods or better methods not withstanding. Part of me thinks it would be a pity to have a repair I hate because I don’t have time to use a newer method or technology that is already having many studies but not enough data . Sometimes you can’t have data for everything in time sadly.

Ps, whatever method is used with foreign object make sure they use glue and are a specialist hernia expert.

[newagehernia]

crosslinking I assumed was also to prevent degradation, or rather perhaps to delay it? crosslinked meshes presumably do not integrate and just remain there, a biological equivalent of the plastic mesh?

[newagehernia]

why is crosslinking considered toxic in that article? I would think its not a bad idea. the mesh lasts longer, if not forever and gets encapsulated, providing permanent biological support while absorbables might not.