[nn123]

Hi I’m in london Uk and also been diagnosed with inguinal hernia right side. I have now met with consultant and none will do non mesh open repair.

The options offered to me are either

Open with mesh. Or

LAPROSCOPIC with mesh.

I joined the British hernia society and last night there was a zoom presentation hosted by BHS with dr Ralp Lorenz who is a recognised hernia expert in Germany .

Worth viewing.

https://youtu.be/nHEAJeCg6tM?si=UTbZ8DSe3RdoRW-D

From what I read laparoscopic is not for me given family history of prostate cancer and the additional complications of prostate surgery should it be required if hernia surgery was laproscopic.

So if it’s open it seems its mesh in the UK. I have not found a surgeon too date in the uk that has high volume experience of non mesh shouldice or desarda surgery.

Do you know any in UK?

Thanks

[nn123]

Hi

No I Cancelled my meeting with him.

I had my open surgery with mesh done by dr Appleton at Chiltern hospital 28th sept.

He is a very experienced surgeon and I have had no pain and now fully recovered and don’t feel anything. In fact I was walking the same day with no pain.

Mesh surgery is used in 98% of patients across the developed world so I decided to keep mainstream instead of going off piste.

I researched extensively the pros /cons of open mesh vs open non mesh and cutting through all the noise on the web there is no benefit. The most important decision is choosing a high volume surgeon with experience.

Good luck

[nn123]

Hi please do call me we can compare notes . I live in london

Nick

07785 384845

[nn123]

I agree need to have a face to face consultation to assess patient before agreeing course of action is wise. Let me know if you decide to go and see him. I think /hope you will get good input on your options with mr drymousis and if he advises non mesh in your case . Good luck

[nn123]

I have considered going to Germany but having researched hernia surgery in Germany it appears the vast majority is mesh. It seems the whole world is mesh and few doctors complete non mesh repairs. They are in a minority and inguinal surgery non mesh requires a small inguinal hernia and younger patients. This rules me out. Also I feel going to Germany say with dr Lorenz whom I’m sure is a very good dr seems a long way from home god forbid any difficulties emerged. Let me know how you get on with dr drymousis

[nn123]

After extensive research it seems to me that open mesh surgery is the standard by which the vast majority of inguinal hernias are repaired. This applies to USA, UK and across Europe. Like many patients hearing the horror stories of mesh has driven me in a direction to avoid it but I’m thinking big picture recurrence rates and rates of chronic pain are no different where large clinical studies have been completed upon which empirical evidence can be believed. Sadly it seems there is little control over claims that can be made by individual doctors on websites so I think we all need to tread carefully to make the best individual decision.

[nn123]

I have found some top hernia dr in Germany and was surprised to see that the majority of inguinal hernias in Germany are mesh repairs and whilst dr like dr Koch and others offer non mesh the majority of operations are with mesh .

[nn123]

Be good to hear how many non mesh operations he has completed. From my research into this an area I have understood that non mesh surgery is most successful in younger patients and small inguinal hernias.

I’m not sure as to the reasons why but this is my take and if you have a medium size inguinal hernia then most surgeons that offer non mesh will recommend mesh.

I have been in touch with the shouldice clinic in Canada and they seem to have strict criteria before they offer surgery and you need to meet weight guidelines etc

Hope this helps but do update us after the 20th with mr drymousis

[nn123]

Thank you which date are you seeing him .?