[saro]

Your explanation is very interesting. Don’t worry about the timing, you’re too precise. You had a good ultrasound: mine saw a second hernia during the ultrasound and then lost sight of it, so on the report he wrote “nothing on the contralateral side”.

[saro]

Congratulations Marco. Reading your story we can deduce that it resolved within a year of the hernia appearing. I’m not good at math
so correct me if I missed something: within about a year you had a doubled hernia, it also appeared on the left side. However, they were two small hernias. As with other surgeons who practice the Shouldice, the size (small) was decisive
to get approval for meshless surgery from Dr. Kang?

[saro]

good morning Doctor Towfigh …due to my limitations in understanding spoken English I am not always able to follow your interesting debates with other specialists. . However, so far I have managed to interact with the always interesting forum. . Thanks for providing the information to everyone. I ask a perhaps premature question: are there already results regarding adverse reactions even with absorbable mesh, which surgeons recommend using on the forum? So far it seems that the surgeons recommended on the Forum only use resorbable mesh and have had only success (with the rare exception of Baris who however ran into a series of adversities, including the excessive weight with which he showed up for his first surgery). And, before knowing the results of your survey, and therefore of your patients, can you reveal which network you use? The other topics (laparoscopic or open surgery, cremasteric nerves, etc.) seem much debated on the forum and can be found, but the results of the use of absorbable mesh and their quality are a little less available..

[saro]

P.s .: In light of my few elements, I can only deduce that there are risks in both interventions. The “open sky” involves multiple dissections and therefore can damage the nerves and / or the cremaster, laparoscopy minimizes dissection but places the mesh directly inside the abdomen.
The difference between having a mesh under the skin or in depth may also be questionable here. In the event of relapse, chronic pain or other post-operative complications, removal of the mesh may be the last but necessary option, and will be evaluated based on the access and status of the sling with the neighboring organs.
Essentially, if I remember correctly, the EHS and perhaps also the AHS recommend laparoscopy for bilateral hernia; however, the research does not provide a precise indication of the golden standard.
casuistry does not allow it

[saro]

here are some results of my research on the site. Here we see that in some cases we have collected information but also have no answers about subsequent medium-term developments. Optimistically we can also assume that everything is for the best.
in this case, for example, the removal of a mesh (after the patient learns that there were three) was not immediately successful with the Shouldice method but it was necessary to urgently reoperate and insert a mesh-

This is the comment (“meshagonie” is the nick name) :.
“I had my mesh removal surgery with Dr. Brown in Fremont, California. He opened me up and was amazed to find not one, not two, but three individual meshes in me! Two of the products were the caps to nets, which are now rarely used due to the complications associated with them. The thorns were attached to everything. Dr. Brown spent six hours carefully removing my net. Man is a saint!

Despite his careful surgery, his sutures couldn’t hold up due to the amount of damage the previous mesh had caused, so the next day, I found myself with a bowel obstruction (this is why you stay in a nearby hotel to him – I regretted it I did not). My wife called him at 2am and after determining that I was too far to get to Fremont, he told her to take me to the nearest emergency room. I underwent emergency surgery where they entered a single piece of biological mesh. I am now on my one year of recovery and I feel amazing!

https://herniatalk.com/forums/search/meshagony/

• This reply was modified 1 year, 6 months ago by  saro.

[saro]

hello Good intentions. Obviously I have read the posts, I think I have read most of them. I just have a hard time understanding the videos because I’m not a native English speaker. In fact, my greatest interest is focused on surgery on bilateral ‘open’ hernia. There is more literature for laparoscopy. Thank you for giving me the opportunity to clarify this question. I also re-read something but, as you know, the medium-term effects are also interesting.

[saro]

can we perhaps surmise that, if previously successful, Dr. Brown lost his wit in old age

[saro]

I had read the description of the “perfect execution of the Liectenstein method”, now I have read this very accurate description of the Guttaduro method, but for someone like me, who does not fully understand anatomy, it is difficult to understand the differences. and the possible advantages of one method over the other. From most of the experts present here, it might be possible to explain the qualifications of this innovation, to understand why to choose One mesh rather than the Liectenstein. Regarding the pdf published by the ‘hound’ Good intentions that I greet, I must say that, if I remember correctly, in the liectenstein method we do not recommend tying the sack as a possible cause of chronic pain. In the Egyptian hospital instead it is described. It doesn’t seem very reliable to me. It seems more interesting to me to examine any other sources, which I will try in my turn. The basic question remains for the (non-medical) experts: what anatomically would make you prefer the One mesh method?

[saro]

I am reminded of two tendentious questions whether it is true that the Liectenstein operation is really the gold standard or, as some supporters of minimal repair argue, a more invasive operation for the nerves. second question: from this study it emerges that only one patient was treated with local anesthesia (unfortunately there is no data related to the outcomes based on anesthesia) .. I have read, albeit occasionally, that the prevalence of chronic pain has been related to various causes, including age, pre-operative pain, but also the type of anesthesia … obviously I refer elements taken from targeted follow-ups, now on anesthesia, sometimes on the procedure

[saro]

I read another post in which open resorbable mesh repairs were evaluated according to the two most popular methods, the Liectenstein or the Shouldice. This is because in the case of hernias larger than an egg, many suturing-prone surgeons apply a reinforcing mesh. If I remember correctly this happens when the hernia exceeds 5 cm, but I’m not sure. However, I do not find the suggestions of the doctors of the site if one is preferable (Liectenstein) or the other (Shouldice with mesh)

[saro]

it seems to me that it is a story with a happy ending. the excellent choice to undergo surgery by Dr. Brown but also the great fortune of a quality intervention even in the subsequent emergency hospitalization. Considering that urgency is reported as a cause of high risk, the emergency surgeons also performed well. Many patients immediately write about good results and then forget to offer and follow us. But what amazes me most about this story is that it talks about meshing only in reference to its previous condition, while it doesn’t talk about meshing after the operation. It seems we can deduce that a biological mesh is indeed a bit special, a non-mesh, judging by what he writes

[saro]

confort trusse

[saro]

Also,hi again. your hernia was bilateral. How is open incision possible?

[saro]

SORRY, the new format of the site does not allow me to edit my post, for this reason I only have to specify that the names of the European surgeons in my comment are extrapolated from a old list released by a Dr Desarda site and therefore they are not mine

[saro]

Dear
DrBrown

for the permanent sutures is the same reasoning as the prosthesis, or do they have less risk?

[saro]

quote linzee.1018:

Hi Jonsaunt,
I’m very sorry to hear of your medical problems, and I can understand the position you are in.
I am not a medical person, but I had a hernia tissue repair 12 months ago. Prior to this, I did some research to help me decide the best course of action for myself. I have a biological research background.
Reading your post, I was wondering whether you have an immune response to the pig bladder mesh. If there was, I imagine it would be only part of the obstacles you face.
I mention this because I get an immune response to a certain suture product (made from reconstituted animal tissue), also something I came across in my research. The issue may not be universally recognised, perhaps in part because of alternative explanations for patient reactions from manufacturers defending a particular product, and because strong patient immune reactions are not common. I am not trying to generalise here, good medicos would be well aware of the issue.
All the best with your treatment.
L….

I too am sorry to read about problems, anyway congratulations for your studies, I have tried but I have not found any evidence of transmission of a biological prosthesis disease. I have also read that it does not need removal even in the case of infection , because it has a low inflammatory power. only on recidivism there is an unfavorable casuistry, though referred to difficult fields. Recently I read the site who are a little favorable, https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-018-3122-5
…better no mesh but, in case of mesh, better biologic or sintetic is really controverse

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[saro]

<font style=”vertical-align: inherit;”><font style=”vertical-align: inherit;” class=”VIpgJd-yAWNEb-VIpgJd-fmcmS-sn54Q”>Good morning. I’m trying to modulate the interactions. I feel like I can’t answer everyone but only some. I still have to evaluate whether it is possible to go back in the search or type in keywords. Sorry I’m replying here because I can’t reply to everyone</font></font>

[saro]

I always read passionate advice and here solidarity seems to prevail, without lies. The excellent surgeons you mentioned are definitely top notch. But – while patients with recent hernias make a mistake in having surgery without looking for a mesh – there are also those who linger too much and – while the former could have avoided the mesh – the latter are often forced to receive a mesh, even from one of the surgeons you mentioned . This is because there are standards of measurement, and the choice of surgeon is always attentive to recurrence

[saro]

Dear Dr. Kang, I’m re-reading some old posts so I don’t know if you’re still on track. you have a lot of respect on this forum thanks to the successes but also the dedication. the caesura of the transversal fascia seems to understand that it is applied only with some methods, thus excluding the methods of the network. are there any chances that the correct fascial method that you define as essential is also present in other procedures besides Shouldice? I am referring in particular to the lictenstein which you did not expressly mention

[saro]

this site is recommended for the quality of the interventions, first of all medical, but also for the information from the patients. It is an open site. It has no equal. I apologize too because English is not my native language. I have encountered ailments similar to those of Kaspa. I carried out specialist visits and a well-known doctor in my country visited me and could not distinguish if I had a direct or indirect hernia despite the ultrasounds and the known identification procedures during the visit. The same doctor ruled out correlations between my gastric disorders and the inguinal hernia.