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[h=1]Laparoscopic, Non-Mesh, Inguinal Hernia Repair (Todd Ponsky)[/h] Hello, I just found this on youtube
This is copy and pasted from the video description.
“Here is a video with both animation and two case demonstrations exhibiting the technique for laparoscopic high ligation of an indirect inguinal hernia in a male. We utilize this technique from infancy to adulthood. I propose that this technique may be an alternative to a mesh repair in an adult with a small indirect inguinal hernia. This technique has almost no post-operative pain, almost no visible scars, low risk to the cord structures, and preliminary data shows a recurrence rate between 1- 3%. This may be ideal for young patients who do not want mesh.”
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Good Intentions,
Would you mind telling me what surgeon you used for the last repair? You can send it me by private message if you don’t mind.
thanks in advance!
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I’m glad to see things have improved for you. I was wondering if you had a tissue repair after the mesh was removed.
Yeah, I can’t quite judge the success or failure of mesh from what data i’ve seen or by any anecdotes. It seems under the care of a hernia specialist mesh is going to be less risky than if the repair was done by a general surgeon who might not be aware of the problems with mesh. I met with a local surgeon and mesh was recommended but I didn’t hear him mention anything about reducing any risk of chronic pain. He focused on recurrence. He told me he has about one patient a year with chronic pain. I think he said he repairs just under 200 hernias per year. It seems I’ve seen that mentioned here on this forum before, and I was told the same thing more or less when I called a hernia specialist who does a majority of his repairs with mesh. I also have to wonder about long term mesh results. How will the mesh be in 5,10 and 20 years?
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Hi Dr. Kang,
I copied this from the doctor’s website where the technique was described as doing an excision of the cremaster.
“If there is a significant bulk to the cremasteric muscle, then we excise some of the cremasteric muscle to allow the internal right to be made tighter, but if the muscle is thin and does not compromise repair and he leaves it undisturbed.”
Thank you
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Hi Dr. Kang,
Do you feel there is any risk of serious or minor chronic pain by operating on the cremaster muscle?
What if the cremaster is reduced in thickness by surgery? I’ve read that this is another doctor’s technique.
Thank you !
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Dr. Kang, do you modify or remove part of the cremasteric muscle during your procedure?
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Good Intentions, and Dr. Kang, thank you both for the info.
Good Intentions, did you have the mesh removed?