[Spanish]

Hi Jerome, thanks! But, then, what is the difference between neurolysis and neurectomy? If neurectomy is removing a nerv, what is neurolysis?

[Spanish]

I asked and they replied that the neurolysis means “taking care of your nerves and replacing them outside the suture line”. Do you think it makes sense? I’m a bit lost.

Thanks and Regards.

[Spanish]

Alephy, thanks for your answer, I enquired the clinic about cutting nerves but what they say is “taking care of your nerves and replacing them outside the suture line”… Replacing them? How come?

About the health system, in fact in Spain the public health system is considered the second best in the world for covering everything with no cost at all and many other things. My surgery was made using my private health care insurance in Spain I have that is totally apart from the social security, that prevents queues and is more handy when you live in a country like holland that treat cancers with paracetamol. I have to say that I was unlucky wth this surgeon I had, living abroad wouldn’t make sense to go to the loop within the public system as you mention…

[Spanish]

Good intentions sent me this link from my thread… So neurectomy will lead to numbness and motor functionality decrease, i.e. if you’re an athlete you may recover from pain but you’ll never perform the same… is that correct?

[Spanish]

Thanks a lot for you insight Good intentions and deeoeraclea!

This clinic I went in Germany is a team specialized in sports hernias and they do surgeries to professional footballers, etc… How come they can do these procedures when will affect directly to sporters? What the hell? I also pointed out the surgeon that I do not care about pain, I’m an athlete, not living off it though, but I’m used to pain, I do not care about pain, I just want my hernia (recurrence) fixed, I want to preserve my functionality, that’s prio 1… He told me about the mesh removal + Shouldice hernia repair, but then once I had the treatment plan I was scared about the neurolyses, after reading the link from Good intentions it seems that even the nerves to be cut are also involved in motor system. I don’t want to hurry again and I will cancel the surgery with this Dr Mengele and will try to do it in Taiwan (https://joshuahernia.com/?lang=en).

Thanks again guys!!

• This reply was modified 4 years, 2 months ago by  Spanish.

[Spanish]

Hello,

I have some update. I went to a different place (), which is the private clinic of Dr Andreas Koch (http://www.chirurgie-cottbus.com/index.php/startseite.html). They saw left part is ok, but right part has a recurrence although not alarming, so to speak… It’s a meshless Shouldice based procedure. Do you think I should go for it?

In treatment plan they propose a complete mesh explantation, also a
neurolysis of the inguinal Nerves, e.e. ileoinguinalis, ileohypogastricus and
genitofemoralis, lysis of the spermatic cord and restoration of the
inguinal floor with a component separation of the intern oblique
muscle and the transverse muscle without mesh or with a
reinforcement with long term resorbable mesh.

Do you think this is ok? Is it necessary the neurolysis and the lysis of the spermatic cord? Does it imply losing of sensitivity and/or sexual impotence

Thanks a lot and Best Regards!!

• This reply was modified 4 years, 2 months ago by  Spanish.

[Spanish]

Heloo!

Sorry for not having posted since last time, I wanted to wait a wee longer to see how the whole thing evolved and I’m having increasing pain on the right, especially in the spermatic port which makes me think that definitely there’s a recurrence.

I went to Spain and a surgeon said I might have a protrusion that does not mean that is a hernia, I made a MRI there and conclusion was that there’s no recurrence. this happened in August and so long as I do not trust any surgeon in where I live, i.e. Holland (the experts are students, go figure), and I have a 7 months old son, I really have to find a good place. My wife is from Taiwan and I will spend 2 weeks in Xmas with family, so I will go to this place:
https://joshuahernia.com/?lang=en

Does anybody know about it? Apparently it has a good reputation, is a meshless technique, but I don’t know…

Thanks a lot in advance again and Best Regards

[Spanish]

Thanks Good Intentions and Dr Towfigh… I see, may be to know the status of things the best option is to have an MRI so it can be seen what is done, and how is the situation?

Thanks and Regards

[Spanish]

quote drtowfigh:

[USER=”2847″]Spanish[/USER] you want a surgeon to have had laparoscopic experience for recurrent hernia repair after failed Lichtenstein. However, such a repair should not be that much more difficult than a primary laparoscopic repair.

Thanks a lot Doctor, so you mean that previous open Lichtenstein surgery should not interfere with a new laparoscopic approach as it should be done from the back of peritoneum, right? In fact, in Holland, they told me that they would keep the first mesh that is sewed (supposedly because I’m not so sure) to the front of peritoneum. The new laparoscopic one would be attached to the back, right? If so, I have heard horror movie stories about people complaining about back mesh rubbing against bowels and leading to intestine diseases, chronic pain, irritation, etc, what is the chance to get this? How can this be avoided, may be experience plays a role on this sede effect.

I would be more than grateful if you could enlighten me on it.

Many thanks in advance!

[Spanish]

quote idoncov:

I suggest that you speak to Dr Brown from Fremont, CA. 650-703-9694. He’s very approachable. You need to find a doctor who does not consider the mesh repair to be an option. There aren’t many these days.

Thanks a lot, but alas I’m now in central Europe, no chance for me and my hernia to go there for the repair… :-/

Regards

[Spanish]

quote kaspa:

You’re right, hernia so common, surgery so difficult.

I think your repair is too early to try anything there.

Perhaps you should read Baris account in the forum. After failed attempts to have his hernias repaired, he eventually went to Shouldice Clinic in Canada and they told him that they only reoperate after 1 year to allow for tissue healing.

I’ll have a look, thanks for the advise!

Regards

[Spanish]

quote drtowfigh:

If you do have recurrence from a Lichtenstein, and that’s the only reason for your symptoms, then laparoscopic repair is the best next approach.

I guess so, but do you think a doctor still on training is wise to choose? I heard laparoscopy requires experience and on top, in my case, fixing a recurrence would mean adding difficulty and therefore, would demand extra skills, please correct whether I’m wrong, my main worry is having a second attempt and not getting it properly repaired. I never knew that a hernia is as common surgery as difficult…

Thanks and Regards

[Spanish]

quote Good intentions:

That is disturbing that you think that.

The HerniaSurge group is based in Holland, and they are behind the big push to promote a new set of “International Guidelines for Groin Hernia Management”. There is some question abut how they decided to designate themselves as the global authority on hernia repair but they have a growing following. Odd that they would come from the situation you describe..

http://herniasurge.com/

If I were in your situation I would go to Germany. I almost flew over there myself when I was having problems.

Good luck.

Well, Holland is great to brag about everything they can, I was a researcher in may be the best Research Oncology Centre in the world, my bosses were regarded as the best in radiation oncology, but if you have a cencer in Holland, the system will go to the cheap solution, not the healing one if a paliative treatment is cheaper. The main value in Dutch society is money. I have a few friends in their thirties who died from non treated cancer… conclusion is: they’re good at research and selling the product, but terrible at applying anything that does not involve making money, such as applying a expensive treatment far more expensive than your insurance policy contribution.

Thanks again and Best Regards

[Spanish]

quote Good intentions:

[USER=”2847″]Spanish[/USER] I hope you’re doing well. Here is a link to a facility in Germany, started by Dr. Muschaweck. I saw your posts on the other web site and I think that this is the one they were talking about. It’s close, maybe you can get over there and get evaluated.

https://www.hernia-centre.com/

It was mentioned in this Topic, below. I’m not suggesting that you need mesh removal, but they would have a broader view than many clinics. More experience.

https://www.herniatalk.com/11058-my-successful-mesh-removal-story

Good luck.

Hi Good Intentions,

I tried to reply years ago but apparently most of the messages I reply they’re taken as spam and if I don’t check, they aren’t published. A possibility is this German clinic, it’s 750 km away, but it should be worth it, especially after reading this guy’s experience. In my case, trating a recurrence is something really serious. In Holland, the most corrupted country in the EU and having one of the most underdevolped health system, I am offered to have a laparoscopy in weeks by the expert in hernias in the hospital, i.e. a student. Go figure.

Thanks again for the help!!

[Spanish]

Sorry for insisting, today a surgeon confirmed a recurrence on the right, as I suspected. they will reoperate with laparoscopic techinque in 3 weeks. I know now I have higher risk of recurrence again, I wonder how many months of bed recovery should I take. My idea is being in bed 3 – 6 months without moving at all, will it guarantee no recurrence again? I’m really worried as it will be another surgery on to of a failed one and I have read that once you have recurrence, normally you never get rid of hernia.

Thanks a lot in advance and Best Regards

[Spanish]

BTW, my surgeon told me today that the technique was Lichtenstein…

[Spanish]

My first intention was the Taiwanese clinic, that has better records and obviously now after all this I see them more professional. I tried the German clinic first as they’re supposed to have good reputation and they promised to remove the mesh, and most importantly, it’s close to where I live now. Yes, this Noham unprofessional not only he played a big racist role here, but also a coward attitude by gossiping messages in forums and always hidding. In the EU you cannot cancel a surgery appointment, not notify it and accuse a patient of insulting a doctor in a forum.

I’m also still waiting to the responsible to this forum to clarify why my message was edited, incurring in a crime of identity impersonation.

[Spanish]

Nono, it was the assistant who told me that Dr Koch himself was offended because of what “I said” here, according to assistant, obviously. So the decision was taken by Dr Koch.

I’m really quite surprised that:

1.- Dr Koch cancels the surgery based on what a user says in a forum. As I explained, I never would’ve said that about him and after call them about postponing surgery (but keeping it). Tnis is really childish, it sounds like he wanted to cancel the surgery and held on that excuse.

2.- They already canceled the surgery without notifying me, whatever reason they would use. What if nothing had happened with the virus and I had gone there and found that they canceled the surgery? He said about the cancelation only when I proposed to postpone the surgery last week. The message was edited long time ago. So unprofessional.

3.- I replied to assistant explained what I said here, that someone must have modified my message (you say someone from bodybuilder, but it has to be someone with admin privileges here in this forum too). I never received any answer from this unprofessional assistant called Nahom Welldeiesus, shame on him, really.

May be they think they are superior as they are Germans and I am only Spanish. Shame on Biohernia, the most unprofessional clinic I have ever met. Not to mention the deontological ethics of this institution.

• This reply was modified 4 years, 1 month ago by  Spanish.

[Spanish]

Well, I tried to postpone the surgery appointment I have with him due to coronavirus (due to the situation in Europe I think it’s wise), and his assistant told me that some user informed him that I was calling him nazi and they cancelled my surgery, so go figure. I can find other competent surgeons, I’m not sold out, but I will not put up with any hidden coward who for any reason wants to leave me like someone insulting his own surgeon.

[Spanish]

My message #21670 has some extra text I NEVER WROTE:

” I don’t want to hurry again and I will cancel the surgery with this Dr Mengele and will try to do it in Taiwan (https://joshuahernia.com/?lang=en).”

If I never wrote that insulting line to a Dr that is supposed to intervene my hernia (I would be stupid), obviously someone with admin rights has added it I don’t know wwith what intention.

I don’t know wen it was done, as the edited message reached Dr Koch and I learnt it today from his clinic (I never reread what I write in the forum), I will take the appropriate measures.

• This reply was modified 4 years, 1 month ago by  Spanish.