Thunder Rose

Here’s one where hernioplasty was found to have better outcomes open than laparoscopic, while 3 other types of surgery were found to have the opposite:

https://pubmed.ncbi.nlm.nih.gov/10653229/#:~:text=Conclusions%3A%20Laparoscopic%20surgery%20has%20demonstrably,status%20outcomes%20than%20laparoscopic%20repair.

The external oblique aponeurosis (EOA) is cut in both Shouldice and Desarda. It’s the anterior wall of the canal: it is cut to gain access to the inguinal canal in both repairs. See my response to William above for why I’m against the Desarda repair.

Unlike a general surgeon, Yunis is only doing hernia repair: “relatively few” Shouldice and…[Read more]

William, I suggest watching the surgical videos for both Desarda and Shouldice on YouTube and considering the 6-sided-box model of the inguinal canal. Being able to visualize the repairs helps a lot. The Posterior and Anterior (back and front) walls are opposite each other, the Inferior and Superior (floor and roof) walls are opposite each…[Read more]

I was influenced by the idea that for the majority of people it’s not reaction to the mesh itself but badly placed mesh that causes the problems, hence mesh plugs and system meshes causing issues with such frequency. I extended that thinking to even the flat meshes bunching/migrating over time: perhaps there’s no such thing as well-placed mesh.…[Read more]

I didn’t research this.

I love that I’m getting called out for personal biases. I made crafts a few years ago with my kids using a similar gauge of stainless steel to what they use at Shouldice Hospital (32 or 34 gauge): tiny posable beaded animals using seed beads. Here’s a link that’s very similar https://stuwahacreations.com/2014/08/20/how-to-make-tiny-beaded-geckos/.…[Read more]

Yes I’m still happy with my repair. I live in Wyoming and since my repair have done nearly two full ski seasons (Alpine and Nordic) and quite a bit of running, hiking, and biking. I don’t have any pain with exercise.

Very rarely when at rest I get a twinge or brief ache of scar tissue pain at or near the surface of my skin, but I don’t have any…[Read more]

I never talked to Peterson. I piggybacked on another HerniaTalk user’s research in ruling him out (that was privately shared with me). The info I received was that he uses individual sutures instead of running lines, and I knew I wanted running lines.

I don’t have informed opinions on mesh removal, but my uninformed opinion is that it’s a more…[Read more]

Hey Chuck: Wiese vs. Koch: I know that Wiese uses Prolene for his Shouldice repairs because of this thread: https://herniatalk.com/forums/topic/my-meshless-hernia-repair-in-germany/ I’m not clear if Koch uses Prolene or Stainless.

I almost went to Wiese because I had to make a family trip to Ulm in spring 2020. I was going to have my hernia…[Read more]

Watchful: you’re correct: I made an error above. Sbayi uses conscious sedation, though my notes show he told me that he “may introduce general aneasthesia to let muscles relax” although I believe he said that’s rare.

As you say Yunis prefers GA but allows for patients to choose MAC. I was able to choose at a private conversation with the…[Read more]

Hi Monika, I was interested in a Marcy repair until a surgeon said my hernia was most likely Direct (based on its shape and size). It did turn out to be a Direct Hernia.

Have you found a surgeon who will do a Marcy repair for an adult without reinforcing with Desarda? I suppose Kang does.

Watching YouTube videos of the Desarda repair ended any…[Read more]

Hi Debbie, Sbayi uses metal sutures and insisted on General Anesthesia. I decided I wanted Prolene and Monitored Anesthesia Care (MAC) / Conscious Sedation. Yunis uses Prolene and offered MAC in an outpatient surgical facility instead of a hospital setting. I could have had the same (Prolene Shouldice repair w/MAC in outpatient facility) from Dr.…[Read more]

I read Kang’s website in depth last summer. I am not swayed. Science requires replication and independent verification. Have you taken the time to watch videos of these surgeries? If you have the stomach for it I highly recommend it.

I apologize– I don’t mean to denigrate Kang and I don’t fully understand his method(s). I do find it frustrating that someone would pass up highly skilled surgeons in the US and be so dismissive of their techniques simply because Kang is touting a repair that is supposedly so superior. Comparing the Sue and Peter Jones 2-layer Shouldice on…[Read more]

Also: there’s plenty of research showing that highly experienced hernia surgeons can achieve low recurrence rates with tissue repairs.

Yes he offers two methods: a Marcy repair for indirect and a 2-layer Shouldice for direct. But he calls it a Kang repair and claims it’s different? If you look into what he’s suturing I don’t see any significant difference except for some very cute comic strips.

What is it that makes you think Kang Repair is so worthy of replication? I see him as having hired excellent marketers, but I don’t see that to be correlated with being a great surgeon. There are other surgeons offering a tailored approach (Towfigh, Yunis, Muschaweck, Wiese). I see Kang and Muschaweck both obfuscating the details of their…[Read more]

I don’t think Brown, Yunis, Grischkan, and Kang are the only surgeons offering 2-layer Shouldice. I do think many are calling it Bassini.

I strongly considered Grischkan but ultimately did not feel comfortable with his use of polyester suture material. Similarly Brown uses highly inflammatory silk sutures. I was more concerned about choice of…[Read more]

Hey Dave, my repair is 4 lines of Prolene on the posterior wall (formed by 2 running sutures), what’s commonly referred to as a 4-layer Shouldice. I wanted the 4-layer repair to reduce likelihood of recurrence. The incision length was roughly 6 cm (just under 2.5 inches). I think I was told it would be 3.5 inches so it was shorter than I…[Read more]

Hey AJ9000! I’ve been reflecting that my surgery with Dr. Yunis and recovery were particularly easy because we live at over 7000 ft. in Wyoming, so sea-level in Sarasota was akin to a hyperbaric chamber. It’s good to hear you also had a good experience (most likely without that elevation benefit)!

We flew home on day 6. I kept up with the…[Read more]