[No Name]

Sorry, hadn’t looked on here for a bit… No definitive decision yet. I’m trying to learn more about the method Dr. Reinhorn uses (open, pre peritoneal) and if anyone in the Chicago area does it. Also trying to learn which open mesh methods require the least cutting/sewing, as I’m learning not all are equal.

The other thing I’m finding is that there are fewer and fewer specialist surgeons that still favor open (vs. lap), much as it’s become nearly impossible to find surgeons who do mesh free repairs.

[No Name]

Good intentions, thanks for posting that link, as the new account was merely a matter of convenience.

I’m aware that any mesh will involve tissue ingrowth, which isn’t of concern so much as some of the other things I’ve read about lap mesh and its ability to fold, migrate, entangle nerves, etc. These open methods that place mesh behind the internal ring are intriguing, though, as they seem to have been developed (at least to some degree) with long-term comfort in mind, as opposed to previous methods meant only to avoid recurrence.

My opinions on mesh, in aggregate, have evolved some, but now the question is about the right type of reinforcement, put in the right place.

Can you tell, how similar is the method in link I posted (about the UltraPro) to TREPP? I realize that Dr. Reinhorn is a participant here, so perhaps he has thoughts, too.

[No Name]

1. Don’t want general anesthesia.
2. Issues with lap mesh repairs seem hardest to correct.
3. Sounds like lap mesh also has higher potential to become entangled with things it shouldn’t.
4. I used to be anti-mesh but am also not a huge fan of all the cutting and sewing (and attachment of things not meant to be attached to each other) needed for non-mesh, plus the possibility that tissue quality is an issue.

That said, I’m also realizing that not all open mesh are the same – neither the technique nor mesh used – so I’m curious whether one version has better results than another. The statement that “all of my complications are open mesh” has many possible interpretations/reasons for being true. For example, one surgeon I met with does almost exclusively lap, and suggested that he only does open in situations where lap isn’t feasible meaning he does fewer and he’s doing them in already suboptimal circumstances. It’s also why I’d go to a surgeon that still does open very regularly.