I had my surgery done 2 weeks ago and I'm already feeling great, I encourage everyone to go for it and get it done because the longer you wait the worse it'll get. Thank you Dr for all the effort you put in your videos to explain every little detail that goes in the operations room. God bless.
Hey Doc, I’ve watched several of your videos and you’ve been so helpful to me. I am a USNavy Veteran and the only medical insurance I have are VA benefits, which are not the best at all. I’ve got bilateral inguinal hernias along with a few femoral Hernias throughout. I can’t hardly walk and I’m in a pretty good amount of pain. I feel clicking in my left groin crease of my leg when I walk. I think it’s one of the hernias. lol. I’ve only got 46 more days until surgery. I’ll be lucky if the VA doesn’t kill me. Wish me luck.
I've had 2 failed umbilical hernia laproscopic repairs in 14 months, each of those were secured with PDS suturing. I've been told by my insurance to find a surgeon who will use permanent sutures or tacs. Does this sound like a better approach? Permanent sutures doesn't seem to be the common method.
I had an open surgery(hernia)30days ago, right now the direct area feel a little numb when i run my fingers along it,but i feel good in body and mind.Give thanks.
What is the magnitude of the VTE risk difference between open and laparoscopic surgery? Would the faster recovery time due to it being minimally invasive rebalance the risk in the other direction?
I have inoperable abdominal cancer - and an inguinal hernia in my scrotum. I’m really worried that the hernia repair will disrupt the stability I’ve had with my cancer as a result of the palliative chemo I’ve been on for three years. Any thoughts on this risk occurring?
Thank you for mentioning the effects of genitofemoral nerve being hurt. I’ve read forums/techniques saying it has no impact if it’s cut somehow or cut completely. I always think that’s impossible. My hernia must be sitting on my genital branch because I have burning/hypersensitivity/numbness over the left mons for years with a genitofemoral neuralgia diagnosis. The fear of that being injured in surgery and becoming permanent terrifies me because of how miserable it already is. Walking is the only relief but not always, sometimes the sx even with walking. I fear an injury would cause the sx 24/7 in comparison to with the hernia theres brief moments of relief
So how do you measure the hernia to know what thg o choose,mesh or stitches .my dr didnt do any imaging and the only bulge he feels is when i cough..theres nothing visible but still has me scheduled for robotic laporascopic surgery with mesh..i have to assume this is a small tear,,thx
Hey doc. This is my first ever surgery going in Mar. But the surgeon did say that its must be open, as my can not be Laparoscopic and he is going to cut a nerve called illioguinal nerve. May i ask why does some surgeon pref to cut/excision/neurectomy on the first surgery?
Dr. Towfigh offers a range of techniques, and from time to time she interviews some surgeons who do the same thing: they chose the technique that will best suit the patient's hernia. Glad to hear it. In Manhattan, NYC, I can tell you that (almost) every surgeon is skilled in ONE technique (and here I'm referring to inguinal hernias) and that's all they offer. It's either Lichtenstein (open repair with mesh) or Lap (and here it is almost always TAP because it's easier; finding a surgeon who even does TEP -- Brian Jacobs, for example -- is rare). Shouldice (or any kind of suturing / non-mesh repair) is almost impossible to find here. And let's be frank: that's because there's no money in it. Surgeons want to operate. But they also want money. And a suture / tissue repair pays A LOT LESS than a Lap TAP (or TEP) or Robotic procedure. Suture repair? No mesh? Good luck even finding that in Manhattan. So that's it. NYC surgeons do ONE type of procedure. Mostly Lichtenstein or Lap TAP. And they don't care what you present with. It's their way or the highway. You can either get on board with the one technique they offer, or you can get lost. Understand now?
I’ve responded to similar post on my other videos. So I won’t repeat myself. Just know that you have options. And NY has great surgeon. Do your research.
Maybe I missed it,how about a groin hernia only felt with a cough,dr says that's a hernia he wants to fix but I dont know how big its is,,with no bulge does does it mean it's small and can be stitched
What kind of modified tissue repair would involve just tightening instead of cutting for EDS? It sucks that hEDS is just a clinical diagnosis since they haven’t found a genetic marker for that subtype.
What would be your preferred surgical method of addressing a ventral hernia that presents along the width of the transverse colon area? I'm a healthy senior in my 60's. Thanks for your videos and the way you share information.
Hey Doc, I’ve watched several of your videos and you’ve been so helpful to me. I am a USNavy Veteran and the only medical insurance I have are VA benefits, which are not the best at all. I’ve got bilateral inguinal hernias along with a few femoral Hernias throughout. I can’t hardly walk and I’m in a pretty good amount of pain. I feel clicking in my left groin crease of my leg when I walk. I think it’s one of the hernias. lol. I’ve only got 46 more days until surgery. I’ll be lucky if the VA doesn’t kill me. Wish me luck.
I had my surgery done 2 weeks ago and I'm already feeling great, I encourage everyone to go for it and get it done because the longer you wait the worse it'll get. Thank you Dr for all the effort you put in your videos to explain every little detail that goes in the operations room. God bless.
Congrats
What type of hernia and surgery did you have?
@@barrymonteiro8893 inguinal hernia.. open with mesh
Good, only textbooks of surgery are not so optimistic about "get it done" but anyways...
Hey Doc, I’ve watched several of your videos and you’ve been so helpful to me. I am a USNavy Veteran and the only medical insurance I have are VA benefits, which are not the best at all. I’ve got bilateral inguinal hernias along with a few femoral Hernias throughout. I can’t hardly walk and I’m in a pretty good amount of pain. I feel clicking in my left groin crease of my leg when I walk. I think it’s one of the hernias. lol. I’ve only got 46 more days until surgery. I’ll be lucky if the VA doesn’t kill me. Wish me luck.
Thank you! You’ll do great. Also, if you have a click it may be a hip click unrelated to the hernia
I've had 2 failed umbilical hernia laproscopic repairs in 14 months, each of those were secured with PDS suturing. I've been told by my insurance to find a surgeon who will use permanent sutures or tacs. Does this sound like a better approach? Permanent sutures doesn't seem to be the common method.
Permanent fixation is helpful but often not the only reason for failure. See a specialist. And have your insurance cover it.
I had an open surgery(hernia)30days ago, right now the direct area feel a little numb when i run my fingers along it,but i feel good in body and mind.Give thanks.
What is the magnitude of the VTE risk difference between open and laparoscopic surgery? Would the faster recovery time due to it being minimally invasive rebalance the risk in the other direction?
Perhaps. The length of the operation and duration of disability also plays a factor
I have inoperable abdominal cancer - and an inguinal hernia in my scrotum. I’m really worried that the hernia repair will disrupt the stability I’ve had with my cancer as a result of the palliative chemo I’ve been on for three years. Any thoughts on this risk occurring?
Really helpful thanks
Glad it helped
Thank you for mentioning the effects of genitofemoral nerve being hurt. I’ve read forums/techniques saying it has no impact if it’s cut somehow or cut completely. I always think that’s impossible.
My hernia must be sitting on my genital branch because I have burning/hypersensitivity/numbness over the left mons for years with a genitofemoral neuralgia diagnosis. The fear of that being injured in surgery and becoming permanent terrifies me because of how miserable it already is. Walking is the only relief but not always, sometimes the sx even with walking. I fear an injury would cause the sx 24/7 in comparison to with the hernia theres brief moments of relief
Thanks for watching.
So how do you measure the hernia to know what thg o choose,mesh or stitches .my dr didnt do any imaging and the only bulge he feels is when i cough..theres nothing visible but still has me scheduled for robotic laporascopic surgery with mesh..i have to assume this is a small tear,,thx
imaging helps
Hey doc. This is my first ever surgery going in Mar. But the surgeon did say that its must be open, as my can not be Laparoscopic and he is going to cut a nerve called illioguinal nerve. May i ask why does some surgeon pref to cut/excision/neurectomy on the first surgery?
Dr. Towfigh offers a range of techniques, and from time to time she interviews some surgeons who do the same thing: they chose the technique that will best suit the patient's hernia.
Glad to hear it.
In Manhattan, NYC, I can tell you that (almost) every surgeon is skilled in ONE technique (and here I'm referring to inguinal hernias) and that's all they offer. It's either Lichtenstein (open repair with mesh) or Lap (and here it is almost always TAP because it's easier; finding a surgeon who even does TEP -- Brian Jacobs, for example -- is rare).
Shouldice (or any kind of suturing / non-mesh repair) is almost impossible to find here. And let's be frank: that's because there's no money in it. Surgeons want to operate. But they also want money. And a suture / tissue repair pays A LOT LESS than a Lap TAP (or TEP) or Robotic procedure. Suture repair? No mesh? Good luck even finding that in Manhattan.
So that's it. NYC surgeons do ONE type of procedure. Mostly Lichtenstein or Lap TAP. And they don't care what you present with.
It's their way or the highway. You can either get on board with the one technique they offer, or you can get lost.
Understand now?
I’ve responded to similar post on my other videos. So I won’t repeat myself. Just know that you have options. And NY has great surgeon. Do your research.
Hi Dr Towfigh l had open inguinal repair 7 weeks ago could l ease back into racquetball or should l wait another 6 weeks?
I do not restrict my patients. You would have to ask your surgeon for details
@@herniadoc ok thank you
Maybe I missed it,how about a groin hernia only felt with a cough,dr says that's a hernia he wants to fix but I dont know how big its is,,with no bulge does does it mean it's small and can be stitched
Best to ask your surgeon. Most simple inguinal hernias may be repaired with stitches alone.
PAtiently waiting for pelvic floor hernia video
Look at our prior videos discussing pelvic floor dysfunction and hernia . Also on perineal hernias.
What kind of modified tissue repair would involve just tightening instead of cutting for EDS?
It sucks that hEDS is just a clinical diagnosis since they haven’t found a genetic marker for that subtype.
There is no good tissue repair for EDS
What would be your preferred surgical method of addressing a ventral hernia that presents along the width of the transverse colon area? I'm a healthy senior in my 60's. Thanks for your videos and the way you share information.
So many options. See a specialist as we need to review you examination, imaging, and lifestyle
@@herniadoc Ok thanks.
Hey Doc, I’ve watched several of your videos and you’ve been so helpful to me. I am a USNavy Veteran and the only medical insurance I have are VA benefits, which are not the best at all. I’ve got bilateral inguinal hernias along with a few femoral Hernias throughout. I can’t hardly walk and I’m in a pretty good amount of pain. I feel clicking in my left groin crease of my leg when I walk. I think it’s one of the hernias. lol. I’ve only got 46 more days until surgery. I’ll be lucky if the VA doesn’t kill me. Wish me luck.
You’ll do great! Good luck.