172. HerniaTalk LIVE Q&A: Mesh Fixation

Welcome to HerniaTalk LIVE, a Q&A hosted by Dr. Shirin Towfigh, hernia and laparoscopic surgery specialist who practices at the Beverly Hills Hernia Center. This is the only Q&A of its kind, aimed at educating and empowering patients about all things related to hernias and hernia-related complications. For a personal consultation with Dr. Towfigh: [phone], [e-mail].
This week, the topic of discussion was:
-Mesh Fixation
-Sutures
-Tacks
-Mesh
-Inguinal Hernia Repair
-Ventral Hernia Repair
-Chronic Pain
-Glue
-Progrip
If you find this content informative, please LIKE, SHARE, and SUBSCRIBE to the HerniaTalk Live channel and visit us on www.HerniaTalk.com.

[@erogel4171]

thank you for doing this. excellent information.

[@ytubechannel997]

I learned so much from this. Thank you.

[@stumpynubs5387]

Do you have a list of required information needed for an online consultation? Types of scans and any other tests that are needed to make a determination.

[@herniadoc]

Email my office for more information. [e-mail]

[@stumpynubs5387]

Super information thanks for sharing

[@jimlux28]

Thanks for this. I love your channel. I had open umbilical hernia surgery with mesh almost 20 years ago. Over the years, scar tissue has accumulated around the edge of the mesh, While having my gallbladder removed this past year, the surgeon had to remove some of the “scar tissue”around the hernia repair. He discovered that a bunch of small hernias had developed around the 4.5” square of mesh in addition to scar tissue. Additionally my linea alba has partially separated. I’m a bit overweight, but not obese. He says that I now have “Swiss cheese” hernias that will need a major surgery for an overall large abdominal mesh installation. He will separate layers of abdominal muscles and inserts mesh in between them. I have little to no pain with this and I’m conflicted about having the surgery now or wait until I’m starting to feel pain. Do you have a video about Swiss cheese hernias and this major surgery?

[@herniadoc]

Thanks for loving this channel. Please subscribe and spread the word.
As for hernias, especially Swiss cheese types, most patients require surgery if they have symptoms. We do not typically recommend any revisional hernia repair if there are no symptoms.

[@gregpification]

Hi.I have just had a 1cm unbelical hernia repair. I had a choice of mesh or permanent suture or slow absorbable. I chose absorbable.I am worried it wont last.What would you have used. Thankyou

[@herniadoc]

Depends on the patient. Both are good choices

[@gregpification]

@herniadoc thanks I went with disolving absorbable sutures. Did you mean it was a good choice?thanks

[@herniadoc]

depends on the situation.

[@oilcity72]

Could complications for a Bard perfix plug cause smaller bowel movements?

[@herniadoc]

yes

[@oilcity72]

Thank you. I find sitting now for any length of time very painful and uncomfortable. Standing gives me some relief, finding a comfortable sleeping position is also very difficult