176. HerniaTalk LIVE Q&A: When Good People Make Bad Decisions

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  • เผยแพร่เมื่อ 23 ธ.ค. 2024

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  • @TheNewYorker360
    @TheNewYorker360 6 หลายเดือนก่อน +1

    You replied to El Coolio Cool J:
    "Not accurate. A) surgeons do not make more money doing laparoscopic or robotic. Actually it’s the opposite. And use of mesh does not affect Medicare, public or private insurance reimbursement to the surgeon. B) look at my other videos. I have interviewed NY surgeons who do perform tissue based repaired."
    Thanks for the info, Dr. T.
    Meanwhile, what about the ever popular Dr. Kang in Seoul? Has he perfected a modified Bassini (resulting in a much lower recurrence rate), or is he one of the Unskilled and Unaware you talked about from approximately 2:30 to 5:00 in this video. Thanks.

    • @herniadoc
      @herniadoc  6 หลายเดือนก่อน

      I have no data on which to base any judgment

  • @TheNewYorker360
    @TheNewYorker360 6 หลายเดือนก่อน +1

    Don't want you to miss this, Dr. T (as it's written within the next Comment):
    ...What about the ever popular Dr. Kang in Seoul? Has he perfected a modified Bassini (resulting in a much lower recurrence rate), or is he one of the Unskilled and Unaware you talked about from approximately 2:30 to 5:00 in this video. Thanks.

    • @herniadoc
      @herniadoc  6 หลายเดือนก่อน

      I don’t know enough about his results. It would be nice if he would publish them.

  • @ElCoolioCoolJ
    @ElCoolioCoolJ 6 หลายเดือนก่อน +1

    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.
    And what do we have to do: Go to Dr. Kang in Seoul, Korea just to get his modified Bassini suture / no mesh procedure?? Or is he one of those Unskilled and Unaware surgeons in Asia that Dr. Towfigh starts talking about @ 2:30 in this video??
    Back to my main point: 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?

    • @herniadoc
      @herniadoc  6 หลายเดือนก่อน

      Not accurate. A) surgeons do not make more money doing laparoscopic or robotic. Actually it’s the opposite. And use of mesh does not affect Medicare, public or private insurance reimbursement to the surgeon. B) look at my other videos. I have interviewed NY surgeons who do perform tissue based repaired.

  • @rwallace1625
    @rwallace1625 6 หลายเดือนก่อน +2

    Hi Dr. Towfigh, can you recommend a surgeon anywhere in Arizona that does a non mesh inguinal repair?

    • @herniadoc
      @herniadoc  6 หลายเดือนก่อน

      sorry. I do not know any in Arizona who do tissue repairs.

  • @joeblow9548
    @joeblow9548 6 หลายเดือนก่อน +1

    Dr i have groin hernia,can i cause the severe tailbone pain i have while sitting,,tailbone injections did nothing,thx

    • @herniadoc
      @herniadoc  6 หลายเดือนก่อน

      Perhaps. Groin hernia can cause pelvic floor spasm.

  • @kaztling
    @kaztling 6 หลายเดือนก่อน +1

    Hi Dr. Shirin thanks for uploading all this useful information. I have a little doubt about cutting they cremaster muscle, does it affect in some way the testicles stability? Thanks a Lot.

    • @herniadoc
      @herniadoc  6 หลายเดือนก่อน +1

      It can, yes

    • @kaztling
      @kaztling 6 หลายเดือนก่อน +1

      @@herniadoc Thanks. So i suppose doctors cut cremaster just when is necessary or is part of hernia repair methode?

    • @herniadoc
      @herniadoc  6 หลายเดือนก่อน +1

      @@kaztlingyes

    • @thetruepoemproject3441
      @thetruepoemproject3441 5 หลายเดือนก่อน

      @@herniadoc Were you responding affirmative to the cutting "when necessary" or is cutting the cremaster a part of the a standard repair?

  • @7JT7
    @7JT7 6 หลายเดือนก่อน +1

    Hello Dr.Towfigh hope your well! . I seen many hernia patients especially young active ones get there single side fixed and in less than 5 years there other side starts to bulge. Would you recommend getting both sides done at once while getting laparoscopic surgery despite only having one side currently budging?

    • @herniadoc
      @herniadoc  6 หลายเดือนก่อน

      That is a personal discussion to have with your surgeon. There are a lot of valid options

  • @ofeliamedina3221
    @ofeliamedina3221 6 หลายเดือนก่อน +1

    How many years does it take for scar and soft tissue to heal?

    • @herniadoc
      @herniadoc  6 หลายเดือนก่อน

      Days not years