ALS

El Monte, CA

#436 Jan 9, 2011
Todd Lineback wrote:
The Neurontin helps with 'nerve blocking', I'd stay away from the Oxycontin...doesn't help and makes you silly. It does take some time to 'get back to normal', but it is likely that you may have 'adhesion' issues...nerve impengement (sp). I'm learning that happens more often than not and usually doctors have to go back in and clean up the scar tissue. I wish you luck!
take care...
In "WorstPills/BestPills ", Dr. Fox listed Neurontin as basically a worthless drug.
It is an expensive drug and a money maker. Stay clear of this.

Swimmerinshoreline@Yahoo.com
ALS
Donna

Sandwich, MA

#437 Jan 12, 2011
Im Schedueled For Laparoscopic Inguinal Hernia Repair tomorrow and im scared of all the problems and complications, Im female, thin,worked in nursing homes lifting patients,is there anything i can do, to lesson my chances of complications?
Linda

Miamisburg, OH

#438 Jan 12, 2011
Donna wrote:
Im Schedueled For Laparoscopic Inguinal Hernia Repair tomorrow and im scared of all the problems and complications, Im female, thin,worked in nursing homes lifting patients,is there anything i can do, to lesson my chances of complications?
Donna - check out Dr. Grischkan before you go for surgery. He is at Hernia Center of Ohio. I'm going to have my third repair (umbilical) by him. My first two by the General Surgeon, I only wish I had know about Dr. Grischkan before I saw him!!!! Check him out and let me know what you think.
Hullenback Cowl

El Monte, CA

#439 Jan 17, 2011
I think people need to travel and pay attention to what others say are recommended surgeons. Sure I am aware of Dr. Grisckan. Linda.

I think Howie has some good recommendations also.
another jeff

Trumansburg, NY

#440 Jan 17, 2011
Florida Hernia wrote:
After reading many of these posts I am very hesitant to have the surgery done. I an 26 years old with a small left inguinal hernia. I live in Florida. Does anyone have experience with Dr. Jonathan Yunis or Dr. Charles Koller in Florida?
In your oppinion, what is the safest, best techinque for this operation?
I think Yunis would be good for first time surgery, but not for a redo... I've been through the ringer and have done a lot of relevant research (including communication with most and visits with some of the best). The Hernia Institute of Florida would also be good, too, I think. BUT, Bruce Ramshaw is now practicing in Florida, at the Halifax Medical Center in Daytona. Trust me when I say that's who I'd go to in Florida. He's one of the very best in the country. I visited him when he was at the Univ. of Missouri, and if you can have the surgery done by him you should be fine!
Drs. Todd Heniford in Charlotte, NC; Peter Billing in Seattle; and Shirin Towfigh in LA are tops also...
If I were doing a small, inguinal, first time hernia surgery, knowing what I know now, I'd definitely choose an experienced specialist and have lap surgery done with a single layer of lightweight mesh. Do this, and you should be just fine...
Hope this helps...
James

Byrdstown, TN

#441 Jan 17, 2011
I have had recent contact with Dr. Ramshaw's office staff, and he is not yet practicing. The last projected date they gave me for having their new practice operational is April of this year.

I agree with Another Jeff about a lap repair. I just had one with Dr. Towfigh, and it was a walk in the park compared to the open repairs I have had. Just make sure you get a top lap surgeon, and not someone who does a few a year. TEPP is preferred on first time hernias and some recurrent hernias. If he or she can only do TAPP, I'd consider another surgeon. With TAPP, there is a greater chance of adhesions, but it may be the only option in some cases. In my particular case, it was the only option without a big gamble.

If you're not having MAJOR problems from it, watchful waiting is the best. If a surgeon doesn't suggest that as an option, find another one -- they're only in it for the money. I know it stinks to have some pain or odd sensations, but don't rush it. I rushed it years ago and was told it "had to be fixed." And three surgeries later, I'm still paying for it. Now I miss that old hernia...
Linda

Miamisburg, OH

#442 Jan 17, 2011
Hullenback Cowl wrote:
I think people need to travel and pay attention to what others say are recommended surgeons. Sure I am aware of Dr. Grisckan. Linda.
I think Howie has some good recommendations also.
And, what are your thoughts about Dr. Grischkan? I've read wonderful testimonials on him. He has now done 20,000 surgeries. I've have done alot of homework on hernias, and he seems to be a fit.
TonyK

Mclean, VA

#443 Jan 17, 2011
Bilateral Lap repair with PARIETEX the week before Christmas. Right side was the problem, but the surgeon did the left side as well as a prophylactic. Post op recovery was quick, and relatively pain free. I now have a hard palpable mass around one inch diameter over the right side defect site. Its a bit uncomfortable, but more worrying than anything. I'm sure it should not be there almost a month after the surgery. The usual post-surgical follow up was missed - He was on vacation over the holidays and I was doing well. Now I know I need to go back.
Anyone had a similar experience?
James

Byrdstown, TN

#444 Jan 18, 2011
Linda wrote:
<quoted text>
And, what are your thoughts about Dr. Grischkan? I've read wonderful testimonials on him. He has now done 20,000 surgeries. I've have done alot of homework on hernias, and he seems to be a fit.
I've spoken with Dr. Grischkan a couple of times and saw him in person once. I've also spoken with several people who went to him for surgery. I think on a first time he would be fine in most cases. He's also helped a lot with recurrent issues. Remember, each is case specific. The only issue with me is he uses gore tex, which is a heavyweight mesh. On thin people, may not be such a good option. It wouldn't hurt to get more than one opinion. If a surgeon seems more salesman than surgeon, look for another one. He or she should be more than willing to tell you EXACTLY what is going to be done. If he or she says, "I don't know until I get in there," look for someone else.
Allen

Hillsboro, KS

#445 Jan 25, 2011
Seriously :
Urgent Review Required for TVT, TVTO & TOT Medical Devices - The Petition Site
www.thepetitionsite.com
Florida Hernia

Summerfield, FL

#446 Feb 1, 2011
another jeff wrote:
<quoted text>
I think Yunis would be good for first time surgery, but not for a redo... I've been through the ringer and have done a lot of relevant research (including communication with most and visits with some of the best). The Hernia Institute of Florida would also be good, too, I think. BUT, Bruce Ramshaw is now practicing in Florida, at the Halifax Medical Center in Daytona. Trust me when I say that's who I'd go to in Florida. He's one of the very best in the country. I visited him when he was at the Univ. of Missouri, and if you can have the surgery done by him you should be fine!
Drs. Todd Heniford in Charlotte, NC; Peter Billing in Seattle; and Shirin Towfigh in LA are tops also...
If I were doing a small, inguinal, first time hernia surgery, knowing what I know now, I'd definitely choose an experienced specialist and have lap surgery done with a single layer of lightweight mesh. Do this, and you should be just fine...
Hope this helps...
Thanks. I appreciate the comments. I talked to Dr. Yunis but Im a bit hesitant as he uses the Prolene Hernia System as his open approach. I cant do a lap repair as I had a previous abdominal surgery in the past. What do you think is the best open approach? Do you know what open approach Dr. Ramshaw uses? thanks again
Florida Hernia

Summerfield, FL

#447 Feb 1, 2011
James wrote:
I have had recent contact with Dr. Ramshaw's office staff, and he is not yet practicing. The last projected date they gave me for having their new practice operational is April of this year.
I agree with Another Jeff about a lap repair. I just had one with Dr. Towfigh, and it was a walk in the park compared to the open repairs I have had. Just make sure you get a top lap surgeon, and not someone who does a few a year. TEPP is preferred on first time hernias and some recurrent hernias. If he or she can only do TAPP, I'd consider another surgeon. With TAPP, there is a greater chance of adhesions, but it may be the only option in some cases. In my particular case, it was the only option without a big gamble.
If you're not having MAJOR problems from it, watchful waiting is the best. If a surgeon doesn't suggest that as an option, find another one -- they're only in it for the money. I know it stinks to have some pain or odd sensations, but don't rush it. I rushed it years ago and was told it "had to be fixed." And three surgeries later, I'm still paying for it. Now I miss that old hernia...
Thanks for the comments James. I cant have it done Lap as I had a prior inguinal surgery. I need to have it open. Who would you recommend? Do you know what type of mesh Dr. Towfigh uses? thanks
James

Byrdstown, TN

#448 Feb 2, 2011
Florida Hernia wrote:
<quoted text>
Thanks for the comments James. I cant have it done Lap as I had a prior inguinal surgery. I need to have it open. Who would you recommend? Do you know what type of mesh Dr. Towfigh uses? thanks
Dr. Towfigh is a lap surgeon, so I doubt she would do a pure open repair. The two meshes we discussed is 3D Max Mesh and Sepra Mesh depending upon my complex case. She used 3D Max Mesh after she saw what was going on from the inside.

You might consider Dr. Grischkan who only does open and uses Gore Tex. Also, any competent Lichtenstein surgeon (one who does a couple 100 each year) should be fine. I'd stay away from the latest and greatest devices (PHS, UHS, plugs, etc.). A flat piece of mesh -- Ultrapro or similar lightweight -- would be best. 3D Max Mesh is made for lap repairs and is curved to fit the inguinal anatomy. On a first time, Dr. Parviz Amid would be great for a Lichtenstein repair, although many people don't like his blunt attitude. I for one appreciate it considering what I've been through.

Good luck.
Florida Hernia

Summerfield, FL

#449 Feb 3, 2011
James wrote:
<quoted text>
Dr. Towfigh is a lap surgeon, so I doubt she would do a pure open repair. The two meshes we discussed is 3D Max Mesh and Sepra Mesh depending upon my complex case. She used 3D Max Mesh after she saw what was going on from the inside.
You might consider Dr. Grischkan who only does open and uses Gore Tex. Also, any competent Lichtenstein surgeon (one who does a couple 100 each year) should be fine. I'd stay away from the latest and greatest devices (PHS, UHS, plugs, etc.). A flat piece of mesh -- Ultrapro or similar lightweight -- would be best. 3D Max Mesh is made for lap repairs and is curved to fit the inguinal anatomy. On a first time, Dr. Parviz Amid would be great for a Lichtenstein repair, although many people don't like his blunt attitude. I for one appreciate it considering what I've been through.
Good luck.
thanks. I live in Florida and am willing to go to California to see Dr. Amid if necessary but wanted to see if there was someone closer. Is there anyone else in the U.S. recognized for thier Lichtenstein repair? I know Dr. Bruce Ramshaw will be starting soon. Do you know if he does open repairs? If so, what mesh style does he use? Thanks, Im glad there are people out there willing to help.
Another Jeff

Trumansburg, NY

#450 Feb 3, 2011
Florida Hernia wrote:
<quoted text>
thanks. I live in Florida and am willing to go to California to see Dr. Amid if necessary but wanted to see if there was someone closer. Is there anyone else in the U.S. recognized for thier Lichtenstein repair? I know Dr. Bruce Ramshaw will be starting soon. Do you know if he does open repairs? If so, what mesh style does he use? Thanks, Im glad there are people out there willing to help.
Dr. Ramshaw does do open repairs, but typically does lap, if that's an option... at least this is what I think based on a meeting with him. He totally understands and embraces use of a single layer of lightweight mesh, which is, I think, key. He'd be worth waiting for a bit, if his practice is coming soon. But, of course, the best thing to do is to contact him directly and ask good questions... Good luck with everything!
Florida Hernia

Summerfield, FL

#451 Feb 4, 2011
Another Jeff wrote:
<quoted text>
Dr. Ramshaw does do open repairs, but typically does lap, if that's an option... at least this is what I think based on a meeting with him. He totally understands and embraces use of a single layer of lightweight mesh, which is, I think, key. He'd be worth waiting for a bit, if his practice is coming soon. But, of course, the best thing to do is to contact him directly and ask good questions... Good luck with everything!
thanks alot, do you know of any other excellent lichtenstein Dr's? I saw this email "herniateam@yahoo.com " for Dr. Ramshaw, would you happen to know if hes responding to it? thanks again
Another Jeff

Trumansburg, NY

#452 Feb 4, 2011
Sorry, but no idea about Dr. Ramshaw's current email... or docs other than those I've already mentioned...

All best...
Florida Hernia wrote:
<quoted text>
thanks alot, do you know of any other excellent lichtenstein Dr's? I saw this email "herniateam@yahoo.com " for Dr. Ramshaw, would you happen to know if hes responding to it? thanks again
ALS

El Monte, CA

#453 Feb 6, 2011
James wrote:
I have had recent contact with Dr. Ramshaw's office staff, and he is not yet practicing. The last projected date they gave me for having their new practice operational is April of this year.
I agree with Another Jeff about a lap repair. I just had one with Dr. Towfigh, and it was a walk in the park compared to the open repairs I have had. Just make sure you get a top lap surgeon, and not someone who does a few a year. TEPP is preferred on first time hernias and some recurrent hernias. If he or she can only do TAPP, I'd consider another surgeon. With TAPP, there is a greater chance of adhesions, but it may be the only option in some cases. In my particular case, it was the only option without a big gamble.
If you're not having MAJOR problems from it, watchful waiting is the best. If a surgeon doesn't suggest that as an option, find another one -- they're only in it for the money. I know it stinks to have some pain or odd sensations, but don't rush it. I rushed it years ago and was told it "had to be fixed." And three surgeries later, I'm still paying for it. Now I miss that old hernia...
That's just your opionion on TAPP. It was with a botched TEPP repair that I got my adhesions on the left side.
James

Monterey, TN

#454 Feb 6, 2011
ALS wrote:
<quoted text>
That's just your opionion on TAPP. It was with a botched TEPP repair that I got my adhesions on the left side.
It's not my opinion. Countless studies indicate a TEP is less likely to cause adhesions because the peritoneum is not entered, as it is in a TAPP repair. As you mentioned, your repair was botched, so I surmise that is the cause of your adhesions. A TEP is technically more difficult, so fewer surgeons perform it and there is a greater chance of injury and error. I.E., your botched repair...
AnnGT

Georgetown, Guyana

#455 Feb 7, 2011
I am suffering with hernia following my third surgery the first in 2005 the second in 2009 and the third in 2010. My surgeon is recommending laparoscopic Hernia Repair. He thinks this is the safest way to go and considering all the pain I went through over the past two years. I am diabetic also.

Can anyone share the likely complications? How safe is this as against the open surgery.

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