175. HerniaTalk LIVE Q&A: Updates from European Hernia Society Meeting

[@dr.ahmedisl6239]

Thank you for sharing. It was an honor to have the opportunity to talk to you in person and to take a selfie with you 😉 at the EHS Kongress

[@herniadoc]

🙏

[@stumpynubs5387]

Great information thanks for sharing.

[@herniadoc]

Glad it was helpful!

[@ElCoolioCoolJ]

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?

[@herniadoc]

Thanks for the compliments. I do offer all options for hernia repairs. However, there are also excellent surgeons in NY (I’ve interviewed many) who are great resources. Get multiple opinions and do your research. Open tissue based repair is not for everyone (or even for most people)

[@joeblow9548]

Dr thankyou for your videos they are so helpful,,i have to ask you,,if you had a hernia and with all the horrible stories of surgeries gone wrong,,would you fix yours???

[@ElCoolioCoolJ]

Joe Blow, you ain't kidding. All I hear from this or that surgeon is that they have either a 1< percent recurrence or complications rate, or NO RECURRENCE or complications rate. Great. Except that the number of horror stories from people who have had hernia surgery is enough to make you think there is a 50 PERCENT RATE of recurrence or some horrible complication resulting from surgery.

[@herniadoc]

Of course I would have my hernia fixed if it’s hurting me or it’s a femoral hernia. If I have no symptoms, I believe in watchful waiting