tag:blogger.com,1999:blog-2760353953251845523.post5969304809072023448..comments2024-02-10T02:14:39.898-05:00Comments on Buckeye Surgeon: weekend coming upJeffrey Parks MD FACShttp://www.blogger.com/profile/15650563299849196122noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-2760353953251845523.post-68817040028954936232007-10-16T21:48:00.000-04:002007-10-16T21:48:00.000-04:00Of course, I said "essentially" sutureless. It was...Of course, I said "essentially" sutureless. It was basically the placement of a large rectangular mesh in the preperitoneum, by opening the transversalis fascia at the internal ring, clearing the space digitally, and using a couple of deBakeys to insert and then unfold the mesh. I used a 4x6 and made a slit parallel to the long edge about one inch from the edge, and a couple of inches long, and I slipped that little "leg" lateral to the cord. I reduced or removed an indirect sac. The only suture in the mesh was the one stitch I used to reclose the transversalis at the internal ring, taking a bite of underlying mesh. WIth the mesh there, I never placed any postop restrictions other than common sense based on comfort. I can't claim the pain was as minimal as a lap repair, but it was pretty well tolerated, especially compared to a Bassini, etc, and most people were doing what they wanted in two or three days. I figured the time and money saved in avoiding the lap drill was worth it.Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-43146447203071153712007-10-16T19:56:00.000-04:002007-10-16T19:56:00.000-04:00Sid-No sutures? I'm visualizing some sort of Stop...Sid-<BR/>No sutures? I'm visualizing some sort of Stoppa giant mesh placement in the preperitoneum....Love to hear about the technique. I do all my open repairs via the Plug and Patch method, learned from Keith Millikan in Chicago. I'm curious about this sutureless version though.Jeffrey Parks MD FACShttps://www.blogger.com/profile/15650563299849196122noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-8499952862691283902007-10-16T14:20:00.000-04:002007-10-16T14:20:00.000-04:00Grady Sizemore grew up in my town, went to high sc...Grady Sizemore grew up in my town, went to high school here. For him, I root. I sort of emotionally lean toward the Sox, only because when they win it sticks a finger in the Yankee eyes. But having gone to med school in Cleveland, I can handle it if they win.<BR/><BR/>It will always feel terrible to have to reoperate for an error. Your approach is exactly right, and most people understand.<BR/><BR/>I never bought the lap hernia; in fact I saw several people who'd recurred after (which doesn't, per se, condemn the technique.) I did my own modification of the open approach, using a small incision, and placing a hand-fashioned mesh in the properitioneum, essentially sutureless. Took about 15 minutes. Patients recovered very fast. There's something to be said for the lap approach for a bilateral, though.Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-79358313809887225892007-10-14T00:43:00.000-04:002007-10-14T00:43:00.000-04:00ok. i recently got satelite so i actually have wat...ok. i recently got satelite so i actually have watched a bit of baseball. seems quite a technical sport. a bit like cricket only completely different.<BR/><BR/>there are less concussions in rugby these days. they've tried to make it safer, but it happens. great sportBongihttps://www.blogger.com/profile/12918640034313468627noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-37790418441773859762007-10-13T19:40:00.000-04:002007-10-13T19:40:00.000-04:00Good luck to your squad, Bongi. I played a little...Good luck to your squad, Bongi. I played a little scrum half for a club in college. Great sport. Too many concussions. This is the time of the year for the American baseball playoffs.Jeffrey Parks MD FACShttps://www.blogger.com/profile/15650563299849196122noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-68788204463685936652007-10-13T14:06:00.000-04:002007-10-13T14:06:00.000-04:00i'm not even sure of what sport you're referring t...i'm not even sure of what sport you're referring to. but whatever it is, the RUGBY WORLD CUP is on and my team has a better than good chance of being crowned the best in the world!!! go bokkeBongihttps://www.blogger.com/profile/12918640034313468627noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-22334392791550736392007-10-12T22:25:00.000-04:002007-10-12T22:25:00.000-04:00Doesn't look good so far for tonight, but I hope t...Doesn't look good so far for tonight, but I hope the Indians win the AL. Regardless, whoever wins this series wins the whole show...no way the Sox or Tribe will be bested by either NL team.Anonymousnoreply@blogger.com