Non-mesh surgery advice -- Desarda: Tomas, Pedersen, Parvez?

[ke...@techtalkstudio.com]

I have an inguinal hernia on the left side, appeared about six weeks ago. Want to do non-mesh surgery, and live in San Francisco. Do not have insurance. Looking at the Desarda method, and tentatively scheduled to go down to Florida for Dr Tomas. Have also been looking at Kevin Pedeson in Las Vegas, which would be closer, but have read some complaints about him . Have also heard about Dr. Parvez in Gallup New Mexico, near where we spend time in Santa Fe., I also heard about dr. Robert Burns in Southern California. Would appreciate any advice and hearing about experiences with any of these doctors and Desarda method. Thank you, am new to all this and a little overwhelmed. -- Kevin

[Prof.Dr.Desarda MP]

All doctors you mentioned are good. But Dr. Tomas had performed more than 3000 surgeries by our technique. You can find a doctor in your area also for your treatment. We have delivered lectures to many surgeons from all over the world through various conferences. If the doctors are used to attend these conferences then they should be aware about this surgical technique. My lectures are teaching lectures. However, if any surgeon whom you contact for your surgery is not aware then don’t worry. Show him the internet pages you have about our technique or ask him to send us an email and we will provide him all teaching material. Our operation technique is very simple to understand and follow for any surgeon with a good surgical skill. So you can contact a surgeon from your locality and give him all the information downloaded from our web site. He may go through that and be willing to use this technique. We have not made any patent of this operation technique so any surgeon can use it without any permission or payment to us. We will be providing all the technical knowhow free of cost to him. Visit our website to get full access to all operative or recovery videos, research articles or cost involved. www.desarda.com

 

Remember, every laparoscopic surgery is done with mesh only. And that is more hazardous because the mesh which is a simple piece of cloth is inserted inside your abdomen. So never consider endoscopic or laparoscopic surgery even if it is done free of cost.

You may read our book recently published on Amazon.com at just $ 4.99 only. Title: A short handbook of Desarda repair for inguinal hernia. CLICK HERE:

https://www.amazon.com/HANDBOOK-DESARDA-REPAIR-INGUINAL-HERNIA/dp/179808368X/ref=sr_1_1?keywords=desarda+repair+for+inguinal+hernia&qid=1552162903&s=gateway&sr=8-1-spell 

Useful for general public, undergraduates, postgraduates and consultants to get complete knowledge of new technology of inguinal hernia repair without mesh. It gives all details of causes, new technology, complications, treatment etc in a very easy and flowing language.

[Saleh Haskouri]

dr. desarda:

thanks for your worldly and kind contribution.

Sal

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[rich.r...@gmail.com]

I'd love to hear who you decided to go with, why, and what your experience was with that person...?  (I'm also near San Francisco, and overwhelmed considering the same list of folks, etc, etc.  Any additional info you [or, anyone reading this post] might have on any of them, especially Robt. Burns in S. Cal, would be much appreciated!)  Warm regards, Rich

[Saleh Haskouri]

Go to Dr. Thomas in Florida. He has sucessfully used Desarda Method with more than 3000 patients. Dr. Peterson in Las Vegas is good at mesh removal. I believe he uses the Mecvey Method for hernia repair which is outmoded. I hope Petersen goes for Desarda Method.

I was operated by Desarda for hernia repair and by Petersen for mesh removal.

I hope this helps.

Sal Haskouri

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[Fred AMIR]

You may consider Dr. William Brown in Fremont. I’ve heard good things about Dr. Burns.

Take care,

Fred Amir

Author, Speaker, Rapid Recovery Coach 

www.fredamir.com

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[Kevin O'Malley]

I did my surgery with Dr Bill Brown in Fremont, based on a recommendation from Fred on this list. Dr. Brown was extremely helpful in advance, and spent a lot of time on the phone speaking with me before I ever committed to doing the work with him. Once I did decide to go with him, he was extremely knowledgeable in our initial consult; and really wonderful to work with and did an excellent job. Highly recommended. https://www.sportshernia.com/sports-hernia-specialist/

[Kevin O'Malley]

Fred,  thanks again for your recommendation of Dr. Brown he was really wonderful, and did a great job. I really appreciate you recommending me to him, and told him that I had come based on your recommendation :-)

And his fee and the fee for the outpatient clinic were extremely reasonable.  The clinic he uses was also excellent. 

Thanks again for your help.

Kevin

Kevin O'Malley

President
TechTalk / Studio

415.460.9940
415.305.4517 cell
http://techtalkstudio.com

On Sep 12, 2019, at 9:11 PM, Kevin O'Malley <ke...@techtalkstudio.com> wrote:

I did my surgery with Dr Bill Brown in Fremont, based on a  recommendation from Fred on this list. Dr. Brown was extremely helpful in advance, and spent a lot of time on the phone speaking with me before I ever committed to doing the work with him. Once I did decide to go with him, he was extremely knowledgeable in our initial consult; and really wonderful to work with and did an excellent job. Highly recommended. https://www.sportshernia.com/sports-hernia-specialist/

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[Andrew Eisen]

Good Morning. 

I researched for about 18monrhs. I was at first taken with Shouldice Hispital in Canada but soon realized that one of the ways they have such good outcome statistics is because they will only take low risk cases(!).  Next I researched Desarda and was quite taken with this method and the videos but could find no actual sharing of data only what can best be described as unverified claims and I found Dr. Thomas’s office to be professional but geared towards getting me to sight up (Dr. Thomas would not take phone calls without taking fee). I even considered going to India. My research into the surgical techniques, history and outcomes led me to understand that non-mesh repair outcomes are directly related to the level of experience possessed by the surgeon and the surgeons mastery of a variety of non-mesh surgical techniques. I read voraciously all I could find on technique and anything I could find where doctors were discussing techniques, technology, outcomes, surgical setting, diagnoses and approaches etc. I had settled on a non-mesh repair and on outpatient surgery in a surgical clinic as infection rates are typically lower than in hospital settings. I came across a discussion forum https://www.herniatalk.com/ and there discovered Dr. William Brown. He couldn’t have been more patient on the phone as he took plenty of time answering all my questions and offered his cell phone should I have any other questions. His manner remained this way throughout. The surgery was successful and he remained available for questions and concerns post op too. I owe him a call to let him know how it’s going. I am 8mos post op and have been fully back to all activity since 5 months post op. I am completely satisfied at this point. 

There are both preparations and post op care that can assist one in healing and comfort. Happy to discuss if interested. 

The hernia I had repaired was an indirect inguinal hernia. 

Yours,

Andrew

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[Saleh Haskouri]

I hope Brown performed non mesh surgery

On Friday, September 13, 2019, Andrew Eisen <andre...@gmail.com> wrote:

Good Morning. 

I researched for about 18monrhs. I was at first taken with Shouldice Hispital in Canada but soon realized that one of the ways they have such good outcome statistics is because they will only take low risk cases(!).  Next I researched Desarda and was quite taken with this method and the videos but could find no actual sharing of data only what can best be described as unverified claims and I found Dr. Thomas’s office to be professional but geared towards getting me to sight up (Dr. Thomas would not take phone calls without taking fee). I even considered going to India. My research into the surgical techniques, history and outcomes led me to understand that non-mesh repair outcomes are directly related to the level of experience possessed by the surgeon and the surgeons mastery of a variety of non-mesh surgical techniques. I read voraciously all I could find on technique and anything I could find where doctors were discussing techniques, technology, outcomes, surgical setting, diagnoses and approaches etc. I had settled on a non-mesh repair and on outpatient surgery in a surgical clinic as infection rates are typically lower than in hospital settings. I came across a discussion forum https://www.herniatalk.com/ and there discovered Dr. William Brown. He couldn’t have been more patient on the phone as he took plenty of time answering all my questions and offered his cell phone should I have any other questions. His manner remained this way throughout. The surgery was successful and he remained available for questions and concerns post op too. I owe him a call to let him know how it’s going. I am 8mos post op and have been fully back to all activity since 5 months post op. I am completely satisfied at this point. 

There are both preparations and post op care that can assist one in healing and comfort. Happy to discuss if interested. 

The hernia I had repaired was an indirect inguinal hernia. 

Yours,

Andrew

Sent from my iPhone

On Sep 12, 2019, at 9:22 PM, Kevin O'Malley <ke...@techtalkstudio.com> wrote:

Fred,  thanks again for your recommendation of Dr. Brown he was really wonderful, and did a great job. I really appreciate you recommending me to him, and told him that I had come based on your recommendation :-)

And his fee and the fee for the outpatient clinic were extremely reasonable.  The clinic he uses was also excellent. 

Thanks again for your help.

Kevin

Kevin O'Malley

President
TechTalk / Studio

415.460.9940
415.305.4517 cell
http://techtalkstudio.com

On Sep 12, 2019, at 9:11 PM, Kevin O'Malley <ke...@techtalkstudio.com> wrote:

I did my surgery with Dr Bill Brown in Fremont, based on a  recommendation from Fred on this list. Dr. Brown was extremely helpful in advance, and spent a lot of time on the phone speaking with me before I ever committed to doing the work with him. Once I did decide to go with him, he was extremely knowledgeable in our initial consult; and really wonderful to work with and did an excellent job. Highly recommended. https://www.sportshernia.com/sports-hernia-specialist/

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[Fred AMIR]

Thanks for sharing your experience here, Kevin.

Glad all went well and we have one more surgeon we can rely on for the Desarda repair.

Take care,

Fred Amir

Author, Speaker, Rapid Recovery Coach 

www.fredamir.com

[Fred AMIR]

Thanks for sharing Andrew.

Please post any advice you have for all to benefit.

Thanks,

Fred Amir

Author, Speaker, Rapid Recovery Coach 

www.fredamir.com

[Saleh Haskouri]

ok

[Kevin O'Malley]

From my experience, Dr Brown is definitely the way to go.  Non-mesh, and also has had a number of patients who came to him to have mesh removed and repaired. 

He does not do strictly Desarda — but uses a combination of Desarda and other related non-mesh techniques based on the specific needs of his patient. 

Make sure to ask his office for an appointment with the the Clinic that is set up for self-pay, as they are both very reasonable compared to standard hospitals — and extremely good and supportive in the whole process. I had an extremely positive experience — and very happy with the results, four months later. 

Kevin

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[Saleh Haskouri]

You mean earlier inserted mesh removed and hernia repaired......

On Friday, September 13, 2019, Kevin O'Malley <ke...@techtalkstudio.com> wrote:

From my experience, Dr Brown is definitely the way to go.  Non-mesh, and also has had a number of patients who came to him to have mesh removed and repaired. 

He does not do strictly Desarda — but uses a combination of Desarda and other related non-mesh techniques based on the specific needs of his patient. 

Make sure to ask his office for an appointment with the the Clinic that is set up for self-pay, as they are both very reasonable compared to standard hospitals — and extremely good and supportive in the whole process. I had an extremely positive experience — and very happy with the results, four months later. 

Kevin

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[Saleh Haskouri]

On Friday, September 13, 2019, Saleh Haskouri <saleh.h...@gmail.com> wrote:

You mean earlier inserted mesh removed and recurrent hernia repaired......

what city and state is he in?

What are his fees? 

[Kevin O'Malley]

He is in Fremont California, south of San Francisco.  

His fees, I think, were $300 for the initial consult, 1500 for the surgery. The Outpatient private hospital was $2500.  Some of the hospitals I spoke with were 60,000 !

https://www.sportshernia.com/sports-hernia-specialist/

Regarding mesh — he has also removed mesh that went bad, and repaired the hernia and problems.

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[Saleh Haskouri]

Great. I will pass this on to my friends.

Thanks

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[Mohan Desarda]

Hello

 

Kevin wrote about Dr. Brown hernia surgery clinic that-“He does not do strictly Desarda — but uses a combination of Desarda and other related non-mesh techniques based on the specific needs of his patient.”

 

I am writing this message nor in support or against anybody.  But if we study all comments written by Kevin it appears that he is too much influenced by Dr. Brown. He should disclose whether his surgery was done strictly by Desarda way or not! Anybody will feel so because the entire thread of this discussion was about anybody doing the hernia surgery by Desarda way. Kevin dragged it to Dr. Brown and then writes that he does not do strictly Desarda, but uses a combination.

 

I must write it down here for the sake of knowledge all you people about such unwanted combinations of operations (like modified Desarda or modified Bassini or modified Shouldice etc.) invented and practiced by many surgeons thereby making more damage to the patients tissues without any added advantage and are done without any basis.

 

I have no personal communication from Dr. Brown. We would be glad to get communicated with Dr. Brown as he is promoting non mesh hernia surgery and saving lives of many would be patients sufferings due to mesh complications.

 

 

Prof. Dr. Desarda MP

MBBS; MS; FICS(USA); FICA(USA)

Chief of Hernia Center

Poona Hospital & Research Centre

Mobile: +91 7738181022  or +91 9373322178

Wbe site: www.desarda.com

Email: des...@gmail.com ; des...@hotmail.com

Kevin

 

 

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[NILESHKUMAR PATEL]

Sir,

I have inguinal hernia in right side in year 2008 and operated by Dr Desarda in year 2012 till now I have no problem to do any work. Another leftside have also hernia want to operate in near future. Question is not for which surgeon is superior but patient life is normal after desarda technique and not any life threatening complication from mesh.

Nileshkumar Patel

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[Saleh Haskouri]

ok

Kevin

 

 

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[Rich Raffals]

So glad to hear you had a great outcome, Kevin, and Thanks so much for sharing your experience!

Questions for you or anyone who’d like to chime in:

1) Did you happen to speak with anyone who had it done w/Dr. Brown long enough ago to be able to report on long-term outcome (in terms of recurrence, chronic pain, other complications, etc)?

2) Any recommendations on a brand/model of truss to wear between now and when I have the surgery?  Any other do’s/dont’s to honor between now and then for best results?

3) What specific repair did you have done (a Desarda? hybrid? other?)...and how was the determination made on which would be best for you?

With gratitude and warm regards,

Rich

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[Rich Raffals]

Very happy to hear you had a good outcome, and thanks for sharing your experience, Andrew!

A researcher myself, I’m quite impressed by your level of exploration of what’s seemed like quite a rabbit hole to me (so much directly conflictual info!).

(I’m also looking at Shouldice, but don’t like the stainless steel sutures that seem required by that technique.  Didn’t know about their only taking low risk cases, however — good data point.)

* Yes, as you suggested, I’d love to hear your insights for preparations, post op care, etc. to assisting in best outcome, healing and comfort…?

* Question:  I’m guessing give all the research you did that you’ve seen the recovery videos of folks who had the procedure done by Desarda in India (http://www.desarda.com/videos-recovery), yes?  It seems like they’re almost completely functional, without pain, the very next day.  Your statement that you were back to full activity in 5 months sounds like a big difference.  Am I misreading/misunderstanding this?  Can you please elaborate?

Thanks and warm regards,

Rich

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[Rich Raffals]

Thanks for your post, Dr. Desarda…and, of course, for your pioneering work in hernia repair!

I appreciate that everyone on this forum understands the complexity and fears involved in contemplating a surgical hernia repair.  I’m grateful that folks have been contributing from their diverse knowledge and experience…from a shared understanding and empathy of the potential serious negative consequences of making a wrong choice…and with the sole intention of helping others like me avoid such a wrong choice, find the most suitable surgeon and method for their particular situation, and have the best possible healing result.

Given that noble and altruistic intention, I think Kevin and all others' posts definitely hit the mark...and are quite helpful to those in my situation.  I would be nice to know, as you mention, exactly what procedure was performed in K’s case…and I believe I asked this question in a prior post.  But, I’m sorry to say, it seems everyone stopped participating in the discussion after your post (probably to avoid upsetting or offending you, I’d guess).

You mentioned that you’d like to communicate with Dr. Brown.  He can be contacted at +1 (510) 793-2404 or via his website: https://www.sportshernia.com/contact/

I’m concerned by this statement in your post: “...unwanted combinations of operations (like modified Desarda or modified Bassini or modified Shouldice etc.) invented and practiced by many surgeons thereby making more damage to the patients tissues without any added advantage and are done without any basis."

Can you please elaborate on what the risks are of an approach like Dr. Browns, in which the technique used is selected and potentially tailored to the individual anatomy of the patient (see specifics below)?

Of course I’m new to all this and just trying to understand, which is why I’m asking.  But, what he states on his website, sounds like a very wise and rational approach to me — with specific reasons why one technique may be preferable in a particular set of circumstances...and another may be preferable in a different situation…what the pros/cons and tradeoffs might be of a particular technique, etc.

He says (from https://www.sportshernia.com/no-mesh-hernia-repair/repair/):

"Each hernia repair needs to be tailored the patient’s anatomy.   Your surgeon should have all these various methods available and then choose which will give the best result for your situation.  For example, in a young athlete with an indirect inguinal hernia, the Marcy hernia repair yields excellent results with minimal dissection and minimal postoperative pain. 

For direct inguinal hernias the Bassini, the Shouldice, and the Desarda are all excellent choices.  The Bassini repair is very good choice, especially if the floor of the inguinal canal is just weak and not fully torn. But there may more tension on the repair than the other techniques.  The Desarda also provides excellent results.  There is very little tension on the repair.  But the Desarda repair does require a strong external oblique aponeurosis to serve as a patch to cover the inguinal floor.  Therefore, it is not a good option if the external oblique aponeurosis is torn or weak.  The Shouldice is an excellent operation.  There little tension on the repair.  The four-layer repair is very strong.  But it does rely on an intact inguinal ligament. Thus, there will be times when the Shouldice may not be possible.

The McVay repair involves the use of Cooper’s ligament instead of the inguinal ligament to repair the inguinal floor.  It is especially good technique in situations in which the inguinal ligament is damaged or there is an associated femoral hernia. The McVay hernia repair does have tension on the repair and may require more recovery time.

Your surgeon should know all of these techniques for hernia repair.  And he or she will often find that a hybrid operation using the best ideas from each method may be needed to achieve your best result."

* Pros/cons and descriptions of 5 non-mesh repair techniques (including Desarda):

https://www.sportshernia.com/no-mesh-hernia-repair/types-repair/

I’d love to have your expert opinion on whether you believe having a procedure done in this way (ie, selecting the technique based on the patient’s individual physiology and pathology), would be putting myself at risk — and, if so, what that risk would be, specifically, and why?

While my preference is for a Desarda repair, my understanding from what Dr. Brown says is that there may be situations in which that’s not the best option for me.  If that were his determination, are you saying that would “give no actual advantage and create more tissue damage”?  Are you implying there’s an incomplete understanding of the Desarda repair at the basis Dr. Brown’s approach?  That is, are you suggesting that a straight Desarda repair is best in all cases?

Again, I am so grateful to you and everyone whose made non-mesh hernia repair a viable option, and to all who’ve contributed here.  That is to say that I am not trying to upset or offend anyone, nor to incite controversy:  I’m a layperson with a hernia, who’s merely trying to sort this all out and make the best choice for himself.  :-)

With warmth, respect and gratitude,

Rich

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[Saleh Haskouri]

ok

Email: des...@gmail.com ; desar...@hotmail.com

Kevin

 

 

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[Prof.Dr.Desarda MP]

Hello all,

If you really want to understand the pathophysiology and the treatment accordingly, then do not hesitate to read our book recently published on amazon.com. There is nothing like tailored treatment because in all the anatomy remains same with all human beings. Try to search if there are any research articles published on tailor made approach to define exactly what is meant by tailor made and who is going to decide which is best for one ? You will find none!!!!!!!!. At the most tailor made can be a choice between mesh or shouldice or desarda or macvay but not any modification in the original techniques described by the authors of those techniques.

Dear friends,

 

Be careful about mesh used in hernia surgery. It is a simple piece of synthetic cloth !!!

 

You may read either of our books recently published by Dr. Mohan Desarda on Amazon.com:

             

1] Title: A short handbook of Desarda repair for inguinal hernia. At $ 4.99 (Rs.

    354/-) only.

2] Title: New technique of inguinal hernia repair-Desarda Repair. At $ 2.99 (Rs.

    207/-) only.

Click here: https://www.amazon.com/s?k=mohan+desarda+book&ref=nb_sb_noss

Useful for general public, undergraduates, postgraduates and consultants to get complete knowledge of new technology of inguinal hernia repair without mesh. It gives all details of causes, new technology, complications, treatment etc in a very easy and flowing language.

 

Prof. Dr. Desarda M. P. MS; FICS(USA); FICA(USA)

Chief of Hernia Center, Poona Hospital & Research Center

Mobile: 0091 7738181022 or 0091 9373322178

Email: desarda@gmail.com

Website: www.desarda.com

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Kevin

 

 

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[NILESHKUMAR PATEL]

Sir,

Human body is mystery for mankind from ancient days. In ancient day how people can live with hernia because surgery option is not available. In modern day surgery option is available. With modern medical science surgery and natural anatomy of body can preserve with mesh free hernia surgery like desarda technique. Why doctor not think about own muscles for repair hernia long year back.

Nileshkumar Patel

Email: des...@gmail.com ; des...@hotmail.com

Kevin

 

 

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[Saleh Haskouri]

well put

Email: des...@gmail.com ; desar...@hotmail.com

Kevin

 

 

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[wjbu...@gmail.com]

Kevin: 

Your hernia operation was a Desarda repair?

Regards.

Jorge W. Burton

El jueves, 12 de septiembre de 2019, 21:22:40 (UTC-4), Kevin O'Malley escribió:

Fred,  thanks again for your recommendation of Dr. Brown he was really wonderful, and did a great job. I really appreciate you recommending me to him, and told him that I had come based on your recommendation :-)

And his fee and the fee for the outpatient clinic were extremely reasonable.  The clinic he uses was also excellent. 

Thanks again for your help.

Kevin

Kevin O'Malley

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TechTalk / Studio

415.460.9940
415.305.4517 cell
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On Sep 12, 2019, at 9:11 PM, Kevin O'Malley <ke...@techtalkstudio.com> wrote:

I did my surgery with Dr Bill Brown in Fremont, based on a  recommendation from Fred on this list. Dr. Brown was extremely helpful in advance, and spent a lot of time on the phone speaking with me before I ever committed to doing the work with him. Once I did decide to go with him, he was extremely knowledgeable in our initial consult; and really wonderful to work with and did an excellent job. Highly recommended. https://www.sportshernia.com/sports-hernia-specialist/

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[Kevin O'Malley]

It was a combination of several non-mesh approaches, which he decides upon once he gets into look at the exact problem. He told me afterward but I can't remember precise components. But he was great — and very supportive. And his work and clinic were quite reasonable, compared to hospital. 

So not just Desarda but related and very close to that work. 

You do want to tell his offie that you want do the out-patient clinic and not hospital,   They were also great. 

Kevin 

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[Prof.Dr.Desarda MP]

You wrote "So not just Desarda but related and very close to that work." 

Such experimental operations cannot deliver the desired results. You should always insist to do "desarda repair" to get the desired results.

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