Good morning Dr. Brown.
I just wanted to express my gratitude to you for my hernia repair and your care following my surgery. I am feeling great! Take care and thanks again!
The inguinal ligament is a band of fibrous tissue that starts at the anterior superior iliac spine and runs inferiorly and medially to attach to the pubic bone at the pubic tubercle. The rectus femoris muscle attaches to the inferior aspect and the external oblique muscle forms the superior aspect. It is called a ligament, but functionally it more like a tendon in that it is an extension of the external oblique’s muscle attachment to the bone. The medial attachment of the inguinal ligament is often damaged in athletes with sports hernias. It is very important that this injury is identified because if missed the athlete will have persistent pain after surgery.
The athlete will report pain at the pubic tubercle that is aggravated by acceleration. There is maybe some pain at rest. Direct pressure over the pubic tubercle will reproduce the pain. Often the medial inguinal ligaments and the…
I recently reviewed the literature, and I found twenty different methods to repair inguinal hernias.
Many of these methods have several variations. The fact that there are so many ways to fix a hernia emphasizes the fact that hernias can be very complex problems and require expertise to repair.
- TEP Totally extraperitoneal
- TAP Transabdominal preperitoneal
- Plug and patch
- High Ligation
If you think you may be suffering from a sports hernia, please consider making an appointment with Dr. Brown to see if you’re right. Dr. Brown specializes in working with hernia patients, and is an expert at the process of diagnosis, treatment, and recovery.
If you have any questions regarding the different types of hernia repair, please contact Dr. Brown.
If you review the literature, you will find that there are over 20 different ways to fix a hernia. No wonder many surgeons do not know what is going on and it makes almost impossible for the patient to fully understand the options and to make an informed decision.
To simplify the situation try to think of a hernia as simply a hole in the muscles. All the hernia repairs can be then organized into two basic types:
- The Pure Tissue Repair. The surgeon uses the patient’s own tissues to repair the hole.
- The Mesh Repair. The surgeon uses a piece of mesh to cover or patch the hole. The mesh can be placed on top of the hole to patch the hole from the outside or the mesh can be placed deep to the hole to patch the hole from the inside.
Most surgeons prefer The Mesh…
I want to congratulate Alison Wood. She recently set the world record for the high jump in her age group. She had a sports hernia repair in 2010 and is still going strong.
Bill Brown MD
Do Older Surgeons have Better Results than Younger Surgeons?
The last time I flew, the pilot was a 60 plus year old man with gray hair. It made me think, do I want and old and experienced pilot or would it be better and safer to have a young pilot. After all, my life was in his hands.
I ask myself that question all the time. Am I still mentally and physically capable to provide excellent care to my patients. Every time I examine a patient or perform an operation I ask myself is there a way that I can do this better. I truly believe that I am better surgeon now than when I first graduated.
Below is an article that compares the results of operations performed by young surgeons and older surgeons. I am glad to say that the gray haired surgeons had better results. Old and experienced…