William Brown, MD

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I can’t thank you enough!

 
Dr. Brown,
I can’t thank you enough! I would not be running track or playing football if it wasn’t for you. When I first came to you I was in so much pain not knowing what was wrong with me and your surgery changed my life. I know you can’t come, but I wanted to send you a grad card to show how grateful I am and an update on my future plans.
Thank you again.
JV

100% Success!!

 
Dr. Brown
Thank you for the outstanding medical care!  100% Success!! I had a Right Indirect Hernia repaired in September 2020. Your staff and surgery facility were both excellent.
 
The list of recommended supplements helped reduce inflammation.  I only needed two painkillers. Your follow-up phone calls were an unexpected surprise and greatly appreciated.
 
One Week: I was able to gently walk around the block.
Three Weeks: Short light jog and cycle.
Six Weeks:  Returned to run, bike, and kayak training.
April 2021:  Full strength training for upcoming summer races.  No discomfort or limitations.
 
Thank you!
R. B.

Back to Normal Self

Hi Dr. Brown,

This is P.H. Just wanted to let you know that my recovery has been fantastic. I am back to my normal self physically and I have returned to my duties with the Coast Guard.

Thank you.
P.H.

Umbilical Hernia Repair Techniques

I often get asked whether the Shouldice or the Bassini is the best method for repair of umbilical hernias. This represents a misunderstanding about hernia repairs. The Shouldice and the Bassini are methods to repair inguinal hernias but have no place in the repair of umbilical hernias.  For umbilical hernia repair, there are two basic methods. The first is a pure tissue repair and the second is the use of mesh.

Pure tissue repair uses sutures to close the hole.  This can be a primary closure or a layered closure such as pants over vest.  The pure tissue repair has the best results for small hernias (less than 3 to 5cm) and in patients with a normal BMI.

Unfortunately, for large umbilical hernias mesh has to be used to get the defect closed. The mesh can be placed to cover the hernia or placed on the peritoneal side of the…

Harpers Magazine: In The Net

Trudy Lieberman recently published an article about the economics of the use of mesh in Harpers’ magazine.  (I contributed to the article).  She outlines the huge amount of money involved and the fact the mesh companies have paid hospitals and doctors to use mesh for hernia repairs despite the well know and documented problems of pain, shrinkage, sexual dysfunction, and nerve damage.   I wish it was not true, but money does influence decision-making even if the patient suffers.

Download Article Here

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