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Sports Hernia Surgeons in Philadelphia area

October 25 2010 at 2:49 PM
Bob 
from IP address 130.76.96.146

Anyone know of anyone besides Meyers? Meyers is not accepting any insurance anymore.

thanks

 
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AuthorReply
fuerza

24.145.8.162

Re: Sports Hernia Surgeons in Philadelphia area

October 25 2010, 3:21 PM 

Bob,

You are correct. Meyers no longer accepts insurance. Which is unfortunate for the many that seek him out for possible mesh removal surgeries or his pelvic floor repair (i.e. sports hernia/athletic pubalgia)

There is a Dr. Andrew Boyarsky in NJ. He is a believer of the posterior inguinal wall deficiency syndrome as a cause for sports hernias.

After that, you will then be traveling outside of the area to see other sports hernia specialists.

I hope this helps.

 
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Megan

66.194.219.253

Brown

October 26 2010, 8:54 AM 

Dr. Brown in San Francisco may be a good option. If you send him an email, he'll talk to you. http://www.sportshernia.com/

 
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ALS

173.160.194.41

Re: Brown

October 29 2010, 2:16 PM 

Dr. Peter S. Billing near Seattle Washington

 
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fuerza

24.145.8.162

Re: Brown

November 15 2010, 10:22 AM 

Dr. David L. Berger...in Boston

I've learned that a player for the Pittsburgh Penguins (and other pro athletes) recently went to this doctor for a sports hernia repair.

I don't know anything about this doctor, but if you are looking for other doctors to contact, perhaps you can reach out to him and see what he has to say.

 
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Howie

148.129.71.53

Re: Brown

November 15 2010, 10:25 AM 

It seems if you are in the Boston area, why not go to Dr. Goodyear? A day or two of travel is not that bad.

 
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fuerza

24.145.8.162

Re: Brown

November 15 2010, 1:36 PM 

Dr. Goodyear doesn't do sports hernia repairs since they can often involve any of these problems:

- torn external oblique aponeurosis
- tear in the conjoined tendon
- conjoined tendon torn from pubic tubercle
- dehiscence between conjoined tendon and inguinal ligament
- tear in the fascia transversalis
- abnormal insertion of the rectus abdominis muscle
- tear of the abdominal internal oblique muscle from the pubic tubercle
- entrapment of the ilioinguinal nerve or genitofemoral nerve

 
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Howie

148.129.71.53

Re: Brown

November 16 2010, 10:31 AM 

There was someone else by the name of Dr. Richard Cattey. I am not sure I spelled the name correctly. He claims or has claimed to be sports hernia expert and is in the Milwaulkee area. Someone may want to check him out. The main thing people don't understand is in some hernia issues, you have to travel. Either go to Dr. Goodyear or to reccomended surgeons mentions and stay away from those with negative reviews like Dr. Meyers.


 
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fuerza

24.145.8.162

Re: Brown

November 16 2010, 11:00 AM 

Yes, Richard Cattey is one that specializes in sports hernia repairs.

He does a lap surgery, with mesh and titanium screws at various locations on the pelvic bone to secure it. I don't know what type of mesh he uses though.

If someone would like to do some recon on the issue and report back, that would be even more info for us to share here.

 
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ALS

184.77.86.63

Re: Brown

November 17 2010, 12:19 AM 

Hi Fuerza

You mention titanium tacks, there must be a reason for them!! What do you know about Ti-mesh? Is this a more inert mesh?

 
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SergeyK

95.190.30.156

TiMesh

November 17 2010, 1:08 AM 

I have some information about the TiMesh, if you are interested. This mesh is available in three types: TiMESH® strong - 65 g/m²; TiMESH® light - 35 g/m²; TiMESH® extralight - 16 g/m².
This mesh is designed in Germany, where it is often used in the field of hernia repair (as laparoscopically, and also via the anterior approach). In several studies have been shown a decrease in a foreign body reaction with the using the TiMesh, compared with other types of meshes.
TiMesh is quite popular in Germany. Prof. Dr. Ferdinand Köckerling (Vivantes Hospital Spandau, Berlin) and his followers often use the TiMesh.
But not so simple. Later in clinical trials the TiMesh showed no real advantages compared with other modern lightweight polypropylene mesh (for example UltraPro mesh or C-QUR Lite™ Mesh and others). A number of leading experts (in Germany - Prof. Dr. Volker Schumpelick, Prof. Dr. Reinhard Bittner and others) in the field of hernia repair refer to the TiMesh rather skeptical.
The detailed description of the comparative characteristics of different meshes (including the TiMesh) can be read in the Review: “The lightweight and large porous mesh concept for hernia repair.” - http://www.ethicon.de/netze/downloads/Lightweight_mesh_Klosterhafen.pdf
I have personally discussed this issue with Prof. Dr. Ferdinand Köckerling, Prof. Dr. Reinhard Bittner and some others experts in Germany. And I have the impression that despite the fact that the TiMesh is used in Germany quite often, but it's more a matter of personal preference of specific surgeons, than the question of the real advantages.
Though, if you to draw attention to TiMESH® extralight - 16 g/m², it may be noted that the mesh contains the least amount of polypropylene. In that both plus and minus: on the one hand -less a foreign body reaction, and on the other hand - less the tensile strength.

With kind regards,
Sergey.


 
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ALS

184.77.86.63

Re: TiMesh

November 17 2010, 4:11 PM 

Thanks, it your information was interesting. I would say about the less tensile strength that this shouldn't be a problem for smaller hernias at least. However, I think there are some people that exhibit a large foreign body reaction to certain mesh materials and I think that was the reason for TiMesh. It makes me wonder if the researchers who did the study that said they could not see any difference in TiMesh vs other light weight meshes ever encountered a difficult patient. I also wonder if the reason it is not used so much in the US is because there had been some issues with sterilization of the mesh. Some doctor here in Seattle said that they used TiMesh for some kind of Ventral hernia and it caused an infection. But this was years ago. Also, being a foreign product, maybe it does not have the same scrutiny of meshes made in the US. I don't know.

 
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SergeyK

95.190.16.167

Re:Re: TiMesh

November 18 2010, 12:52 AM 

Hi Aubrey!

Of course you're right, arguing that even TiMESH® extralight (16 g/m²) would be sufficient for reliable repair of very small hernias; but in these particular cases are quite often sufficiently reliable repair provides a pure tissue repair.

I think the real advantage of TiMESH, can manifest in the laparoscopic repair of bilateral hernias, in the cases when the hernia of the larger size can be repaired with the use of TiMESH® light (35 g/m²), and the hernia of the smaller size can be repaired with the use of TiMESH® extralight (16 g/m²), while providing a sufficiently reliable repair of the both hernias and at the same time using a fewer foreign material.

Of the shortcomings of TiMESH® extralight (16 g/m²), many surgeons say its super-thinness, making it difficult for a correct installation, and accordingly requires from the surgeon a greater attention and effort in its use.

It was also be noted that when cutting TiMESH with scissors often form sharp edges (because of the titanium coating), which can injure the surrounding soft tissue.

A number of interesting feedbacks from doctors about using TiMESH in their daily practice can be found at the following link - http://www.jiacd.com/titanium-mesh-techniques-advantages-and-disadvantages

Although this feedback from dentists, but nevertheless, you will find some details that do not normally published from the manufacturers of the meshes or researchers.


With kind regards,
Sergey.



 
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fuerza

24.145.8.162

Re: Re:Re: TiMesh

November 23 2010, 2:19 PM 

Dr. David L. Berger

I'd be skeptical about this surgeon. I emailed him over a week ago to ask about his repair technique and procedures but he has chosen not to respond. I called his practice and asked if he had been on vacation recently, in the event that he wasn't in to reply. She told me he has not been on vacation (trying to give him the benefit of the doubt here). I then asked if he had a secondary email address where I could send my inquiry but the nurse that answered the phone was evasive and said that he doesn't give it out to the public to receive emails. So much for being accessible to potential new patients. Definitely crossed-off my list.

 
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phil

174.57.171.232

sports hernia surgeons in Philly

December 21 2010, 4:47 PM 

When I first was referred to Dr. Meyers, I was told that there was someone else in Philly who does those surgeries. Does anyone have any idea who that is? I saw Meyers back in June. I put my surgery on hold because my wife had a knee replacement( she's 40 beleive it or not). Now Meyers doesn't take insurance.

 
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fuerza

24.145.8.162

Re: sports hernia surgeons in Philly

December 21 2010, 5:07 PM 

Unless this is a new surgeon that has moved to the Philly area within the past two years, Meyers is the only one that I'm aware of, in Philly, that does these. But, he isn't the only surgeon in the country that does sports hernia/athletic pubalgia surgeries - though his staff would try to make you believe that is so.

 
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Jerry

68.37.214.74

Sports Hernia Surgeons in Philly

December 21 2010, 7:46 PM 

I don't know of any other sports hernia surgeons in Philadelphia either but there is a resource I found on the web that is right across the Ben Franklin Bridge in Camden, NJ at Cooper Medical Center.

http://www.cooperhealth.org/content/HerniaProgram.htm

"Our surgeons also provide surgical expertise for sports hernia, or strain of the tissues of the groin, in conjunction with the Sports Medicine specialists of the Cooper Bone and Joint Institute."

I can't vouch for how good they are but Cooper has many fine departments that are right up there with the best of them.

 
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fuerza

24.145.8.162

Re: Sports Hernia Surgeons in Philly

December 22 2010, 9:27 AM 

I did forget to mention...Dr. Andrew Boyarsky in New Brunswick, NJ - about an hour and a half from Philly.

He does sports hernia surgeries and often works with pro athletes, especially from the Red Bulls.

Like Jerry, I cannot attest to his success rates or efficacy, but I thought I would pass this along to you so that you have another resource to investigate.

Best of luck...

 
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Howie

148.129.71.51

Re: Sports Hernia Surgeons in Philly

December 22 2010, 3:53 PM 

Frueza

All I can say it is disgusting that Dr. Meyers does not take insurance.

 
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fuerza

24.145.8.162

Re: Sports Hernia Surgeons in Philly

December 22 2010, 6:20 PM 

Yep...that is what happens when you let your success go to your head, to feed your massive ego. You forget about the little guys - the ones that have medical insurance.

 
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