Dr. Shirin Towfigh - Mesh Implant Illness and Alternative Treatment Options

Dr. Shirin Towfigh, a leading expert in hernia surgery, discusses innovative approaches and considerations for treating hernias. In this interview, you'll learn about:

-The limitations of traditional mesh implants and the risk of chronic pain.
-Alternative surgical techniques that minimize implant use.
-Strategies for reducing the risk of hernia recurrence.
-The importance of identifying and addressing underlying causes of hernias.
-The connection between gut health and hernia development.
-How to choose a surgeon who understands the complexities of hernia repair.

Contact Info:

Website: Beverly Hills Hernia Center: https://beverlyhillsherniacenter.com/
Podcast: Hernia Talk Live:   / herniadoc  
Mesh Implant Illness Survey: [invalid URL removed]

This interview is ideal for individuals seeking information on hernia repair options and how to minimize the risk of complications. Dr. Towfigh offers a patient-centered approach to hernia surgery, focusing on long-term outcomes and pain reduction.

Learn more about Dr. Towfigh's practice and hernia repair techniques on her website.
Watch previous episodes of Hernia Talk Live for more hernia-related information.
Take the Mesh Implant Illness Survey to share your experience (if applicable).

Show Notes
2:08 - Why specialized in hernia surgery
04:35 - ASIA syndrome and diseases/disorders not discussed in medical school.
05:29 - Not every patient will respond the same to the same implant.
07:21 - Still in learning stages; a lot of knowledge about hernia surgery, but still learning about mesh implant.
08:14 - Focusing on your risk of having an inflammatory or autoimmune response to things.
09:30 -Alternatives to treating the patient, without mesh, without an implant
10:23 - To accept a higher risk of recurrence
11:15 - How to prevent adhesions, 2 different anti-adhesive
14:03 – Amount of material that can spark a reaction someone who may react to mesh. Which is a lot of suture that's weaved into a mesh.
14:32 Theory of biofilms developing on implant that impacts healing process.
17:03 – Eliminating risks of contamination
18:40 – When absorbable mesh might be used
20:16 - Inflammation should die down after weeks to months
22:11 - Petroleum-based absorbable mesh, highly inflammatory
24:18 – another concept floating around about, the impacts of general anesthesia substantial chronic conditions over time
29:05 – case study of one patient with significant mesh implant illness with collagen deficiency disorder
30:00 – methods to minimize risk of developing a hernia and choosing a surgeon that understands physics of repairs
30:33 - If you tend to err on constipation. Treat that like you would diabetes every day
31:12 – Shouldice method works very well due to 4 layers. Each layer takes tension off the next layer.
33:38 – different types of repairs for different types of hernias
37:41 - Incisional hernias and diastases recti and candidacy for tummy talk.
39:58 – Absorbable mesh and nanoparticles now in the body that can also develop biofilm around
40:06 - The sentiment that it's more prominent in English speaking Countries
43:00 - Toxic bucket overload
45:45 - we run a lot of functional labs and there's more markers like got dysbiosis and pathogenic overgrowth that that can be associated with it.
46:05 – implant illness survey pinned to the top of bio in Instagram @herniadoc
50:54 - licensed to practice in California. So if you're in California, then you have the option of coming in to see me.
52:40 – Development of the Hernia Score, an algorithm to determine if pain is hernia-related.
53:24 - Weekly hernia talk live.



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