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Thread: Surgery for Blitz ~ Titanium Mesh Questions ? Experience & Advise needed!!!!

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  1. #1
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    Default Surgery for Blitz ~ Titanium Mesh Questions ? Experience & Advise needed!!!!

    I have asked about this before but we are arranging for Blitz to have surgery soon and I really am confused.

    I have been very determined that if Blitz undergoes surgery I really want to do everything I can to prevent the scar tissue. I could be wrong but I REALLY feel titanium mesh may be his best option. His neurologist seems to feel very differently.

    His neurologist has quoted me the following information today....

    "There has only been 1 published study on titanium mesh in this kind of surgery. That was back in 2007. Since then there has not been any scientific data to prove that it is a better choice."

    "Studies done on surgery WITHOUT titanium mesh show that approx 40% of dogs will develop scar tissue within 3 years."

    "While the study done with titanium mesh showed a much lower rate of scar tissue development the time frames for the study were different then studies done without the mesh."

    "The main goal of surgery is to slow down the progression of the disease. We are just trying to add a few more comfortable years to his life."

    "With the surgery most owners report a decrease in symptoms to some degree but dogs usually are not going to be symptom free. Most dogs go on to still need daily medication. "

    My neurologist has never used titanium mesh in this kind of surgery but has consulted with other neurologists & feels that it would be very easy to do. He personally feels it will not affect the overall outcome of the surgery BUT may slow down the recovery.

    He is working now to track down a reasonably priced source for the titanium mesh. At first he quoted me over $1000 extra to use it... but now has dropped it down to about an additional $500....

    While I feel I am going to go with my gut feeling on this and go with the mesh I REALLY would like more information & opinions from people who have had the surgery done. Especially now that we are getting down to the last few weeks before surgery I am really looking for more information!

    Uh, I am SO nervous about this! I only want whats best for him! It is stressing me out because he is SO happy & active right now! He almost acts like a puppy! This is just such a hard choice for me. I know its for the better...

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    No advise to offer except to say that I would not want a surgeon's first time doing ANYTHING to be on my dog. Especially if he is not supportive of the idea.

    Perhaps you should get a second neurology consult with one who is familiar with using this mesh?
    ~Denise and Clancy, Dillon (gone to The Bridge), and baby Oliver

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    I wish it was that easy... the closest neurologist to us is about a 4 1/2 hour drive away! The next one is about 6 1/2 hours away. I'm a full time mom to a 2 year old without much help. If there was another one within a reasonable distance I would consider it. I can hardly make the 9+ hours round trip of driving to this one alone... let alone farther.... not to mention gas at nearly $4 a gallon!

    He had done many of these surgeries. He just has never used the titanium mesh... From my understand not many vets do the titanium mesh in the USA.

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    Dr marino in long island has done 200 off those succesfully. No way you can have it done there? Not sure how far u live. If not, talking to him or emailing him may help. Id never let a surgeon perform this on my dpg either without experience. Karlin has said that there is not enough proove about titanium mesh as opposex to regilar decompression surgery and that its better in any way, but its certainly not worse. The surgery is a bit more tricky and risky. I hear you though we have to choose the option with the best possible outcome. Its something i need to learn more Bout... Also i think riley from lovemyxavaliers has had the mesh and is one of the succes stories on here.. Id have to know more but i know ella for instance had the regular and developed scar tissue. Have u looked into swine tissue surgery? Also, not too scare you but dr marinos very first case of mesh surgery was unsuccesful .. The dog died. He told me because they were still figuring it out.
    Mom of Blondie aka The Monster, my furry daughter and loyal friend!!!!!!!!

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    Quote Originally Posted by Blondiemonster View Post
    Dr marino in long island has done 200 off those succesfully. No way you can have it done there? Not sure how far u live. If not, talking to him or emailing him may help.
    I live in south Texas If I could win the lottery or something then I would do it in a heart beat! Sadly, making that kind of trip is far out of our budget.

    Quote Originally Posted by Blondiemonster View Post
    Also, not too scare you but dr marinos very first case of mesh surgery was unsuccesful .. The dog died. He told me because they were still figuring it out.
    *Where is the utterly TERRIFIED Icon when I need it!* Thank's for the info...definitely something to think about.

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    Quote Originally Posted by Reptigirl View Post
    I live in south Texas
    How far are you from Texas A&M?
    ~Denise and Clancy, Dillon (gone to The Bridge), and baby Oliver

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    Quote Originally Posted by StillPooh View Post
    How far are you from Texas A&M?
    That's where are neurologist is. It's about 4 1/2 hours away...

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    Sorry to hear that. Its amazing what you do for blitz considering everything else!!
    Mom of Blondie aka The Monster, my furry daughter and loyal friend!!!!!!!!

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    I would see if ur neuro can collaborate with marino in some way or email dr marino and ask him if he feels its safe... I have his email pm me if you want it. Also, u didnt answer my question about swine tissue surgery. It may be less risk and with same scar tissue reduction results...
    Mom of Blondie aka The Monster, my furry daughter and loyal friend!!!!!!!!

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    Sorry, I had asked about the swine tissue the 1st time I spoke with him and he had never done it and was not interested in considering it at all. He did not say NO the to mesh, just that he didn't feel it was necessary in the surgery. He said he had talked about it in the past with a few patients but they had decided not to do it because of the lack of scientific evidence. He seems to feel strongly that it is not needed for the surgery to be successful... but in my opinion 40% of the dogs having scar tissue by 3 years post surgery... well in my opinion that not good enough odds. I mean its MUCH better odds then if I DON'T do the surgery.. uh, I thought this was going to be an easier then it is turning out to be. I have just gotten so attached to these dogs.... especially Blitz! He knows he was saved and every day the loving look in his eyes as he follows me around. I just can't stand the thought of not giving him the BEST chance possible! I thought I could be happy knowing that no matter what they were much better off then before I got them. But now even that is not good enough!

    Will be sending you a PM

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