Dear Harrison,
Thank you so much for replying. So according to your observation, adhesion barrier is not necessarily beneficial due to the fact that it might cause more troubles? I wonder what kind of adhesion barrier Dr. Bertagnoli uses. Do you happen to know? Is it a certain instrument or a technique?
Now I understand there are truly some technique differences between European and American doctors. When i read on the "superior surgery" page on Dr. Bertagnoli's website, I was unconsciously taking his ways as the "Golden Standard" without knowing that there might be some downside to the approaches too. Thanks for pointing out.
I struggle between the two options a lot. (Dr. B or Dr Guyer at TBI). At this moment, I don't know what to choose. I wish there are more public information about the surgical outcomes and techniques employed by US doctors. But I do find out a paper written by Dr. Guyer and Dr. Zigler that says "In the series of 1,707 patients, there were 17 patients who underwent TDR removal (0.99%) and 3 additional patients underwent TDR revision (0.17%). The rates based on the total number of 2,023 TDR devices implanted in the 1,707 patients, were 0.89% removals and 0.15% revisions. " These are the patients from last 17 years.
The link is below if anyone is interested.
http://www.isass.org/abstracts/isass...-during-a.html
Thank you! I would love to hear what you think and your perspective!