Health Organization for Pudendal Education

Hi all,

Apparently the fantastic Dr. Hibner is no longer using cadaver tissue to repair the ST ligament but instead cutting a "Z" incision into the ligament which keeps it intact but allows it to stretch out if indeed the ligaments are too tight.
I have researched this method myself and it has been proven to be very successful in carpal tunnel surgeries. The groups who had a Z incision and ligament intact had less scar tissue than those with simple transection.
I think this sounds very promising and shows how dedicated Dr. Hibner is at perfecting his TG technique.
I live too far from the US to consult with him but I can already say I am a huge fan and wish there were more surgeons doing his approach!

Cheers

Dr. Hibner has been doing the "z" type incision for about 1.5 years. On very rare occasions he still uses cadaver tissue if he can't repair the patients ligament without it.

Haha woah... am I late to the party or what?!?!

I was going off an e-mail from him where it seemed like it had only been a recent development! Well, in case anyone else on the boards didn't know, here's some old info on a new thread!

Glad you mentioned it (both of you ) I didn't realise there was such a thing as a Z incision. PN'ers will look like they have been 'attacked' by Zoro
Thanks,
Helen

Haha too right Helen!
I think it's called a Z but looks a bit more like this:

http://www.rcsed.ac.uk/fellows/lvanrens ... ateral.jpg

I wonder if this method would change the pelvic stability but to a lesser extent i.e because the ligament would naturally become stretched?
I think mine needs a bit of stretch in it to be honest.

Gosh I WISH the specialists here would just get on the phone to Hibner and say "what's your technique, gimme a list of the stuff I'm gonna need" and then try things that way. Or at least let a good clinical trial come out that might convince them to update the Robert technique as well.

Dr. Hibner learned the "z" incision technique from Dr. Aszmann in Austria. It allows him greater access to the nerve and thus can decompression more of the nerve.

Sydney, I'm glad you posted 'cause I learned something new.

Violet

Here is the link to the thread where I mentioned the "z" incision, May 2011.

http://www.pudendalhope.info/forum/view ... =17&t=1331

Thanks for refreshing my memory, nyt. I remembered someone posting about his new ST ligament protocol but I didn't remember about the Z or that Aszmann had taught him this.

Violet