News Feed Discussions Simultaneous Appendectomy and Inguinal Hernia Repair Reply To: Simultaneous Appendectomy and Inguinal Hernia Repair

  • Jnomesh

    Member
    November 16, 2017 at 3:46 pm

    Hi I am not a doctor but a patient of the same type of mesh you had implanted. This type of mesh has a tendency to fold up inside of you especially if there was no fixation used and it can attached to the groin nerves. Please get your operative report so you can see the details.
    I eventusll had to have my mesh removed. It is not an easy process and you have to choose one of the few surgeons out there who do this-warning there are only a handful and you mostl likely have to travel.
    here is my advice-you are going to want to do two things simultaneously: 1) rule out that the mesh has folded up inside of you. If it has in my opinion then it absolutely has to be removed especially given the amount of pain you are in. The surgeon who discovered my mesh was folded is dr. Igor Belyanski in MD you can google him. Get a cat scan and send him the scan in a CD and see what he has to say. 2 other top notched surgeons where I live in NYC said all was well when they reviewed my CT scan. They were wrong and truth is 99.9% of surgeons and radiologists just aren’t trained on what to look for.
    2) while you are doing this yes get a nerve block make sure the place you are going to uses ultra sound guided nerve blocks. Based on your description to them they rule out one of the 3 groin nerves. If you feel relief from these nerve blocks some people rx doing it a couple more of times and there pain can be lessened or eliminated if not then pulsed radio frequency Albation is the next step and it has been reported to have results that last up to a year and then can be repeated.
    make sure the clinic has expertise in these matters.
    if it is determined that the mesh has to come out please only go to the best don’t let a local surgeon do it.
    also how your mesh was implanted: laparoscopic or open is the way the mesh should come out of it comes to that point.
    dr. Belyanski removed mine. He specializes in removing it robotic assisted laparoscopically but can do open removals too. Dr, Bruce Ramshaw in TN is an expert and can do both but usually has a long waiting time
    there is dr. Towfigh who runs this forum who has expertise in removing mesh and a dr. Peterson who I believe only removed mesh openly.
    also there are drugs like gabapentin that help with this type of nerve pain. There are pros and cons to it but i know how it feels to be laid up in pain and I was willing to do anything and everything I could to get back to work.
    best of luck to a very trying and difficult situation you are in.