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2 yrs Constant Pain from groin to back kidney area
Hi. My name is Carl Sparks, Sept 3 2017 I had laparoscopic inguinal hernia surgery. Absolutely no post op pain. 6 months after my strangulated right inguinal hernia repair i began to swell at the surgery site. 3 -4 months later burning stinging and a numbness began with a constant dull yet steady pain. My gabapentin dose was increased yet over the next 3 months I developed more painful symptoms. Diagnosed as nerve damage my meds were changed to lyrica and amityriptlyn with no possitive results i recieved my first nerve block. My surgeon asked to try the nerve block during a check up visit where he and his staff saw first had the level of pain i had been complaining about. This pain did not and still does not respond in any way to nerve blockers or steroids shots other than to punish me with more pain from dull and constant to sharp and throbbing. At 9-10 post op i bent over to pick my tv remote up off the floor and was meet with a very sharp, intense, throbbing and radiation pain hit me all throughout my groin and right hip area. The pain hit multiple times as i attempted to stand back up straight from the area of the inguinal ligament. Sitting or laying down causes my right leg and right arm to fall asleep. I am also plagued with the sensation that something moving throughout my pelvis, buttocks and legs as if urine or some kind of fluid flowing since jan. 1 2018. Only other time i have experienced this sensation was after my last nerve blocker and steroid shot to the pubic tubular 4 days ago. What ever this is causing my pain on the right side is spreading to my left. The left testicle is know showing significant signs of problems, highly sensitive to touch and like the right side intense debilitating pains during orgasms. My muscles in both legs hurt like them and my bone no longer get along. NO pelvic scans, no ex rays, no mri have been taken. Emergency rooms have performed ct scans due 102-105 fevers with no blood or urine infections seen in lab work. One er physician saw clear signs of increased lymph-node size on ct scan, after negative test of bacteria in blood and urine 102 fever and no relief of pain from the demerol and dilaudid he administered through iv.
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6 Replies
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[USER=”3093″]Reborn334[/USER]
I agree with Dr. Towfigh. You need a complete evaluation by a surgeon experienced with the complications of mesh.
If you can make it to California, I would advise you to see Dr. Towfigh.
Regards.
Bill Brown MD -
I’m living in the Montgomery Alabama area med records say it was mesh hernia plg 4.1x5cm mesh and pubic tubular had nerve blockers and steroids. Left side joints, skin, muscles have this dull yet debilitating pain. Right side get numb from my feet to my shoulder and arms while lying and sitting down
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[USER=”3093″]Reborn334[/USER]
You need to be seen by a specialist. Im sorry it’s been over 2 years and you haven’t been given definitive diagnosis and treatment.
Sounds like you had an open survey as the Perfix plug is not made to be placed laparoscopically.
Tharp type of mesh has known complications such as meshoma (balling up) and erosion. Removing it is complex and best outcomes are from those of us who do that for a living.
Nerve pain is not the only reason for hernia repair related pain. Often with the mesh plug it’s the mesh mass itself.
Imaging is a must. I bet you the CTs you’ve had already show this as a problem. Hernia recurrence is just one problem and your doctors need to diagnose other findings from the CT. I prefer MRI.where do you live? Perhaps we can help you get to be seen by a specialist near you.
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[USER=”3093″]Reborn334[/USER]
Dear Reborn.
You mentioned that you had a nerve block. After the block did your skin become numb? If not, then the block was not effective and should be tried again.
Also, the mesh can be injected with a local anesthetic and if you get temporary relief that would be evidence that the mesh is the source of your pain.
Imaging tests can be helpful but have a high false-negative rate.
In my experience, the mesh plugs have the greatest chance of causing pain after surgery.
Regards.
Bill Brown MD -
Emergency surgery was preformed in Virginia while visiting family. I recovered well and was cleared to return to Alabama where i live.
A Bard Davol perfix xl plug 4×5 cm not sure if size is correct.. design has a ring plug with a flat overlaying mesh sutured to pubic tubular and my inguinal tendon. Leg, back, genital, lower right abdomen and groin pain started after almost a year with only incision area complications. I dropped my gabapentin prescription and bent over to pick them up as I attempted to straighten back up pain fired from the area of my inguinal ligament radiating in all directions. This continued to intensify as i stood back upright. Gastrologist cant locate any digestive issues explaining my loss of weight. neurologist cant locate any signs or evidence of nerve damage anywhere she has looked and believes i may just have torn or severed something resulting in additional complications that only may be seen on mri imagery. Surgeons are refusing due to the fact they see no evidence of the hernia returning on ct performed by another er facility that disproved their previous diagnosis that my inguinal hernia occurred again. They claimed scare tissue is pressing on the nerves but nerve blockers have stopped or eased any of my pains or symptoms.They continue to say we gone blame it on something else other than the mesh. Mesh don’t cause all my symptoms if they malfunction and any infections would show up in urine and blood samples. So our opinion of your condition is all thats needed no need for any other testing and If i want a mri contact the operating surgeon.
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quote Reborn334:Hi. My name is Carl Sparks, Sept 3 2017 I had laparoscopic inguinal hernia surgery. Absolutely no post op pain. 6 months after my strangulated right inguinal hernia repair i began to swell at the surgery site. 3 -4 months later burning stinging and a numbness began with a constant dull yet steady pain. My gabapentin dose was increased yet over the next 3 months I developed more painful symptoms.
What type of mesh was used for the repair? They are not all the same.
The persistent fever might be a sign that you are having a true “mesh reaction”. I am not a doctor but am surprised that they are treating the pain but not focused on the fever. You might need to find a new doctor, the one who implanted the mesh might be trying to “save” it instead of you.
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