4 months out and still the same

Hernia Discussion Forums Hernia Discussion 4 months out and still the same

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    • #33029
      Bob
      Participant

      Shouldice method, no mesh. Hi all. Pain,swelling,bulge still the same as before surgery, plus testicle pain that started a few days after surgery.I use to walk 2 hours a day every day for many years and I remodeled houses. Now I can’t even walk 30 minutes cause of pain. I can’t do any remodeling and sex is not possible.Surgeon keeps telling me It will get better in time. I see no real improvement.My primary doctor did a ultrasound on my testicles a few weeks ago. IT came back as mild hydrocoele. He said that could be my problem in the testicles. He would not do a ultra sound of the hernia site still in pain and swelling and bulge. He sent me to urologist.He looked at report and said mild hydrocoele is normal. All men have that.I read otherwise. So Idk. He also would not do a ultrasound of operated area. He just had me cough and he Said feels good. No recurrence. He said it’s gonna take time or maybe I will always have these symptoms and to just live with it. Atleast u don’t have cancer. Yes,that was his words. So what to do now? Hopefully I can find a primary doctor to do a ultrasound on the operation
      area to see what’s going on. Very frustrating.I was very active before this, but at this point I have no life.

    • #33030
      Good intentions
      Participant

      It doesn’t sound like you went to the Shouldice Hospital. Can you give details on the “method”? The materials used, how many layers, the type of hernia that was repaired, etc. The more details the better.

      No offense, but by the post you are just a person who had a repair that the surgeon called “Shouldice method”. Not really clear where you started or what you had done. There is hope, I’m still getting better almost 5 years after mesh removal. The body can take a long time but it will just keep trying. Healing can be slow.

    • #33035
      Bob
      Participant

      Operative findings..Direct and indirect right inguinal hernia…An ultrasound guided ilioinguinal block was preformed with 7ml of 0.5 roprivacaine. An oblique incision was made over the right inguinal canal and deepened down to the external oblique fascia, which was opened in direction of its fibers. The cremasteric muscle fibers were split longitudinally and a long,indirect sac was dissected away from the cord structures and from the cremaster muscles and from the inguinal floor and dissected into the internal ring. The inguinal floor was also herniated and the posterior wall was opened in the usual fashion useing metzenbaum scissors opening it from the level of the epigastric vessels to the pubis and dissecting the posterior preperitoneal fat away from the posterior surface of the transversalis, which was attenuated . Next,the first layer of the shouldice repair was begun using the lateral transversalis suturing it to the rectus tendon with 0 proline suture and running this toward the internal ring,closing it off and running it back using shelving edge of the inguinal ligament to the internal oblique muscle and tying it at the pubis.A 3rd and 4th row of 2-0 prolene was used to reflect the external oblique overhead inguinal floor. Next,the lateral external oblique was closedwith running 2-0 vicryl suture. Scarpas fascia was closed with running 3-0 vicryl suture. The skin was closed with running subcuticular 4-0 monocryl suture dermabond was applied

    • #33036
      Good intentions
      Participant

      So that looks like one of the modified Shouldice methods that have been discussed in other threads on the forum. I am not familiar with all of the ins and outs of the variations like others are. Vicryl is an absorbable suture material. Prolene is polypropylene.

      The runaround that you’re getting is very typical for all types of medical procedures today, unfortunately. Surgeons and specialists are becoming more like workers on a factory assembly line. They do their little part then move the product down the line. Sorry, this does not help your situation but it might give you incentive to search for 2nd, 3rd, and 4th opinions.

      Not all doctors are bureaucratic. Some are very independent and passionate about their work. Keep searching. Good luck.

    • #33045
      William Bryant
      Participant

      I’ve read tissue repairs do take longer to recover from but not sure what progress should be after 4 months. I think some people say 6 months to a year. Whichever, I hope you improve, and soon.

      Best wishes

    • #33047
      Chuck
      Participant

      William Bryant….if you search the net you will find diaries of shouldice patients who went to shouldice who are still hurting 3 years later…i spoke with several patients when i was doing my DD…they all confessed to having pain even years later when doing things like lifting weights…holding grandkids…this whole forum is a tissue repair forum and it makes it sound like going to shouldice is the answer…when i had my surgery they were enforcing the Death shot…and i didnt like the idea of tons of metal in the groin plus the fact that someone who had done 50 surgeries might be my surgeon…People say dont put foreign body in with mesh….but a 4 layer shouldice puts in almost the same amount of propylene…and there is a tremendous amount of cutting and slicing….this shows up as chronic pain as high as 30 percent in some studies….you summed it up best when you said the hernia surgery is a minefield…and we dont have a metal detector…or should i say a bullshit detector….kang is the only repair i will risk again

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