algorithm for solving mesh painPosted by routern7 on June 23, 2018 at 1:50 am
I have chronic pain in the mesh area. I have tried nerve block couple of times but did not work.
What do you recommend should be the next step?
1) Remove the mesh
2) Do exploratory surgery to check if it is something else.
in what order would you do those?
I know I cant live like this, it is been 6 months. I already saw mesh removal specialist: Ramshaw, Belyansky, Jacob… CT scan and MRI does not show meshoma or anything.
MemberOctober 19, 2018 at 10:27 pm
Routern… any updates any resolution
MemberJune 25, 2018 at 10:37 pm
[USER=”2029″]Good intentions[/USER] for exploration he wants to go first laparoscopically to see if the mesh has folded (my mesh was placed laparoscopically).
then if he finds nothing go open and cut nerves if nerves are entrapped.
that is his plan.
Surgery description: exploration with possible neuroctomy.
My pain started 1.5 years after surgery. I was doing okish over all.
One day I lifted heavy weight and felt something went wrong, it is been 6 months, I cant walk or bend, I have chronic pain (pressure inside and inflammation). It is one event that caused things to get messed up.
MemberJune 25, 2018 at 10:34 pm
Hi Dog, he is a good doctor but I want to someone to give me why it is the mesh.
For me the pain started 1.5 years post surgery after I lifted a heavy weight. I want someone that help diagnostic the pain.
MemberJune 25, 2018 at 2:14 amquote routern7:
He is very good man ! ..Why do you think he said that ?
MemberJune 25, 2018 at 12:30 am
I would ask the surgeon who is planning the exploration what they are looking for and what they will do if they find it. That’s not very clear. Will a second surgery be required or will they fix it right away. If you had laparoscopic implantation for the first repair and you have open surgery for exploration then you will have scarring from both sides. I think that some of the pain from open surgery is from the incisions themselves. You might end adding pain on top of pain. There are laparoscopic methods of exploration.
Also, I keep saying this, but it’s very important to keep track of the details, of your surgery and of what, exactly, causes the pain. If you just tell people that you had a hernia repaired and it hurts that could mean so many different things that nobody can give you good advice. Write all of the details down and keep them in a file. Copy and paste them in to your communications. If people can’t find your old posts then you’re starting from scratch on each new thread.
MemberJune 24, 2018 at 4:50 pm
Thanks for your reply @Good intentions.
I cant feel the boundaries of the mesh.
I feel like someone hit with a hammer in the area where the mesh is. Sometimes there is inflammation.
What hurts me the most is bending or sitting or wearing any tight close. I cant walk too, the more I walk I feel pressure building up in the mesh area.
I am trying to decide of the algorithm I should follow.
1) Should I go ahead and remove the mesh?
2) Should I do exploration first (Dr proposed 6 inches incision for open exploration which is no joke) + laparoscopic (as you said the mesh might took healthy).
MemberJune 23, 2018 at 5:40 pm
You’re in a tough spot routern7. After one and a half years the mesh will have much tissue ingrowth and with your activity level will have shrunk to about 60-70% of its original size. It will be stiffer now and won’t conform to the shape of the body around it if it moves. Nothing at all like when it was implanted. So if you did pull some mesh free it will now be like a stiff piece of plastic free to poke and rub on the nerves and tissue around it.
The problem you might have with exploratory surgery is that it will look like healthy tissue, especially since you have reduced your activity level to compensate for the pain. The inflammation will heal up and by the eye it will look like “normal” mesh with healthy tissue surrounding it.
If you can feel the mesh poking you in certain areas as you move and you feel that it is what is causing the nerve irritation and pain, that can be used as a reason for having it removed. But you have to become an expert about your own body and be able to describe it well. If you had been in a car accident and a piece of stiff plastic had penetrated your abdomen it would be an easy decision for a doctor to remove the offending object. It’s just very hard for people to realize that the soft pliable material they implanted has morphed in to a stiff irritating foreign object.
Good luck. Keep track of what actions, specifically, cause the pain, and use very descriptive words for what the pain feels like. It can be difficult but it’s necessary for the doctors to make that decision with you to remove the material, if there is no other recourse. But, as I found, nobody can decide for you.
MemberJune 23, 2018 at 10:54 am
So sorry to hear it ..Do you know about this doctor ? https://www.sportshernia.com/treating-mesh-pain/surgical-mesh-removal-photo-gallery/
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