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Cpk303 question…
first thank for posting your story…i noticed you said your hernia did not have a bulge but was quite uncomfortable. i had pain on my right….but no obvious bulge….and ultrasound did suggest a hernia, when mesh was placed…the pain resolved. When it was removed the pain returned…but again no bulge. Even Dr kang in correspondence seemed to suggest that a bulge was needed. Three surgeouns have said i do not have a hernia….because on inspection they can find no bulge. But the pain persists…i am thinking of going to korea to see Dr. Kang….he is supposed to have the best diagnostic team in the world…any thoughts? could my pain be caused by a hernia in the absence of a bulge?
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9 Replies
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Some sutures will deteriorate and polypropylene might but are a foreign body to our body’s but not like a full piece of mesh made out of it. Everyone’s body is different we all react to this or that in a very different way. Inflammation can continue, get your op report just so you know and have it. Some Inflammation will continue also cause our bodies are fighting it of, polypropylene is never ever supposed to be placed in the human body.
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What is your opinion of prolene sutures which are made of polypropylene? Quote:”PROLENE Sutures elicit a minimal inflammatory reaction in tissue, which is followed by gradual encapsulation of the suture by fibrous connective tissue. PROLENE Sutures are not absorbed, nor are they subject to degradation or weakening by the action of tissue enzymes.
As a monofilament, PROLENE Sutures resist involvement in infection and have been successfully employed in contaminated and infected wounds to eliminate or minimize later sinus formation and suture extrusion.
Furthermore, the lack of adherence to the tissues has facilitated the use of PROLENE Suture as a pull-out suture.“PROLENE Sutures have been trusted by cardiovascular surgeons for over 40 years
Used in over 100 million people worldwide and in 8 out of 10 CABG procedures”
https://www.thesurgicalroom.ca/5-0-prolene-polypropylene-blue-18-fs-2/jj-8661gI know they are only sutures but they still are prolene. That is what is used to graft a vein on a coronary artery in bypass surgery. You absolutely want a permanent suture holding the grafted vein in place.
Dana Carvey got bypass surgery 25 years ago and David Letterman got his bypass surgery 23 years ago. They are both still doing well? -
Brother chuck imaging is what needs to be done first. Bilateral ultrasound or Mir with contrast. Any surgery takes a full year to heal mo matter what and especially having a foreign body that’s creates so much inflammation, it shrinks, it doesn’t move with our bodies twisting etc. Polypropylene is never supposed to be placed in the human body. Most don’t get and think oh the mesh is holding the hernia in but it’s not it the inflammation it causes scar tissue to hold the hernia in. Like putting a patch on a hole in a tire. 6 months out is early wait a year before you do anything and Kang was saying oh ill remove both meshes open and that’s the biggest no no, first rule is mesh has to be removed the same way it goes in but Kang only does open so they sell you on what they only know like Dr. Peterson used to do saying oh your going to have a robot remove it and laughed and simply said well atleast I can see my own hands doing it blah blah blah lol and that dude destroyed lives by doing it to people. Others on here give input on at 6 months a year etc how you healed so there are many points if veiw because we are all different but bro there’s no need to rush and give it more time to heal. The more we stay thinking going on this website and others etc it kerosene that pain there somewhat like ptsd symptoms. A local doctor or hospital can order a bilateral ultrasound or mri and the radiologist alone can read it telling you the findings if any. Grab the disc of either to have and the written report. Healing takes time from removal 6 months to a year is what all of them say but it’s true and with the body taking a year to heal don’t do nothing before that brother.
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I would still strongly consider dynamic MRI done in the U.S.
Dr. Kang says MRI is not necessary for his purpose…but remember that his purpose is to diagnose inguinal hernias. What if you don’t have a hernia?
I believe that the advantage of MRI is not only it’s demonstrated benefit in diagnosing hidden/occult hernias, but also the information it could provide if you don’t actually have a hernia.
I think this is partly why Dr. Kang (or Stephen) is cautioning that you might travel to Korea for ‘nothing’ if their dynamic ultrasound does not reveal a hernia. I’m certainly no expert in imaging techniques, but I don’t think they are in as good a position as someone using dynamic MRI in terms of diagnosing other potential problems…but perhaps you can clarify that with them and Dr. Towfigh (if she is the one you are considering for dynamic MRI, which I think would be a very good idea).
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Mark T special thanks for that study post….if i ever manage to recover…i will be sending your guys some gift cards…the guys on this page have been my best source of info. Its weird…i knew about this page…and saw kang…i just kept thinking lap mesh surgery was the gold standard…because everyone told me so. Had i paused and just considered how it was performed i would have recognized it for the butchery that it is. I don’t know why i trusted hernia surgeons and their representations about the safety of the procedure..they are some of the worst in the medical profession.
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thanks guys so helpful….yea…the pain is pretty excruciating…so I think I am just going to fly to korea to see kang. Its troubling that Dr, Belyanksy who i respect could not find a hernia and did not think to request imaging. There was never any bulge at all on the side where the pain is but the pain is radiating from the inguinal canal so I suspect that its some kind of small hernia. Very happy to hear that CPK -seemed to have a similar problem…pain but no visible bulge…and that kang was able to find and fix it. Going to korea seems crazy…but honestly I cant think of anyone else who i trust that i can get in to see quickly. Towfigh uses MRI…..but kang says that is not the way to identify these types of hernias…any thoughts that you guys have are much appreciated.
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Yes, Occult hernias, sliding hernias, sliding fat hernias outside the sac, lipomas, it’s definitely complex. I found that a regular jack of all trades general surgeon may not have the necessary expertise to identify all of these variations and it’s best to seek out a hernia specialist. Here is another interesting article about cord lipomas:
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It is absolutely possible to have a hernia without a bulge. A hernia may also not be palpable upon physical examination. These are typically called occult or ‘hidden’ hernias.
There has been discussion about them here, and Dr. Towfigh and her colleagues have published papers about them with regard to imaging:
https://doi.org/10.1001/jamasurg.2014.484
https://doi.org/10.1016/j.jamcollsurg.2018.08.003 -
Larger hernias do not always mean more discomfort. I’ve heard of people being able to regularly push an orange sized hernia back into their groin with no pain. Dr. Kang could not identify my hernia from his initial physical exam alone. However, his two excellent U/S techs found the lipoma and smaller hernia sac. He will not move forward with surgery until he has conclusive evidence from either the exam or ultrasound.
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