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Enterocutaneous fistula
Had a fistulogram today. Fistula connects with ileum. Very small opening, but have drainage every day. Have had 5 hernia repairs (1990s, 3/2005, 12/2005, 10/2008, and 5/2015. Have 2 mesh implants that I believe were recalled, Bard Composix Kugel in 2005 and Bard Ventralex in 2008 (am in touch with a lawyer). See my surgeon again Friday who had said if no intestinal involvement it would be challenging, if intestinal involvement challenging and complicated. She has a colorectal surgeon (have seen him for rectal cancer) in mind to help her. Also have a left hip replacement, so am between a rock and a hard place–need to have the surgery to protect the hip, but the surgery may open a Pandora’s box. Four questions:
1. Am wondering if the radiation I had for the cancer would have weakened the mesh or made it migrate?
2. Is there any mesh on the market today that doesn’t cause problems and is safe? I doubt very much I can do without mesh.
3. Has anyone had experience with fibrin glue for repair of a fistula?
4. Any advice (besides jumping off a tall building in a single bound)?
Thanks in advance for any info.I live in Upstate New York. Dr. Jacob (?) in NYC doesn’t take insurance, which makes no sense to me and makes me wonder how good he is despite the accolades I have read on this site. Also, his office staff was not helpful or friendly when I called, acted very annoyed.
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