How long should or could you leave a hernia
Hernia Discussion › Forums › Hernia Discussion › How long should or could you leave a hernia
- This topic has 16 replies, 5 voices, and was last updated 2 weeks, 3 days ago by
William Bryant.
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01/14/2023 at 11:54 pm #33456
William Bryant
ParticipantIf the hernia is not too troublesome, mostly asymptotic, how long can you defer surgery?
The surrounding tissue degenerates but how quickly or slowly?
The hernia gets bigger but is that usually gradually?
If you have no (great) pain and/or can do most things is it best to watch and wait rather than risk surgery that is not without risk?
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01/15/2023 at 4:04 am #33458
Alephy
ParticipantI am not sure there is an answer that applies to everyone…
I personally also think that it depends on your lifestyle ie being fit with a strong abdominal core will go a long way in keeping you off surgery. -
01/15/2023 at 6:07 am #33459
Watchful
ParticipantThis really varies. It can stay the same size for very long, grow very slowly, or grow fast. It can grow at different rates at different times.
One thing to keep in mind is that larger hernias are harder to fix, particularly with tissue repair.
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01/15/2023 at 9:07 am #33461
William Bryant
ParticipantGood points Alephy and Watchful. Ref sizing, how can you tell how big is it? Is it size of bulge?
When just getting up from sedantary.
Or at end of day?I thought mine had got bigger for example but a consultant, by feel, said urz hardly changed.
Another said it isn’t really size it’s if it’s symptomatic and troublesome.
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01/15/2023 at 9:57 am #33462
Watchful
ParticipantIf the bulge is larger than it used to be then obviously the hernia has become bigger. The size of the hernia sac and defect can be measured by ultrasound, although having it done accurately may be challenging.
If the hernia becomes too bothersome, it’s reasonable to do surgery even if it hasn’t been growing in size.
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01/15/2023 at 1:39 pm #33464
William Bryant
ParticipantThe bulge size seems to vary. When I first get up it’s pretty small and gets a bit bigger during day. However when I carried a large liquid container it was bigger in general for about two weeks then settled back.
It isn’t really bothersome and that is the point I’m getting at, is it worth risking a virtually asymptotic hernia for surgery at the moment?
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01/15/2023 at 4:38 pm #33466
Watchful
ParticipantThe bulge size varies because the content sometimes comes out more, and sometimes it gets reduced back in. The question is whether you’re noticing a worsening overall. If not, and if it isn’t really bothersome, then my personal preference would be to wait, but you should listen to your consultants, and it sounds like they don’t think you need to rush to do surgery. How big is the bulge when it protrudes the most? People typically compare to the size of a fruit of a similar size. What fruit would it be?
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01/16/2023 at 2:31 am #33470
William Bryant
ParticipantIt’s about egg size bit only half of it sticking out if you follow.
A consultant called it moderate size.
Another said it isn’t size it’s whether it’s symptomatic. -
01/16/2023 at 12:50 pm #33481
Wim
ParticipantAlready 2 years with a hernia in my case. You have to change your lifestyle avoiding pushing the hernia further.
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01/16/2023 at 11:22 pm #33483
William Bryant
ParticipantHello Wim, do you plan on getting yours repaired or does it not have symltoms.
I’ll be 2 years in late August.
I have changed in as much as I dint carry much but I find that frustrating.
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01/20/2023 at 1:24 am #33511
William Bryant
ParticipantExactly the same as me Wim. I’m scared I’d be exchanging virtually no symptoms and just mild discomfort for a whole lot more. But at the same time realise it has to be done at some stage and frustrated that I can lift things I used to.
Such is the hernia dilemma.
Who would you go with?
I’m thinking Dr Kang seems the most highly regarded!
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01/20/2023 at 9:59 am #33513
Watchful
ParticipantWilliam,
Since you’re in the UK, why not go to Germany? Conze, Lorenz, Wiese.
If you are really so limited in lifting, then I would consider doing it, but if it’s not so bad and things are stable, I would personally wait.
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01/20/2023 at 11:59 am #33519
William Bryant
ParticipantI have considered Germany and not totally ruled it out but Baris experience put me off a bit and didn’t one of the Germans treat Scarletville badly?
Which one of the three would you favour Watchful?
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01/20/2023 at 12:53 pm #33520
Good intentions
ParticipantHere’s a thought for those considering bad stories about surgeon interactions. Imagine that a certain, very active and opinionated, person from the forum was interacting with a surgeon in the way that they have commented about people on this very forum. Very complementary when they need something, very negative when they don’t get what they wanted. It’s easy to imagine that the surgeon would be very irritated and short with them and try to guide them away. No surgeon wants a single patient out there on the internet trying to blame them for a bad result, trying to ruin their career, even though they have decades of history of helping other people.
Just like when evaluating surgical methods and materials you really have to consider the overall numbers and the specific cases and your own specific situation, all together. Like Amazon reviews, if you look at enough of them you will always find a reason not to purchase. It’s best to look at recent results and the collection of results as a whole.
The best way, in my opinion, to make a choice about surgery, is to try to calculate the odds of success for your own situation. Collect the information, assess its quality, apply it to your situation, make a decision.
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01/21/2023 at 2:06 am #33526
William Bryant
ParticipantAh Ive looked back and the German surgeon who hung up on Scarletville was Kurzer, Watchful.
I know Good Intentions I’m looking for a perfect success rate! Which is nigh on impossible. Such a major decision.
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