How to judge hernia size?
01/12/2022 at 7:47 am #30407
I have read a lot about watchful waiting but that you shouldn’t wait until hernia is large as it can become more difficult to repair. So how big is big when it comes to inguinal hernias?
01/12/2022 at 8:08 am #30408
Yes it’s not easy that one. Thanks for asking as I’d say mine was medium but Dr and consultant refer to it as small!??
Also is it the bulge or the hole they look at?
Shouldice asks and grades along lines, from memory, of
They won’t operate if it’s too small with no bump or too big such as grapefruit size I guess
01/12/2022 at 8:21 am #30409
So, in that list of objects, which would you say is medium?
01/12/2022 at 8:45 am #30411
Probably golf ball and or egg… I’m not sure all of those are listed on the shouldice questionaire.
01/12/2022 at 8:53 am #30412
Ah the shouldice categories are
Hope that helps
01/12/2022 at 8:59 am #30413
Dr Kang, in South Korea, by the way, will I believe perform tissue repair regardless of size.
But most surgeons who offer tissue repair do say mesh might still be used if they find it necessary during operation.
I think a poster here found that to their cost during operation in Germany.
It’d be an idea to check as it does seem possible to go in expecting tissue but to come round to find mesh.
It’s probably unavoidable in some cases though
01/12/2022 at 9:47 am #30414
I appreciate the info. Are you watchful waiting as well? It seems that with the pandemic, it is hard to get in for elective surgery recently.
01/12/2022 at 10:39 am #30415
I am sort of doing watchful waiting as in UK the wait to see NHS consultant is about a year or more now due to covid. I do think about overseas but so far not decided between Dr Kang South Korea, Shouldice Canada, Dr Desarda India,USA Dr Yunis or Dr Thomas or surgery in Germany.
But…the itchiness is getting on my nerves and I worry about hernia going in to scrotum. No ones really explained why testicle itche so much.
Plus I’m not sure if it’s direct or indirect!
01/14/2022 at 8:11 am #30433
William, sorry for the slow reply. Also sorry to hear that you are in limbo of sorts while trying to navigate the hernia surgery in the pandemic dilemma.
I do not know if mine is direct or indirect either.
01/14/2022 at 2:57 pm #30434
Indirect hernias come out toward the feet and direct hernias come forward. Therefore, when coughing in a supine position, direct hernia still bulges easily, whereas indirect hernia bulges less or not.
01/15/2022 at 12:59 am #30435
Thanks Dr Kang
Is it possible to have both? On same side? Close together?
01/15/2022 at 2:56 am #30436
Yes. Then, it’s a pantaloon hernia.
01/15/2022 at 4:53 am #30437
Can you repair pantaloon hernias with natural tissue
01/15/2022 at 2:51 pm #30438
Yes, of course. Since 2012, I have performed pure tissue repair on all inguinal hernia patients without exception. And pantaloon hernia is not rare.
01/15/2022 at 3:54 pm #30439
Thank you for your reply Dr. Kang! Do you have any plans to travel to the US to do surgeries?
01/15/2022 at 4:28 pm #30440
I have no US medical liscence, unfortunately.
01/15/2022 at 4:56 pm #30441
Ok, wasn’t sure how that worked. Well thank you for all that you do for the hernia community.
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