News Feed Discussions Lowest risk surgery type to resolve groin pain?

  • Lowest risk surgery type to resolve groin pain?

    Posted by Chaunce123 on July 27, 2016 at 8:51 pm

    OK here is a question that I think many others may have that pertains to hernia surgery preference…

    Let’s say a patient has groin pain or pelvic pain, and there is an imaging study suggestion of a potential hernia BUT it is not conclusive and not certain if that is the cause of the pain…. is there a specific surgery type that is best suited for optimal chance at resolving the pain with the lowest potential of side effects? Is one surgery type more suitable than another for this type of situation?

    Does the surgery type matter? Given the goal is either for maximum relief from pain IF hernia is the cause, OR at least minimum risk of further pain and minimum risk of complications.

    Is it better to have a no mesh tissue repair because it would avoid any potential for later mesh complications?

    Is it better to have laparascopy because it is easier to visualize a potential hernia before fixing it?

    Or is open mesh repair better because it is easier to treat potential complications?

    Do any of the distinguished doctors here have some experience or opinions to share with these type of situations? Is there any data or studies on these type of situations for uncertain groin pain and outcomes after attempted hernia repairs?

    Chaunce123 replied 7 years, 6 months ago 2 Members · 3 Replies
  • 3 Replies
  • drtowfigh

    Moderator
    August 15, 2016 at 9:31 pm

    Lowest risk surgery type to resolve groin pain?

    Yes

  • Chaunce123

    Member
    August 9, 2016 at 9:40 pm

    Lowest risk surgery type to resolve groin pain?

    That makes sense, I only wish more doctors had such a robust approach!

    Would you say that laparoscopic hernia surgery is generally well tolerated and effective for male patients that have a background of groin pain?

  • drtowfigh

    Moderator
    July 28, 2016 at 4:23 am

    Lowest risk surgery type to resolve groin pain?

    Short answer, Chaunce123: No.

    It’s like asking, which pair of Jeans will make a human being look better? It’s based on your body type, sex, height, weight, style you wish to portray, etc. Hernia repair is the same.

    A. the best repair type varies per surgeon and their expertise and experience
    B. the best repair type varies based on sex, lifestyle, body habitus (weight), risk factors for recurrence, etc.
    C. each mesh type is different and may be better or worse for each patient (E.g., lightweight mesh may sound great, but I would argue it is not a good choice for the morbidly obese or larger build body types. Similarly, no-mesh repair sounds like a safe alternative, but if there is going to be an early recurrence, with tearing of the muscle, resulting in a larger hole and more complex redo surgery, then that would be a terrible outcome.)

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