Possible recurrent hernia?
Back in 2004 Dr. Parviz Amid (since retired) at the Lichtenstein Hernia Institute repaired my left inguinal hernia using the open anterior Lichtenstein method with mesh (When he opened me up he actually found multiple hernias). I have gone 11 years with no problems until about a week ago. Then this problem occurred out of the blue. I cannot think of anything I did that caused it.
For about 5-6 days I have had a feeling in my left groin area like their is intermittent pressure pushing outward from inside. Comes and goes. Other times it feels like something is rubbing or stretching (when I pull my briefs away from my skin the symptoms are relieved). Sometimes the feelings go away. Usually when I am walking. I really don’t have pain. For the first couple days I was sore when I pressed on a specific point in my groin but since then I really have no real pain. Just the symptoms described above. I also DO NOT have a visible bulge. In fact, both sides of my groin area feel and look the same. I have lost about 10 pounds over the last 2 months as I started eating more healthy (cutting out all the junk food). Could this have an effect? I am not overweight. I am 5’8″ and weigh 163 lbs (down from 174 lbs). I was wondering if I could have a recurrence or whether this could just be scar tissue from weight loss.
I am concerned that without the visible bulge it will be very difficult to diagnose my condition.
It is my understanding to fix a recurrent hernia and avoid scar tissue from the original open anterior Lichenstein mesh repair, a posterior laparoscopic mesh repair would be required.
If I do need a recurrent hernia repair, I would be looking for an experienced laparoscopic hernia surgeon LA/Orange County who has done over 750 laparoscopic posterior hernia repairs with mesh. I checked the AHS site but they do not clarify who is experienced in laparoscopic procedures.
What do you think of my symptoms? Is this typical of a recurrentce? Would one of the doctors on this forum be able to recommend someone with this experience in the LA / OC area?
Which method do you recommend – TEP or TAPP?
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