Recently diagnosed left indirect inguinal hernia -advice

[Joe]

Hello group -hoping to get some advice here. Its a very confusing area. I live in the philly area -diagnosed with left inguinal hernia indirect. My research suggests so far to avoid laprocopic surgery. But is tissue repair best? Seems most favor shouldice, but a lot of reports of chronic pain and tightness. I spoke with Dr, Tomas in florida about Desarda but then came on some bad reports on this forum. Kang seems interesting but really far. And it seems some say he is reporting a 17 percent risk of chronic pain. My local surgeon wants to do lichtenstien. He says the risk of complications and chronic pain is very low. Dont read the internet. But I see mesh complaints here but they seem to me mostly from lap surgery. It seems like all the tissue repairs are painful and many feel pain for years after. I would prefer not to travel if i can get a good repair close to home. Is all the stuff about mesh really real? Most of my friends have open mesh repairs and have no issues at all. Though one complains he has pain now and then, It seems to be a very confusing area. Is there one surgeon here who is really good at lichtenstien that would make it worth traveling? Thanks for any advice

[Chuck]

You seem to have a good grasp of the options which all suck BTW —-never do lap surgery its pure garbage. But the other options I have studied this extensively and still have no good idea about what to do. My own anecdotal research suggests that open mesh surgery may be the safest option with a highly experienced surgeon. Others will say tailor the repair. If small-use tissue. But i wonder—everyone with a tissue repair seems to report some level of pain. I have never personally encountered a soul who had open mesh that had any issue. Watchful is the smartest guy on the forum….do whatever he suggests.

[NFG12]

Hey there! Indirect we are born with and Direct are caused by lifting etc. Most hernias don’t not cause pain especially Indirect. I’d say watch and wait especially if it’s small and reducible cause chronic pain rates are high with mesh or without. In the Midwest Check out Michigan hernia surgery Dr. Janzyck and Dr. Iacco they are the best in the Midwest and in my opinion the US. Watchful waiting is the most common nowadays so no chronic pain happens after surgery and don’t listen to the doc that Saud don’t read the internet cause if 9 out of 10 would have we’d be good now and could’ve weighed out our decision. Much love keep studying and wish you the best, any questions feel free to ask!

[Watchful]

I agree with NFG12, and I know Chuck will disagree with this. I believe in watchful waiting if the hernia doesn’t give you much trouble, and it’s stable. If it starts growing, or it starts giving you more significant problems, then have surgery. With this strategy, you may save yourself years of grief – post-surgery chronic pain rates are too high for comfort regardless of the procedure. I don’t know the current condition of your hernia, but think carefully about whether surgery is justified at this point or not yet.

[Chuck]

I do very much disagree with Watchful on this point. Well maybe not completely…but its difficult to know what these hernias are doing under the surface. At the very least have it evaluated by the best in the world…Lorenz…Conze….Kang …Towfigh all seem to do some serious diagnostics…but waiting was my big mistake—had i fixed it fast with the best tissue guy in the world…we wouldnt be chatting.

[Watchful]

Evaluating with the best surgeons is fine. It’s good to know as much as possible. I’m not sure about the accuracy of imaging in terms of defect size which is the most important measurement. Mine (ultrasound) was grossly inaccurate, but it wasn’t done by an expert.

Actually pulling the trigger on surgery is a different matter.

[pinto]

@Joe: “…he is reporting a 17 percent risk of chronic pain.”

All data must be interpreted. I don’t believe you are interpreting that stat correctly.

[Author]

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