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Recurrent Deep Ventral Inguinal Hernia. Advice?
Some background, I had open gyn surgery June 2018 where a tube and a grapefruit size ovarian cyst was removed which resulted in a hernia.
June 2019, I had hernia repair using Lg Prefix plug. A few months ago, my old signs returned (area grew larger, pain when coughing, stomach blowing up with gas after certain foods, etc.)
I saw a surgeon, which confirmed my hernia, and did a catscan where they saw a 2.4 cm hernia, lower anterior abdominal wall defect.
I know I have been told my hernia is also very deep, the surgeon s not sure if it is due to my previous hernia surgery or the gyn surgery I had in 2018.
I have received 2 opinions, both want to do DaVinci method under the muscle, 5×6 cm mesh. One wants to remove plug from front, the other from the back during the DaVinci robotic surgery.
I am scheduled for March, but was hoping to research further due to my apprehension with mesh, and if this is the best option. Any insight, information would be greatly appreciated.
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4 Replies
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[USER=”935″]drtowfigh[/USER] The reason for the mesh plug removal, is the hernia plug is not working and loose. The plug moves when I cough. Use to physically feel it pop, but now just hernia pain.I have the op report, and only the plug is mentioned.
My hernia is back, buldge in my lower groin about 2×3 inches when standing, confirmed by cat scan. My pains are hernia related, not mesh, stomach bloating to the point I look pregnant with extreme pain after eating large meals or fatty foods, pain when coughing, etc. which has been exasperated since I have had bronchitis now for over four weeks. Its moving in the area, but not doing its job.
I have been told I need robotic DaVinci to put a 5×6 mesh between the muscles. The plug removal is so it will not cause any more damage since it is not in place. Also, the doctor would like to remove the plug during robotic to avoid opening me up again. (This will be my 5th open surgery in the area if he did)
Since I obviously made the wrong decision with my last repair (June 1019) I want to make the right one now. The mesh removal and then putting mesh deeper inside between the muscles does scare me some, but think its my only option…any insight would be appreciated.
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What is the reason for plug removal? Meshoma related pain? If so, consider just removing the plug Laparoscopic/robotically and that’s it. Usually there is also an onlay mesh with the plug. Don’t disrupt that and it can function as your hernia repair with potentially good longterm result with respect to hernia repair.
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I think for me the issue is I have had four open surgeries,and a laparoscopic on my abdomen prior so Dr. are reluctant to open me again. From what I understand the mesh plug is not infected, which is good, just not stopping the hernia from coming through.
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Davinci, or robotic, is just a new way to do old things. The mesh and what they intend to do with it is the key thing to focus on. You’ve already had one failed “mesh” procedure. “Mesh” means so many different things that the word alone is almost meaningless.
The fact that you have two different opinions on how to fix it means that your problem is probably not a simple one. Doing more research is a good idea. Get more details from the surgeons that you’ve talked to, about the materials they plan to use and placement, and how they plan to remove the bad mesh. Ask about neurectomies and other things that they might plan to do while they are working. Make sure that they have a history of successful operations, verifiable, and that you are not part of their early learning curve. Robotic laparoscopy is still a new technology, spreading rapidly.
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