Simultaneous Appendectomy and Inguinal Hernia Repair
I am a 38 y/o female. Just over 1 year ago I underwent emergency surgery for appendicitis and a small inguinal hernia repair was completed at the same time. Prior to this surgery, I had no history of RLQ pain.
I had continued pain post surgically, around a 5 chronically, then, 4 months later underwent surgery for stump appendicitis.
Since that surgery on 2/2017 I have had increasing RLQ pain where the mesh was implanted. The pain has become so severe that I can no longer work.
Q1) I have been told by 2 separate surgeons in f/u that the original surgeon should have never completed both surgeries at the same time. But a 3rd surgeon said it is common. I don’t believe the pain was at all related to a hernia, but when I was in the ER and in that much pain, I didn’t really think that through. So my Question is- is this a common set of procedures to be completed at the same time?
Q2) Surgeon used a large Bard 3dmax mesh which is approx 4″ x 6″, for a hernia that measured approx 2cm x 1.5cm. I was told that is standard for an inguinal hernia repair. It seems to be a bit overkill size-wise. Is this standars practice?
Q3) I am in constant, severe pain in the area where my mesh was placed. I have difficulty sitting, walking and most excruciatingly, going from a sitting to standing position. 3 surgeons I have seen believe I need the mesh removed but do not feel qualified to complete the removal. 1 surgeon has suggested inguinal nerve ablation. Would is be beneficial to consider a nerve block prior to agreeing to ablation? I would think if benefits are seen from a block, then a reasonable expectation would be that the ablation could be effective long-term.
Q4) I have recently started experiencing swelling in my hands and feet in addition to the abdominal swelling I’ve experienced for the past year. I am waiting to see my surgeon for f/u to pain management, but I have 1 more month to wait. Is this a symptom I should be contacting their office about, or is it just a complication of hernia mesh implantation?
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