[aldpeev]

I had numbness in the surgery area and inner thigh for about 2 years so maybe my ilioinguinal nerve has been cut as well…

I read somewhere that in the removal they cut it way higher and then problems occur.

[aldpeev]

@good-intentions thanks for your replay and thoughts.

I know tho in open mesh removal nerves have to be cut as well to eliminate the risk of chronic pain.

There isn’t a lot of information about open mesh removal on the web and seems to be true for this forum as well.

Any other information about open mesh removal would be greatly apriciated!

[aldpeev]

@good-intentions yes, I had Lichtenstein repair with the progrip mesh, no plug and patch was used.

Maybe I didn’t ask my question clear enough.

I wonder if it’s easier/safer to remove mesh that is in the inguinal ligament(Lichtenstein) than if the mesh is in the extra-peritoneal(TEP) or peritoneal cavity(TAPP) since well-known Drs. remove mesh only if it was done by Lichtenstein method.

Quote from Dr.Muschaweck website:

Mesh removal is always necessary in patients with chronic pain after open mesh insertion, but unfortunately it is rarely possible in patients with laparoscopically inserted mesh.

[aldpeev]

They have installed me ProGrip mesh and that i found is they dont use tacks to fix it. So if they don’t use tacks it can’t  affect  ilioingluinal and iliohypogasric nerves (source: https://www.youtube.com/watch?v=YcMflnDNNNM ). Then triple neurectomy is not necessary. Is that source reliable and do I understand it correctly is the question. Is the mesh installed via open method located in the preperitoneal space ? From what I understand, yes. I’m not native English speaker. 

[aldpeev]

Thanks for the replays! Today I was okay with mild pain in the surgery area and I’m still researching mesh removal and possible problems. One thing that comes to mind is the difference between entrapped nerves and just mesh pain and what actually causes the pain in the surgery area. The stiffness of scar tissue and mesh combination? One of the biggest concerns about mesh removal is cut nerves for me.

[aldpeev]

@ajm222 Thank you for the great post ! Today was okay and I really hope nothing bad happens further. Is it possible to dislocate the mesh after this long time? My surgeon is categorical that after 3 months it is  impossible to happen. Then why did I have those problems ? He just said that I overloaded myself and to give it a break. Another highly experienced surgeon told me the reason for pain is compression of the spermatic cord if it’s overloaded and if I would have problems I would have them immediately not after that much time . But I have read here about folks that had no problems like me and suddenly appeared . So I really hope everything settles and will never again take the risk of injury. I really didn’t know hernia repairs are so complicated especially if there is mesh problem. I’m still open to hear the docs opinion. 

[aldpeev]

Thanks for your reply @ajm222. How are you recently? I have read your topics and saw that you are with progrip as well. The topic about gradually improving in terms of pain after a while is interesting and I hope it is true. What do you think about my problem?  Have you ever experienced anything like that before?

[aldpeev]

The pain I felt was instant in the hip adductors when squatting and then started in the testicles. Initially I had zero pain in the surgery place. That happened approximately 10 days ago. Testicle pain gradually settled to almost non existent but then started pain in the surgery place when bent down for instance. I can describe it as when you have stretched something and it’s recovering – like dull pain. Yesterday I had zero pain in my testicles and surgery place. Today I have very mild pain in one testicle ( it feels on the outer side, not the whole testicle) when walking which is not constant and mild pain in one side surgery ( like I have some kind of wound that is recovering). The hip adductors pain (or inside of the leg where it is attached to the groin) is still present tho. It’s very weird and I think there is some level of anxiety and hypochondria to it , especially knowing there is no easy solution and I’m that young.

[aldpeev]

No, I’m from Eastern Europe but from the research that I have done found dr.Muschaweck is one of the best in Europe for removal. Maybe @drbrown or @drtowfigh will have a clue what’s happening. Also is it true that ProGrip micro grips dissolve over time ? Is it harder to remove that type of mesh ? Just as I said I’m not thinking of removal yet and hope everything settles down but i prefer to be well informed. I have been inspected for recurrence of hernia or any complications by the surgeon of my hernia and one other, they said everything is okay and seems to me that they don’t care if there is pain, only if there is recurrence of hernia. And it is obvious why they don’t care, because it is so risky to remove it.