Chaunce1234
Forum Replies Created
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Swollen Groin after Mesh Removal
The swelling should improve over time, but may take up to twelve months. Try a scrotal support (jock strap). Did the pain resolve?
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Swollen Groin after Mesh Removal
JG – At 13 weeks, things are still not final. Won’t be for 6-12 months. Scar tissue is not inhibiting the fluid from being absorbed. May I ask where you went for you laparotomy and mesh removal? It seems like an extreme solution. DE
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Small Umbilical Hernia Repair Advice
It looks right you’re right on track! The final result won;t be known for 3-6 months at least. You did it!
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Dr. Towfigh – Neurectomy
Sorry to hear you’re having trouble. The best advice I would give you is to see David Chen, MD in Los Angeles (general surgeon). He has a lot of experience with chronic groin pain, and access to some anesthesia folks who also have a lot of exxeprience. In the mean time, try some myoflex cream or aspercreme. I know it sounds a bit too simple, but some I have siuggested this for have had remarkeable results. They are also easy to get, inexpensive, and safe, as long as your not allergic to aspirin. Hope this helps!
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Inguinal hernia?
It is definitely not the case, as I have done that often. It is not a good idea to ask the surgeon to do something they are not comfortable with. It’s not that they’re a bad surgeon, that is just not in their tool box. And an open hernia repair is not a bad option either, but in your case, the laparoscopy may be an added benefit.
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Inguinal hernia?
The real question is whether or not your hernia is the cause of your symptoms. The only way to find out is to repair the hernia and see what happens. It can easily be done via laparoscopy, but not by that surgeon. Laparoscopy would also have the benefit of looking in the pelvis, and releasing any scar tissue seen as well. May (emphasis on May) increase the odds of pain relief if more could be done, since it’s not clear exactly what is causing it. You may want to find a surgeon that feels comfortable approaching this laparoscopically. Hope this helps!
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Chronic Lower Left Quadrant Pain
If the pain is in the groin or pelvis, rather than higher up, it certainly could be a hernia. You also have to consider the severity, and limitations of your activity because of the pain. It’s not dangerous, which should be a relief. If it’s bad enough, and your willing to undergo a laparoscopic groin exploration/hernia repair because nothing else could be done, it’s reasonable. The “negative” MRI may actually have a small hernia that was missed. In any case, you will have to decide how bad the problem is, and how far you will go in terms of attempting pain relief. Particularly if that means another operation. Hope this helps!
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Fat in Inguinal Canal vs Hernia vs Cord Lipoma?
It’s primarily based on symptoms, history of a bulge, goal of the patient, physical exam and sometimes imaging. And it is not a one size fits all answer. So the answer to your question is that there is commonly fat in the canal, there is often groin discomfort, and sometimes the two are related and sometimes not. That relationship is often very difficult to sort out. The fat however is not dangerous in terms f risk as it would be if there were intestines in the hernia. Hope this helps!
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Training in Radiology
Usually they are good at CT, not as much with MRI. Hope this helps!
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Fascia Tightening ??
Ask your hand surgeon if a re-exploration and neurolysis is appropriate.Tough situation for sure.
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Inguinal hernia?
Your pain is not specific for hernia. Ask the surgeon if you would be a candidate for a diagnostic laparoscopy with both the hernia surgeon and gyn surgeon participating. Also ask if an MRI is appropriate. Hope this helps!
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Hernia Surgeon
CT Hernia – 1. Everyone has a urachal remnant. Whether or not it is the cause of your symptoms is difficult, if not impossible to know. 2. If you have bilateral inguinal hernias, and a laparoscopic approach is planned, it would usually be inappropriate to not repair both sides. 3. Either TEP or TAPP is appropriate, no need to alter port site location. 4. Repairing the umbilical hernia at the same time with or without mesh is also appropriate. With limited info, my approach to this would probably be bilateral TEP with umbilical hernia repair through the umbilical incision (with or without mesh). Hope this helps!
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is this hernia
COuld an abdominal wall muscle strain. Certainly doesn’t sound dangerous, particularly if you already had a ct scan that was normal. Should get better with time. Hope this helps!
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Hernia “cough” exam
Ask your doctor to check you for a hernia. I they don’t have you stand up, ask them to check it while standing. Hope this helps!
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Spigelian hernia?
I’m sure you’ll be fine. Too bad we couldn’t have connected while you were here. Best of luck! DE
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Spigelian hernia?
Make sure you bring the MRI images and report. And make sure the disc works in your computer. Good luck! DE
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Auto immune disease and mesh rejection
goundfaller – You’re insights are important, and more should listen! I especially like you statement that if the operation didn’t work, then just say so. While it’s uncommon, I have to tell patients that sometimes, and I readily do – it is what it is. Having said that, the majority of experienced surgeons that I know do not think their job is the surgery only. Unfortunately, that perspective comes with experience, and the experienced perspective comes with a lot of time. But even experienced surgeons can have problems. Nothing is 100%. If you think you’re having trouble with your previous hernia repair, you should seek another opinion from a surgeon interested in hernia repair. One can be found at the Americas Hernia Society website. You only need to input your location to find a member near you. You can then determine if they meet your needs or not. Hope this helps! DE
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Auto immune disease and mesh rejection
sandiego – Having the suture material extrude from the skin is annoying, but temporary. You’re body isn’t “rejecting” this in the sense it is an immunological response. It is having a normal foreign body reaction, and that, coupled with the technique (including tissue handling in the OR), along with a minor, subclinical infection (maybe) may have cause this response to be more intense at the skin level. This doesn;t mean it will happen with a future operation, nor does it mean there will be a problem with the mesh. Those things of course could happen, but the skin suture issue can definitely happen without a mesh issue. Hope this helps!
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Auto immune disease and mesh rejection
Those are excellent points groundfaller. I try to teach this to our residents often. Just because the surgeon doesn’t find a hernia recurrence, doesn’t mean the operation was a success. It’s only a success if the patient thinks so. That is why the informed consent process is so important. Not to rattle off a long list of possible complications, but to find out what it is the patient is trying to solve and what their expectations are. It is then our job to listen, and give our opinion on how likely we can solve their problem. The go over the downsides of the options in plain language. I’m very sorry to hear you had a bad outcome from mesh, even it was from a hernia repair. Having said that, there are many other factors involved, and there are many large studies demonstrating the low risk of mesh related complications. I’ve attached one such study. Hope this helps!
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Auto immune disease and mesh rejection
No known increased risk. Unfortunately, it is completely unpredictable how any individual will react to mesh. Fortunately, it is very uncommon for someone to have a bad “reaction”. You will hear about bad outcomes with mesh, but given the fact that it is used over a million times a year in the US, the number of problems is relatively small. Hope this helps!