Chaunce1234
Forum Replies Created
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Painful ejaculate post open hernia repair
Give it a rest for a week or two. It should get better on it’s own. There’s a lot going on down there and needs some time for the swelling and inflammation to go down. Be sure to mention this to your surgeon when you go for your follow-up. Hope this helps!
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Survey! Re: Consultations with your Surgeon
Very useful. Worth more than $0.99
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Spigelian hernia?
Those are great questions for your surgeon if and when the time comes. Can’t just “check” for lumbar hernias in the operating room, so should make sure the radiologist comments on that area when reviewing the MRI. Usually lying flat on back for Spigeluan repair. Hope this helps!
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Spigelian hernia?
You should be able to get another opinion from Kaiser, and specifically ask if they looked for a Spigelian hernia. “Normal” does not mean that there is not a Spigelian hernia. The lower images would be more helpful. Probably series 12, images 69-79.
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Spigelian hernia?
Sharon – Indeed the image (070, series 12 in the upper right corner) you have shown looks like a Spigelian hernia. I can’t tell for sure due to the inability to see the whole scan. Sounds like you would clearly benefit from a more complete evaluation by a general surgeon interested in hernia repair. You can find one on the Americas Hernia Society website. Just type in the state and click search. If you’re in San Diego, Garth Jacobsen and Santiago Horgan at UCSD would be good choices. Mention your referral from Hernia Talk, and feel free to use my name as well. Be sure to bring a copy of the scan and the report to the surgeon. I would typically approach these laparoscopically, and use an intraperitoneal mesh for repair. Hope this helps! DE
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Inguinal hernia recurrence
Sounds like a recurrence, and sounds like pain is from the hernia. An open approach probably wouldn’t be the best, but you would have to find an experienced laparoscopic surgeon to look in with a scope. You can find surgeons interested in hernia repair at the Americas Hernia Society website. Whether or not they do lap repair in this situation is unknown, but you could always ask. You are right to look in to it a bit more Hope this helps!
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Advice needed!
Sounds awful. I’m sorry you are going through this. You are probably a candidate for a diagnostic laparoscopy if the symptoms are that severe, and there is no clear cut diagnosis or successful treatment. I doubt it is a hernia, but it may be worth a look. A combined approach with Gyn and a general surgeon may be best. You can find surgeons interested in hernia disease at the Americas Hernia Society website. Hope this helps!
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Muscle tore away from Mesh
Very uncommon after lap hernia repair. The steroids however are more potent than NSAIDs. Good luck!
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Muscle tore away from Mesh
Ask your surgeon if a trial of antiinflammatory therapy is appropriate. I use a Medrol DosePak for a week, followed by 3 weeks of narposyn. Use myoflex cream topically, and use ice/heat 2-4 times per day. Ice/heat based on trial and error. Of course, limited physical activity during the month long course if therapy. Further treatment depends on response after a month. Hope this helps!
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Small Umbilical Hernia Repair Advice
Least invasive option = open.
Least chance of recurrence = mesh
Differences are relatively small, and risks related to mesh are small.
Yes it is confusing, but you still have to decide. Just make sure the surgeon is comfortable with your preferences. And remember, they are YOUR preferences, so don’t get talked in to or out of something that you think is right for you. It may not be the right decision, but it’s your decision. And nobody can predict the future. -
Possible Hidden Hernia?
If you’re going to be in Phoenix, look up Dr. Conrad Ballecer. Let him know all the details, and ask him to check for an obturator hernia as well. All the Best. DE
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Is this a Hernia? In desperate need of help!
Best of luck! The abdominal and back pain issue is complex, and requires a proper evaluation. Even then, these things can be difficult and sometimes impossible to figure out.
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Small Umbilical Hernia Repair Advice
Activity as tolerated based on pain and discomfort is a good rule of thumb.
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Possible Hidden Hernia?
Sounds like it could be an obturator hernia, which is difficult to diagnose. Involving an experienced hernia surgeon at the hysterectomy can help diagnose and treat this if it is present. You can find surgeons interested in hernia repair at the Americas Hernia Society website. Best of luck! You’re not crazy. DE
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Fascia Tightening ??
Whether or not hernia repair techniques can be applied to your situation is unknown, and would best be dealt with by a hand surgeon of a variety of specialities as I mentioned. That’s really the best I can do as a hernia surgeon. Good luck. DE
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Mesh Removal
You should be ok in terms of a recurrent hernia, but it’s unpredictable. I have taken Mesh out And follows patients for a couple years without recurrent hernia, however that doesn’t predict what will happen to you. It’s also possible your pain isn’t due to the mesh. You might want to consider a month of antiinflammatory treatment with s Merrill dosepak followed by 3 weeks of narposyn and myoflex cream. If that does the trick, you may avoid another operation. Hope this helps!
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Small Umbilical Hernia Repair Advice
Given your activity level, mesh would have a relatively lower chance or recurrence. It’s up to you to decide, and that needs to be done woth your surgeon, whomever that may be. Hope this helps!
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Fascia Tightening ??
You may want to ask you hand surgeon about the use of mesh. Other than that, surgery and diseases such as yours are out of my field of expertise, so I really can’t comment about the why and how of operations I have never seen, let alone done. I would also frame your questions the same way you have here, and bring up the possibility of using hernia repair techniques if on fact there is a need. The surgeon would then be able to speak with a local general/hernia surgeon to share information.
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Small Umbilical Hernia Repair Advice
Based on an incomplete evaluation and no physical exam, seems like the best option would be open “crease” incision at the umbilicus with a small ventral patch, even if the hernia defect has to be slightly opened to get it in. This should be placed preperitoneal, and the hole (hernia defect) closed over the top of it. Most general surgeons can do this well. Whether or not they will honor your request is a different matter. Best of luck!
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Fascia Tightening ??
A hand transplant surgeon deals with problems of venous congestion in the arm and forearm and hand.