Chaunce1234
Forum Replies Created
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Fascia Tightening ??
The fascia in your forearm is currently open, and the most likely explanation for the venous congestion is some sort of damage to the veins in the skin. Tightening the fascia wouldn’t help if that’s the case. Also, tightening the fascia may cause the compartment syndrome to return. There are however many factors involved that would require a more complete evaluation by a hand specialist. Hope this helps!
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Fascia Tightening ??
CDI – Unfortunately, this is in fact a very unique situation, and while I am a huge fan of “cross pollination”, nothing comes to mind that could be extrapolated to your situation. I would seek out other opinions from hand surgeons of varying specialties (general surgery, plastics, and ortho). As a last resort, you may want to get an opinion from a center that does hand transplants. I believe the biggest (and maybe only) program is in Tennessee. Hope this helps!
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Small Umbilical Hernia Repair Advice
Melina – Sounds like your goals are relief of symptoms, and preventing this from getting worse (i.e. avoiding recurrence after repair). The, and least invasive option for you would be an open crease incision, with a small ventral patch (mesh) placed pre-peritoneally with the defect closed over the top. This will have a lower chance of recurrence compared to no mesh, and a higher chance of missing adjacent hernias compared to lap. These differences however are small, and this approach is an excellent choice for someone desiring a minimally invasive approach and minimizing risk of recurrence (which is never zero). Here’s a link to an abstract for an article I published on the subject a couple years ago. http://www.ncbi.nlm.nih.gov/pubmed/?term=umbilical+heria+earlre
Best of luck. Hope this helps!
Dr. David Earle -
Is this a Hernia? In desperate need of help!
Sounds like it could be a lipoma. She should have a proper evaluation by a general surgeon. May need to also have the radiologist go over the MRI again and pony out the spot where the limo is. These small masses can easily be missed, especially if they are looking for intra-abdominal or orthopedic problems. Hope this helps!
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Alternatives to mesh
John – Sorry you have to have surgery, but that is the only way to fix the problem, In addition the the excellent feedback you have already received, all of the non-mesh repairs use permanent sutures made of the same or similar material that mesh is made from. Sounds like you are primarily interested in a permanent cure at a single operation for your problem. Laparoscopic repair of both hernias at the same time with mesh (by someone with enough training and experience which is difficult, if not impossible to sort out for patients) has the highest chance of achieving your goals with the lowest chance of chronic pain. Whatever lap technique the surgeon does best (TAPP or TEP) should be used. Hope this helps! Dr. Earle