Chaunce1234
Forum Replies Created
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quote Baris:[USER=”1916″]Chaunce1234[/USER]
i requested way before arriving at the hospital as id known he was the chief surgeon. I was told that it will be put on my file but will not be guranteed.
When i got there he sat me in his office and we spoke a whole load of things and i specifically asked him who would of done my surgery if i didnt request him. He answered back and said that he would of took on the file. Usually most days he does 4-5 surgeries but on my surgery day he only done one complex case before myself.
Funny enough he said when repairing my left side he broke a record globally by doing 32,001 operations.
With all the people i spoke to there none specifically requested a surgeon so i do believe if youd request him you will have a high chance of him being the surgeon. I went from london so i paid all out of pocket so im not sure wether this had any influence and how the system in canada works in terms of what rights the insurance give you. Top quality guy though never met a surgeon of that level to be that humble.
In terms of recovery im doing well, im off all kinds of pain meds and just resting. The insicion is healing well. Bowels slowly returning to normal just a lot of gas but i was told it will take a minimum of 5 days for bowels to function properly especially after general anasthesia. A lot of brusing and discolouration but this is expected and usually fully clears within 3-4 weeks.
Also to make people aware.. the videos on youtube that state they are from the shouldice clinic is a fake and is not the actual way the technique should be used.
So far all seems good and il update in the next week or so on progress đExcellent to hear, thank you for this information.
I am glad to hear you are doing well, please continue to update us on your progress. Thanks again for sharing this information, it will surely be helpful to other patients considering Shouldice.
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quote Good intentions:I just wish that he would have told us where British Athletics is sending people now. Let the market forces kill the bad mesh.
Based on my own research and reading within the sports world, many pro athletes in Europe (and some in USA) are sent to Dr Muschaweck in Germany for just about anything with their groin or a hernia.
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quote katiebarns:Just the genitofemoral nerve. If this doesn’t work, I think I’m going to get the ilioinguinal nerve.
[USER=”1916″]Chaunce1234[/USER] Is all 3 at once better?
I would think the more precise you can get the better, since if you can isolate the pain to a particular nerve then that should be informative for many reasons. So I think your approach of direct targeting each nerve individually makes a lot of sense.
Please keep us updated on your case and progress, and any changes to symptoms.
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quote shelley:new to this site so not sure how to post yet but I am meeting with Dr. David Krpata in Cleveland clinic next Thursday. I have groin hernias mesh w/trapped nerves. Mayo clinic said no cant fix this. More I read I am scared to remove say I will be worse.
Hi [USER=”2751″]shelley[/USER] , can you share more of your story and case? Age, sex, weight, surgery type, location, treatments, pain/symptoms, etc
If you’d like to start a new topic, you may get some more helpful responses as well.
Best of luck and keep us updated on your appointment with the doctor at Cleveland Clinic.
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[USER=”2721″]paco[/USER] thank you for sharing this, it looks difficult to say the least.
Can you share who your surgeon was who performed the successful removal and Shouldice repair?
Have you noticed any changes to your symptoms since the surgery?
Keep your head up and please keep us updated on your progress.
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This may or may not be helpful, but I stumbled into a story of a woman who had an inguinal hernia repaired without mesh somewhere in Seattle Washington, if anyone is interested in that story they can find it here:
https://butternutrition.com/female-inguinal-hernia/
The specific surgeon is not named, but perhaps someone could reach out to the author and request additional information.
The comments to the article are also interesting, many other women reporting their own experiences with hernia repair and recovery, how much more difficult and painful it is than c-sections and other abdominal surgeries, etc.
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quote katiebarns:[USER=”1916″]Chaunce1234[/USER] I have digestive issues so I don’t think the extended course of NSAID’s would work đ also… I’m getting a CT guided nerve block this month.. is that what you mean by the ultrasound nerve block?
Perhaps talk with a doctor about the NSAID approach, they can certainly cause digestive issues though. It may be helpful to split the dose up and take each smaller dose with food, never on an empty stomach. Just a thought to consider.
A CT guided nerve block should be even more precise than ultrasound guided, so that could be informative. Do you know if they will be targeting the trio of primary groin nerves (genitofemoral, ilioinguinal, iliohypogastric), or just the genitofemoral?
Please let us know how it goes, and keep us updated on your progress!
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quote Good intentions:Sorry, I know that’s not why you posted. I use the forum to collect and amplify my thoughts, and your post coalesced a few. I have not been able to rationally justify what is happening in the hernia repair field. It has all of the hallmarks of a project that started out with promise for true health care but grew uncontrollably because the financial aspects overshadowed the reality of what was happening.
No need to apologize, this forum is for having these discussions!
And I agree with your general sentiment… there would be no chronic pain to treat if there were no chronic pain problem in the first place.
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Excellent to hear good stories like this, thank you for sharing.
Did you request the chief surgeon at Shouldice or did you end up with them due to you having a recurrence? I was under the impression that Shouldice surgeons were randomly assigned to patients, mostly based on case complexity.
Please keep us updated on your progress as you continue to heal.
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[USER=”2482″]katiebarns[/USER] I’m sorry you’re going through this.
I’m just a fellow patient, but here are a few ideas you may want to discuss with your doctor if you haven’t tried them yet:
– Extended course of strong prescription strength NSAID. Typically 40-60 consecutive days, assuming your health can tolerate the RX NSAID and that the doctor will supervise you on that regimen
– You may want to discuss having an ultrasound guided nerve block if the first attempt fails or is less than satisfactory, since sometimes it can be tricky to get the proper nerve(s) targeted. If there is any success at all, repeating the nerve block injection several times over several weeks (or months) can often be more helpful.
– Targeted physical therapy, aimed at strengthening and stretching the surrounding muscles
Best of luck and keep us updated on your case and progress.
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Another fascinating and important story.
quote Ben999:The positive takeaway here is that the surgeon in Germany was able to rid him of his pain. I wonder who it was. Probably Dr. Muschaweck or Dr.Conze.I would guess you are right, given that his mesh removal was in Germany, and given the notable history of Dr Muschaweck working with pro athletes to fix these sort of problems.
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This is a very important topic.
Here are a few additional recent articles along the same lines, and likely from the same investigation series… I have attached a graphic from one of these articles too, which interestingly shows that ‘surgical mesh’ is one of the top injury categories. Fascinating stuff.
“Pharma firm sold mesh implant despite pain warnings” (on vaginal mesh, but …)
“Internal emails between executives, shared with the Guardian, show staff at Johnson & Johnson (J&J) were concerned that the plastic material the mesh was made from had the potential to turn âhard as a rockâ and roll up like a âfolded potato chipâ inside patients.”
“FDAâs âflawedâ device pathway persists with industry backing”
“Roughly 3,000 medical devices enter the U.S. market every year through a system that generally requires little or no patient testing to verify safety and effectiveness.
Unlike new pharmaceuticals, most medical devices reviewed by the Food and Drug Administration are cleared based on similarities to already-approved devices, not specific clinical trial testing.”
https://apnews.com/040fd5859f5c4800abaa9bb5c902e465
“Spinal-cord stimulators help some patients, injure others”
https://apnews.com/86ba45b0a4ad443fad1214622d13e6cb
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Have you had an ultrasound done on the area to check for a hernia? I am not sure if that’s effective for all hernia types, but it’s usually helpful for diagnosing more mysterious cases of inguinal hernias and groin hernias.
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quote ajm222:I’ve been examined by several doctors including my hernia surgeon, even getting an ultrasound. All say everything seems fine. I’m a hypochondriac and often experience strange symptoms that come and go. I’m wondering if perhaps I have just become super sensitive to sensations on that side of my body after the surgery and imagining things, or it’s some sort of referred sensation. I don’t really have any nausea or pain, things just feel tight and cramped and I sometimes feel like there’s a bulge on that side of my abdomen.
It’s good to get checked just to be sure, as that may ease some of your concern.
If what you are experiencing is not painful or not causing particularly disturbing symptoms, and not interfering with your life in any notable way, perhaps try some other approaches. Physical therapy, exercise, mindfulness, mentally engaging activity, distractions, learning new things, etc.
Have you considered targeted physical therapy or some sort of mobility therapy to loosen and strengthen the abdominal muscles, particularly where you feel tightness? If it’s muscular, or perhaps just sensation based, that might help.
Good luck. Keep us updated on your case and progress.
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This is excellent feedback, thanks for sharing this experience with Dr Koch and hopefully this information will be helpful to other future patients.
Do you know if your brother was in constant pain before the surgery, and to what degree if any?
Please continue to keep us updated on your brothers progress, as well as your own.
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Does the pain respond well to anti-inflammatory medications, like Advil or Aleve? Assuming you can tolerate NSAIDs well and your surgeon/doctor approves, that may be a reasonable option to take every day, particularly if the pain is not bad enough to warrant an RX-level pain medication.
Anyway, you’re just a week out of surgery so I wouldn’t worry too much about some milder pain here and there, it’s a significant procedure in a highly innervated area so discomfort is expected.
Keep us updated on your follow-up and progress. If you have good results, consider sharing the procedure, name, and location of the surgeon you had as it may be helpful for other future patients.
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Were you performing some particular activity that caused the mild pain to surface?
Scar tissue is almost certainly still remodeling and your body may still be adjusting six weeks out. If you were doing something vigorous or unusual maybe it strained the repair area. I’m not a doctor, however, so you might want to consult with one if you’re concerned.
Have you spoke to your surgeon about it? Does it respond to advil or tylenol? If it’s bothersome to you then consider following up with the surgeon who performed the procedure.
Good luck and keep us updated on your case.
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Can you explain your injury more and what happened? How were you diagnosed with the hernia and labrum tear? Do you have pain?
Most surgeons can feel most hernias, but not all hernias can be felt on exam. If there is doubt about a hernia diagnosis, usually an ultrasound is helpful.
If the injury is related to athletic activity or if athletics are a major part of your life, [USER=”2029″]Good intentions[/USER] makes very valid points, and you may want to seek out an athletic specialist. Dr William Meyers has a clinic that handles these type of athletic injuries and is located in Philadelphia.
Your best bet is to do your own research, and speak with a surgeon or several, discuss your questions, concerns, and expectations.
A few names for New York surgeons:
– Dr Samer Sbayi in Long Island, New York does Shouldice repair which is the gold standard non-mesh repair
– Dr Brian Jacob in NYC does laparoscopic repair and robotic surgery
– Dr Steven Goldstein is also in NY and sometimes participates in these forums
There are certainly other skilled and talented surgeons in the NYC area, but those are who I can think of off the top of my head as they are names that have come up on these forums before.
Best of luck, keep us updated on your case and decision making.
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quote Smurph71904:Hi!
I had an open repair in April on my left side. I thought i had a new hernia and i am almost 100% certain i do kn the right. I made an appointment for Tuesday with my surgeon.
does anyone know if this is common? Have you heard of this? Google is not helping me.
I’m a healthy 31 yr old female.
I’m stunned
thanks guys!
Anecdotally I have read that repairing one side can sometimes cause an existing weakness on the other side to worsen, but not always. Maybe the abdomen shifts the load from the newly repaired strong side to the other side, who knows? I do not know if there is strong clinical evidence for any of this, or if it’s just something observed by some patients and surgeons. It’s also possible that you always had hernias on both sides, and now the other side is simply bothering you for whatever reason.
It would be very interesting for a surgeon to give their experience on this however.
How did your appointment with the surgeon go? Any updates on your case? Was your open repair with or without mesh and how did that first surgery and recovery go?
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Do the Facebook forums also provide lists of helpful surgeons? If so, please re-share such lists here. Any well regarded surgeons who are experienced in managing hernias, post-op issues, complications, non-mesh repairs, etc.