[DrBrown]

Dear Ctguy.
A open repair can be done even with the mesh.
Regards.
Bill Brown MD

[DrBrown]

Dear Ctguy.
I agree with Dr. Towfigh. Try conservative measures first. If that fails, then most surgeons would advise a non mesh repair.
Regards.
Bill Brown MD

[DrBrown]

Dear LocalCvilian.
The length of time that the mesh has been in place does not make too much difference. I have removed mesh that has been in place for 12 years. Removal mesh is difficult and the pain does not always go away, that is the reason most surgeons do not want to remove the mesh.
Regards.
Billl Brown MD

[DrBrown]

Dear Briby.
I agree with Good Intentions. Your goal should be to get an excellent longterm result.
I personally believe that a non mesh repair is best.
Regards.
Bill Brown MD

[DrBrown]

Dear LocalCivilian.
There are no major nerves near the umbilicus so it would be unlikely that mesh in that location would damage any nerves.
Regards.
Bill Brown MD

[DrBrown]

Dear Stonehood.
Consider diagnostic injections. For example, if the mesh was injected with local anesthetic and you felt better, then that would be evidence that the mesh was the source of your pain. If that did not help, then inject the local nerves with local anesthetic. Repeat the process until you find what is the etiology of your pain.
Regards.
Bill Brown MD

[DrBrown]

Dear Dog.
One more reason not to use mesh.
Bill Brown MD

[DrBrown]

One more reason not to use mesh unless absolutely necessary.
Bill Brown MD

[DrBrown]

The nerves that control erections should not be injured by an inguinal hernia repair. But the pain from the operation certainly can limit your enjoyment of sex. Occasionally the spermatic cord will become scarred to the mesh. That can cause pain during ejeculation.
Regards. Bill Brown MD

[DrBrown]

Dear Good Intentions.
As usual, I enjoy reading your comments.
Thank you. Bill Brown MD

[DrBrown]

Thank you.
I enjoyed the new website.
Bill Brown MD

[DrBrown]

When mesh is implanted there is a foreign body reaction that causes scarring and shrinkage. This process peaks at about 6 months. Thus it is common for the patient to initially do well and then have trouble about 6 months after surgery.
Regards
Bill Brown MD

[DrBrown]

Dear Pinto.
Ask for a TAP block. That will keep the area numb and you may not need any pain medications.
Bill Brown MD

Ultrasound-Guided Transversus Abdominis Plane and Quadratus Lumborum Blocks – NYSORA
https://www.nysora.com
Ultrasound-guided transversus abdominis plane (TAP) and quadratus lumborum (QL) blocks have become a common analgesic method after surgery involving the abdominal wall. This section features the relevant anatomy, indications and technique descriptions to perform an ultrasound-guided TAP and QL plane blocks.

[DrBrown]

Dear Nancy.
Your plastic surgeon should be able to do a fine job for you.
Regards
Bill Brown MD

[DrBrown]

Dear Tilbis.
Determining the etiology of your pain is the most important next step. If physical examination and imaging tests cannot determine the source of your pain, then I often use diagnostic injections. For example, if the pain is thought to be related to the nerves, then a nerve block should help. If the pain is from the inguinal ligament, then injecting the inguinal ligament with local anesthetic should help. If the pain is related to a direct hernia, then injection of the external oblique with a local anesthetic. By doing the injections one at a time, your surgeon should be able to determine the source of your pain.
Regards.
Bill Brown MD

[DrBrown]

Dear Dog.
Thank you for very supportive comments.
I am glad that you are doing well.
regards.
Bill Brown, MD

[DrBrown]

Dear Iavoiegen.
Thank you for your advice. I will start with a 1:1 product.
My patients are willing to give it a try. I will leave an update soon.
Bill Brown MD

[DrBrown]

Dear Holeinthewall.
99% of the time, when something pops out of an Umbilical hernia, it is omentum. If omentum becomes incarcerated or even strangulated it is not dangerous. When something pops out of an inguinal hernia, it is usually intestines If intestines become incarcerated, that is dangerous.
Get you weight down, that is more dangerous to you than the hernia.
Regards
Bill Brown MD
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[DrBrown]

Dear Dailymail22.
You have a hernia that is a result of the gallbladder surgery.
Ask you surgeon to repair it for you.
Regards
Bill Brown MD

[DrBrown]

Dear Arkj93 and Jnomesh.
Thank you for the information.
I plan to ask a few of my patients to give CBD and THC a try.
Bill Brown MD