DrBrown
Forum Replies Created
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[USER=”3017″]SFIrishGuy[/USER]
Was Dr. Nguyen able to offer any suggestions?
Regards.
Bill Brown MD -
[USER=”2987″]dh305[/USER]
Dear Slow.
What problems are you having?
Regards.
Bill Brown MD -
[USER=”3017″]SFIrishGuy[/USER]
Dear Joshua.
I hope that you are making progress.
Regards.
Bill Brown MD -
[USER=”3093″]Reborn334[/USER]
Dear Reborn.
You mentioned that you had a nerve block. After the block did your skin become numb? If not, then the block was not effective and should be tried again.
Also, the mesh can be injected with a local anesthetic and if you get temporary relief that would be evidence that the mesh is the source of your pain.
Imaging tests can be helpful but have a high false-negative rate.
In my experience, the mesh plugs have the greatest chance of causing pain after surgery.
Regards.
Bill Brown MD -
[USER=”3086″]abrill[/USER]
Dear Abrill.
A nerve block involves injecting a local anesthetic around the nerves. If the block is successful you will numb for about 8 hours. If during that time you feel significantly better then that would be strong evidence that the nerves are a component of your pain. A steroid injection around the nerve can provide long term relief. TENS can help. Capsaicin Cream can help.
Regards.
Bill Brown MD
Attachments:
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[USER=”3025″]doubleneurectomy[/USER]
I am glad that the problem has been identified.
Best wishes for a quick recovery.
regards.
Bill Brown MD -
[USER=”2012″]saro[/USER]
The suture material can be chosen so that it will dissolve in 6 months to a year.
Also, sutures are placed about 1 cm apart, so that scar tissue can not bridge from one suture to the next and cause contraction of the wound.
The sutures are not placed next to the nerves or other sensitive structures as is done in mesh repairs.
Regards
Bill Brown MD -
[USER=”2979″]jerome848[/USER]
I agree with Jerome. The removal of mesh is complicated and technically difficult. The results from surgery are mixed.
I encourage patients to ask their surgeon about pure tissue repair options.
Regards.
Bill Brown MD -
[USER=”3086″]abrill[/USER]
Pain and burning after mesh hernia repair is often secondary to irritation of the nerves.
Ask your surgeon to examine you. Nerve blocks are often very beneficial.
Regards.
Bill Brown MD -
[USER=”2029″]Good intentions[/USER]
The decision to stop production of the mesh was based on lawsuits and not on patient safety.
This new website just reinforces the fact that money is the driving force.
Bill Brown MD -
[USER=”3027″]Julian[/USER]
To determine if your pain is coming from the mesh, ask your surgeon to inject the mesh with a local anesthetic. If you feel better for a few hours that would be strong evidence that the mesh is the source of your pain.
Regards.
Bill Brown MD -
[USER=”3017″]SFIrishGuy[/USER]
Dear Joshua
If you did not develop numbness after the nerve injection, that means that they missed the nerve.
Thus I believe that there is a strong possibility that nerves are the source of your pain.
I am in Fremont if you want me to examine you.
Regards.
Bill Brown MD -
[USER=”3085″]Chaney[/USER]
Please post of photo of the region around the belly button.
In the future be sure to keep a personal record of your medical care.
I agree with Good Intentions that it would be helpful to know if you have mesh.
Regards.
Bill Brown MD -
[USER=”3075″]Ochi[/USER]
Limping and atrophy are uncommon with a hernia.
Be sure that you have your hips evaluated.
Regards.
Bill Brown MD -
[USER=”2987″]dh305[/USER]
Dear DH.
I agree with Good Intentions.
The mesh the probably the source of your trouble.
The pain related to mesh will sometimes improve with time. I advise patients to wait one year before deciding whether or not to have the mesh removed.
Injection of the mesh with steroids will sometimes help. Nerve blocks sometimes help.
Work with your surgeon.
Regards.
Bill Brown MD -
[USER=”2987″]dh305[/USER]
Most likely the soreness is nothing dangerous.
Rest your body and then slowly return to activity.
If the troubles persist, ask your surgeon to check the repair.
Regards.
Bill Brown MD -
[USER=”2029″]Good intentions[/USER]
Taking care of patients with chronic pain after mesh hernia repair is difficult because of the multiple factors involved.
It is the source of most of my gray hair (my wife caused the rest).
I wish more surgeons would return to the classic pure tissue repairs and avoid the chronic pain from the mesh.
Regards.
Bill Brown MD -
[USER=”2051″]ajm222[/USER]
Dear AJM
Pain from hip impingement and labral tears is often felt in the inguinal region.
You can ask your local orthopedic surgeon to evaluate your hip.
Your hernia surgeon should be able to evaluate you for the other problems.
Regards.
Bill Brown MD -
[USER=”3027″]Julian[/USER]
I would advise you to see your surgeon and ask him/her to evaluate your current problems to put together a treatment plan.
Regards.
Bill Brown MD -
[USER=”2969″]Gab1949[/USER]
Whether or not to repair both sides is a question best answered by your surgeon.
If you are skinny and healthy and the hernias are small, then get bot repaired at the same time.
If you are heavy with large hernias, then repairing one at a time is better.
If one side is tiny, then it may not need to be repaired.
Regards.
Bill Brown MD
