[DrBrown]

[USER=”3035″]T. Johnson[/USER]
You need to see a surgeon who has extensive experience removing mesh.
He/she will carefully evaluate your situation and help you make decisions.
regards.
Bill Brown MD

[DrBrown]

[USER=”3076″]ChrisKeys89[/USER]
Dear Chris.
The most common causes of pain after mesh hernia repair is
1. shinkage and fibrosis of the mesh
2. scarring of the spermatic cord or the local nerves to the mesh.
3. recurrent hernia.
4. hip problems.
Ask your surgeon to evaluate the above possibilities.
Regards
Bill Brown MD

[DrBrown]

[USER=”3078″]Jose[/USER]
You need a surgeon to carefully examine you to determine whether or not the mesh is the source of your pain.
Be sure that the hip is OK.
Diagnostic injections can be helpful to determine the source of the pain.
Imaging test are only occasionally helpful.
Regards
Bill Brown MD

[DrBrown]

[USER=”3079″]sublogik[/USER]
Dear Sub.
No matter which operation is performed you will be at some risk for urinary retention.
Be sure that your surgeon knows. You may need a catheter for a few days.
I prefer non mesh repairs.
Best wishes.
Bill Brown MD

[DrBrown]

[USER=”3017″]SFIrishGuy[/USER]
Dear SF
You need a very careful physical examination.
Did your skin get numb after the injection, if not then you did not have an adequate nerve block?
If you are skinny the mesh can often be palpated.
If the mesh is injected with a local anesthetic and 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

[DrBrown]

[USER=”3066″]Sicily63[/USER]
insurance companies routinely pay for pure tissue hernia repairs. So the cost is not the major issue. The major issue is whether or not you can find a local surgeon who still familiar with the classic techniques.
Regards.
Bill Brown MD

[DrBrown]

[USER=”3027″]Julian[/USER]
During a laparoscopic neurectomy, the nerves are cut at a location where the nerves have both motor and sensory components. This will denervate oblique muscles and cause the abdominal wall to get weak. You may lose some support of the spine causing back pain.
An abdominal binder may help support the abdominal muscles and back. Work with a PT to try to get as much strength as you can.
Regards.
Bill Brown MD

[DrBrown]

A steroid injection is safe and might provide significant relief.
Regards.
Bill Brown MD

[DrBrown]

[USER=”2051″]ajm222[/USER]
Both methods offer good results.
I prefer an open technique because I believe that I can better check the spermatic cord, local nerves, and vessels.
But there are many surgeons who get excellent results with the robot.
Pick a surgeon that you trust and let him/her pick the method for removal.
Regards.
Bill Brown MD

[DrBrown]

[USER=”3017″]SFIrishGuy[/USER]
When you talked with the director, did she examine you to try to determine what is wrong?
An MRI may help to determine if the nerves or the spermatic cord is adhered to the mesh.
Diagnostic injections can also be helpful.
For example, if the ilioinguinal nerve in blocked with local anesthetic and you feel better for a few hours, that would be strong evidence that the nerve is involved.
In a similar manner the mesh can be injected with local anesthetic and other structures in the area until the one that is giving you trouble is identified.
Regards
Bill Brown MD
​

[DrBrown]

[USER=”2987″]dh305[/USER]
How was the hernia repaired? Did your surgeon use mesh?
Regards.
Bill Brown MD

[DrBrown]

[USER=”2029″]Good intentions[/USER]
Unfortunately, money and not patient care make many of the decisions.
Regards.
Bill Brown MD

[DrBrown]

[USER=”1391″]UhOh![/USER]
Mesh is not as flexible nor as elastic as your normal tissues.
It always elicites a foreign body reactions.
It shrinks with time.
It easily becomes infected.
What could go wrong?
Bill Brown MD

[DrBrown]

[USER=”2987″]dh305[/USER]
An MRI will see the mesh but it will not necessarily tell you whether or not there is a problem
A standing ultrasound it the best method to look for a recurrent hernia.
Injecting the mesh with a local anesthetic is the best way to determine if the mesh is the source of your pain.
regards.
Bill Brown MD

[DrBrown]

[USER=”2029″]Good intentions[/USER]
​​​​​​​Thank you for keeping everyone updated.
I agree that it is crazy to use mesh for small umbilical hernias. And even more stupid to put the mesh in the abdomen where the intestines can scar to the mesh.
The video also said that 20% of surgeons wanted to repair the hernia with the laparoscope. I wish that there was some common sense in the world.
Regards. ​​​​​​​Bill Brown MD

[DrBrown]

[USER=”2029″]Good intentions[/USER]
Thank you for keeping everyone updated.
I agree that it is crazy to use mesh for small umbilical hernias. And even more stupid to put the mesh in the abdomen where the intestines can scar to the mesh.
The video also said that 20% of surgeons wanted to repair the hernia with the laparoscope. I wish that there was some common sense in the world.
Regards
Bill Brown MD

[DrBrown]

[USER=”2029″]Good intentions[/USER]
Thank you for keeping everyone updated.
I agree that it is crazy to use mesh for small umbilical hernias. And even more stupid to put the mesh in the abdomen where the intestines can scar to the mesh.
I wish that there was some common sense in the world.
Regards
Bill Brown MD

[DrBrown]

[USER=”2029″]Good intentions[/USER]
Thank you for keeping everyone updated.
I agree with you that using mesh for a small umbilical hernia is stupid. Especially because they advise putting the mesh
in the abdomen where the intestines could scar to the mesh.
In the video, she also said that 20% of surgeons wanted to do a laparoscopic repair. Even Crazier.
I wish more people had some common sense.
regards
Bill Brown MD

[DrBrown]

[USER=”2987″]dh305[/USER]
Mesh pain tends to resolve with time.
If a patient is able to function with the pain, I advise waiting a year before considering the removal of the mesh.
Consult with your surgeon. He/she can check for a recurrent hernia, nerve damage, autoimmune, etc.
And hopefully, the surgeon will also learn that mesh has life-changing complications.
Regards
Bill Brown MD

[DrBrown]

[USER=”2987″]dh305[/USER]
The most common reason for your symptoms is scarring of the mesh. This will improve if the mesh is injected with mesh. You could also have a recurrent hernia. Occasionally autoimmune problems occur after mesh.
Ask your surgeon to examine you and get his/her advise.
Regards.
Bill Brown MD