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You will have to travel. Try St Louis.

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I hope you get better. At this time there is no study or test that can prove whether the implant is the cause. Also, about 70% patients who have their implant removed to address implant illness will improve or cure, but that result is unpredictable.

If you’d like, please fill out this anonymous ongoing short survey we have about implant illness so we may learn more:

https://www.surveymonkey.com/r/7N3FR35

surveymonkey.com

Implant Reaction Survey

Take this survey powered by surveymonkey.com. Create your own surveys for free.

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Mike M,

As John Fortem states, there are plenty of surgical options which tout excellent options. Your post seems very promotional with no data to back it up.

Every surgeon and every technique has recurrences and complications. My recommendation is that Dr Kang publish his data and share his surgical technique if he wishes to make claims of superiority in outcomes. From the little information we have, it seems Dr Kang’s procedure is a modified Marcy repair, which we know historically is not adequate for most inguinal hernia repairs.

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In males the watchful waiting trial shows about ⅔ of patients will have symptoms that prompt them to want repair within the next 10 yrs.

In my practice, I do not recommend repair if my male patient is asymptomatic

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Thanks for posting.

This can happen with any type of inguibal hernia repair. It is should not affect functionality. I advise my patients to massage the testicle downward, essentially gently tugging on the testicle and attached spermatic cord, essentially encouraging them to move down, perhaps releasing any scar tissue that is forming at the area of repair.

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See Dr Garvey locally first. He should be able to help you.

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Sounds like the area is too high to be related to the mesh and too low to be related to the robotic incisions.

I would recommend a nerve block, in the same plane as one would do for an ACNES injection

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Hernia recurrence prevention:

– treat activities that increase abdominal pressure (coughing, straining for bowel movement due to constipation, straining for urination due to enlarged prostate, obesity)

– discontinue nicotine use

– treat sleep apnea

– stay fit, with focus on core exercises. Weight lifting, cycling, etc are all considered safe and recommended

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This is a database paper. They only have data that is collected as part of the national hernia register. As I recall, patient reported outcomes were not part of the registry. But perhaps they have added it in recent years.

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Could this be from a belly button hernia? Or ACNES.

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MRI is without contrast.

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Dr Jacob should be able to help you.

I agree with what was done to address your Mesh Implant Illness: remove the implant and reassess how you do.

Now that you have the expected recurrence, either you should get a tissue repair if possible or a repair with non-standard mesh. In my experience most patients who react to standard mesh seem to do well with hybrid mesh that has very little (4%) polypropylene.

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Doesn’t sound like you would need surgery. I would get a dynamic MRI to rule out recurrence. Short of that, you may benefit from Botox injection if the repair feels right. If you have testicular sensitivity a cord block may help. None of these are surgical and may help you while your body is naturally trying to remodel your scar tissue.

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This is a great podcast btw.

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Côme,

Sound like you have an inflammatory disorder of the GI tract. It need not be related to your hernia repair.

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You need to see a true hernia specialist. Your symptoms can absolutely be related to inguinal hernia or a sports tear. Also a specialist should know that a dynamic ultrasound is significantly more accurate than any CT scan also it’s incorrect to claim you will have more pain if intervention is considered

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Sorry about your experience.

For groin hernias, if they are symptomatic and for sure if you mom has had to go to the ER multiple times, it should be repaired.

There is no such thing as being too old to heal/form scar.

If she is healthy enough to undergo IV sedation (you don’t need general anesthesia) then repairing the hernia will improve her quality of life.

Also, if her problems are related to a femoral hernia, she should not delay surgery. Repair should be before she ends up in the hospital with a strangulation. It’s high risk.

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Definitely have your surgeon re-examine you. You may need imaging to confirm whether this is a persistent fluid collection or a hernia recurrence. I recommend CT scan with valsalva and oral contrast.

For those who need surgery after an abdominal wall hernia repair, it is important to let your surgeon know that you have had a hernia repair and/or use of mesh. Ideally, your surgeon should try their best not to go through the repair and instead use alternate routes for your operation.

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Sounds unrelated to your surgery.

Belly button hernias can cause pain to the left or right of them. But you’re explaining something lower. That would not typically be related to a hernia

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Miner, this is incorrect. MRI should be performed without contrast for any hernia related problem. Contrast is only helpful for certain tumors.