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  • drtowfigh

    Moderator
    February 28, 2014 at 7:04 am in reply to: Trying to Get A Hernia Diagnosis

    Trying to Get A Hernia Diagnosis

    Sounds like a “hidden hernia.” I just presented my results on re value of Ultrasound vs CT vs MRI for hidden hernias and hopefully the journal will accept my manuscript. CTs are typically falsely negative. Ultrasound and MRI are much better options. Also, many films can be incorrectly interpreted anyway.
    I would find a surgeon that would provide laparoscopic exploration and hernia repair.
    If the ultrasound proves hernias, not sure why a CT scan is necessary.

  • drtowfigh

    Moderator
    February 28, 2014 at 6:39 am in reply to: Chronic Pain after Hernia Surgery in April 2011

    Chronic Pain after Hernia Surgery in April 2011

    Sounds like it could be a hernia. A surgeon skilled in laparoscopy can do an extra peritoneal exploration and repair any hernias. Sounds like hernias can be the cause of pain. Not sure why you’re not being offered a repair. Cystitis is a different problem.

  • drtowfigh

    Moderator
    February 27, 2014 at 5:49 pm in reply to: Chronic Pain after Hernia Surgery in April 2011

    Chronic Pain after Hernia Surgery in April 2011

    Hi there.
    Sorry to hear about your Mom. You had a legitimate concern to consider hernia as a cause of her pain.
    I wonder what was found in the OR and also exactly what technique was used to address it.
    Pelvic Congestion Syndrome is a real entity and is usually diagnosed by MRI or venogram. Was that performed prior to the coiling?
    And does her pain radiate down her leg, around her back, into her vagina?
    These will help figure out your Mom’s problems and hopefully work toward a cure.

  • drtowfigh

    Moderator
    October 23, 2013 at 3:18 am in reply to: Recovery After Mesh Removal

    Recovery After Mesh Removal

    That question is not as simple to answer as you may think. Each patient will have a different recovery based on their history, exam findings, and type of repair they undergo. Also, the recovery varies among surgeons.
    In general, a small umbilical hernia repair with mesh should have a short recovery, back to work within a week. However, yes, in a subset off patients, they may suffer from pain and it may be chronic. Those are outliers, as no surgeon operates on a patient with the intention to inflict a lifetime of suffering.

  • drtowfigh

    Moderator
    October 15, 2013 at 7:44 am in reply to: hernia vs muscle spasm????

    hernia vs muscle spasm????

    CT scan should show an abdominal her now, though it’s not as good for groin hernias. Your symptoms sound very much like a hernia. Curious what CT showed and what plan of care has been.

  • drtowfigh

    Moderator
    October 15, 2013 at 5:15 am in reply to: Umbilical Hernia and Diastasis Recti

    Umbilical Hernia and Diastasis Recti

    PVP mesh is an Ethicon product intended to repair a hernia using an underlay or sublay technique. Other companies also make similar patches. It is recommended that the surgeon primarily close the hernia defect on top of the mesh. If they do, then it is no longer a bridged repair.

  • drtowfigh

    Moderator
    October 15, 2013 at 1:48 am in reply to: Umbilical Hernia and Diastasis Recti

    Umbilical Hernia and Diastasis Recti

    No. Diastasis recti is a very specific term which describes spatial separation of the rectus muscles without a hernia in between. The fascia (or strength layer) of the muscle is still intact. It is not a hernia. It is not related to hernia development. There is no medical risk to have a diastasis.
    That said, some patients have a hernia repaired and the repair is bridged, not closed. The result can be a diastasis (or separation).

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