drtowfigh
Forum Replies Created
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Sounds like you had the best repairs possible based on the circumstances.
If they truly did a Shouldice repair, then that’s great and it doesn’t make sense that they said you had a temporary repair. Sometimes surgeons do a tissue repair and I correctly call it a Shouldice. Those pseudo-Shouldice repairs are not well studied and it’s unclear how many of them fail.
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Good to see your surgeon about this. Imaging may help. You may have a seroma or hematoma. Massaging the area may also help. In some situations, the new symptoms are a result of the mesh shrinkage taking into effect.
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Consider Dr Jan Kukleta in Switzerland. I’ll bring him on as a guest for HerniaTalk LIVE episode soon.
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all true hernia specialists should be able to treat a Spigelian hernia.
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The standard for most hernia repairs is not to touch or cut any nerves. With the modified Shouldice repair by the Shouldice Clinic, they have considered cremaster muscle resection (to reduce the hernia recurrence from the originally described Shouldice technique) and thus genital branch neurectomy as their common practice. With other open operations, many surgeons commonly cut the ilioinguinal nerve.
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yup. which is why I teach all my residents in the OR and also show up to the Morbidity and Mortality conference to educate the rest of the Department and remind them of the tissue repair options and how to best do them.
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See a hernia specialist.
Here are two in Houston I’ve interviewed on HerniaTalk LIVE. You can search more on this site
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– everyone gets the initial swelling at the groin incision. It’s called a healing ridge. It eventually flattens out.
– not sure what exactly they mean by funicolysis. It may mean they narrowed the internal ring. Most of us prefer not to do that. It causes pain and tearing. Funicolysis may also mean the cremaster muscle was circumferential cut. That’s seen more with open tissue repairs such as Shouldice.
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Search this site for North Carolina. We have interviewed many great surgeons from there on HerniaTalk live.
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Mesh and non-mesh options should be discussed and you and your surgeon can review what’s best for you.
I assume you’ve had surgery already. Wishing for a rapid recovery.
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Sounds like you may have a neuroma due to iliohypogastric nerve damage during the Csection.
If so, this is very treatable.
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Watchful waiting is considered safe for umbilical hernia that are asymptomatic. However, once it is symptomatic, as you are describing, then repair is indicated
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It’s a struggle with these spammers.
Thanks for helping keep the Forum active!
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Looks like your post is in the Discussion. Any other issues?
We are manually getting rid of the spammers that eek around the security system that is already blocking thousands! Looks like HerniaTalk.com is popular.
Also, please report any fishy or spammy posts when you see them, thanks.
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This reply was modified 10 months, 2 weeks ago by drtowfigh.
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This reply was modified 10 months, 2 weeks ago by
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Bienvenue to our Forum.
– the short stitch trial is relevant to abdominal wall hernias, not inguinal
– tissue based repairs are an excellent option for you based on your need to remain extremely flexible
– absorbable mesh for inguinal hernias is not standard and has a high risk of recurrence.
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Femoral hernia repair is part of the laparoscopic repair. The mesh covers the femoral space. It would be odd to have a new femoral hernia unless it was completely missed and not taken down during the operation. That said, if it were missed, the mesh would entrap it, so it shouldn’t reduce easily. The story doesn’t sound right. Unless the mesh is not appropriately covering the area from the start.
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It’s not expected to have a lump within hours after surgery. Usually seroma/hematoma takes at least some hours to develop. So, the differential diagnosis for a lump can be retained spermatic cord lipoma. Missed femoral hernia is less common for laparoscopic repairs and in males.
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Blood tests will typically be normal. That’s not a reason not to act. Symptoms and your history are the most important. Imaging can also help.
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It would be great if Dr. Kang would publish his study.
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Please contact my office directly if you would like a consultation. info@beverlyhillsherniacenter.com