drtowfigh
Forum Replies Created
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Yes.
re laparoscopy: no.
but I do offer robotic non mesh repair for inguinal hernias. -
No. There is no data that shows lower chronic pain with biologic mesh.
Mesh is not the only cause of most pain. It’s often technique and surgical handling that contributes. Or it’s multifactorial.
the best is to find a hernia specialist skilled in all aspects of repair to help determine which technique and mesh/no mesh is best suited for your specific problem.
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Indirect hernia.
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It’s all marketing.
back pain doesn’t affect type of repair choice.
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We have a lot of experience with absorbable mesh. And we know from that experience that they do not work for definitive hernia repair. The biologic mesh resorbs and hernias recur
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[USER=”3128″]Markie[/USER] posted this and for some reason it did not show. So I am adding it for him. Please respond to him as needed.
But let me begin my story, this is my first post.
In Oct. 2018 my husband passed away he had Alzheimers. In Nov. I found out I had breast cancer and needed surgery. In Dec. I got the shingles and the surgery had to be postponed. I was in a lot of pain already. In Jan. I had the breast cancer surgery and they also took out 3 lymph nodes. The pain was horrific and for 3 months I surffered with a burning and sweating sensation under my arm pit besides the surgery from removing the cancer. They tried every pill you could imagine and I’m allergic to all pain killers. So I just suffered each day wishing I was dead. I went to Advanced Pain Management and received all sorts of injections and nothing helped, Saw various doctors and nothing. I could not do my radiation treatments because of the pain I was in. Then I went to my family doctor who said I think what you have is a fungal infection which you probably picked up from being in the hospital. He prescribed a powder, a antibiotic and a steroid for the pain in my back (I was also told I had osteoperosis spelling?) . Finally the burning and sweating went away. Had I known my own doctor would figure this out I would have gone there first. So specialist are not always smarter than your own doctor. Then in the summer I got diverticulitos (spelling?) Went to the ER and got antibiotics and that finally cleared up. All this time I had the hernia but it was small in the right side of my stomach and it didn’t bother me..but over time it grew to the size of a large grapefruit. I had to have surgery on my leg due to a popped vein so I had to postpone the hernia surgery. So now this past week (8 days ago) I had the hernia surgery. I’m in so much pain again I want to die. After reading this forum I see many have problems from hernia surgery…not that it helps but at least I know I’m not a freak.. I can’t sleep laying down I sleep sitting up on the couch with pillows all around me so I don’t fall over. I can not take any paid meds so all I do take is Motrin which helps for about an hour and the burning pain is horrible. I went to the ER on last Wed. because all of a sudden I couldn’t breath correctly. They swabbed my throat and said it was due to the plastic tubing from the anesthesia doctor that made my throat closing up. I’m at my wits end but wanted to share my story. Sometimes your own doctor is the best one to see. I’ve been suffering for over a year now in pain from so many different things. I had hernia surgery many years ago a small one and I had to have it done over because I was allergic to the plastic stitches. That’s wasn’t fun either but I recovered quickly. So thank you for allowing me to tell my story..but I recommend everyone to keep in close touch with your own doctor, they seem to know more for some reason. I could have eliminated those 3 months of suffering had I know my doctor would know what I was suffering from. -
Most are curable.
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yes and yes.
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nerve pain below the level of the knee is usually a spine/nerve issue and not from the groin.
the ilioinguinal and genital branch nerves have overlapping areas that innervate.
yes, neurectomy implies numbness in the areas where the nerve causes pain.
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You are describing a Marcy repair, which is just closure of the hole, let’s say with one stitch, and that’s it.
That only works for:
1. small hernias AND
2. indirect inguinal hernias AND
3. usually for women and childrenOtherwise, the recurrence rate is too high. That is why we have Shouldice, Bassini, McVay, etc., other better options for most patients, especially men.
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Herniorrhaphy means hernia repair.
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Prof Rolf Kunkeler
Prof Jan KukletaFriends and colleagues of mine. Both in Zurich.
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There are many different suture techniques available.
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You should be empowered to query your surgeon about all the options and whether he/she is skilled/experienced in offering them. Sometimes, surgeons only offer what they are comfortable performing. You don’t want to push that surgeon to perform an operation he/she doesnt know how to perform, but it is good to know whether they are recommending a certain option because that is how they do it or because they are tailoring that recommendation to your specific need.
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well, at least by many of us who are hernia specialists.
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yes, for sure.
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if the pain is worse with coughing, sitting, then that is more consistent with a hernia than any other diagnosis.
Please consider seeing a hernia specialist to help diagnose this for you.
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Please keep the advice coming. Thank you!
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All options are available. It depends on your risk factors, the type and size of your inguinal hernia, and your surgeon’s experience in offering different technique options for repair.
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Usually, it’s just a pulling on the repair. Like wearing a shirt that’s too tight and the buttons are straining. If there is repetitive pressure, then it will eventually tear to the point of a hernia recurrence. That’s not the typical scenario fortunately.