drtowfigh
Forum Replies Created
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Everyone is a bit different. If local injection helps, then that’s the best first step. In severe cases, I remove and redo the repair.
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Thanks
with only 40mg Kenalog, you can get your next injection in 2 weeks safely. -
We try not to operate on sports hernias. Most non-professionally athletic people do not get sports hernias. Their symptoms are related to an inguinal hernia. If you indeed have a hernia on Ultrasound, likely the MRI shows the same (and was misread). Thus, repair would likely address your symptoms. The best repair is based on a lot of factors.
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[USER=”1916″]Chaunce1234[/USER] [USER=”1356″]Chaunce123[/USER]
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Your symptoms seem suggestive of an occult inguinal hernia as the cause of your symptoms. But, I do not agree with exploratory surgery. Dr. Grishkan does open surgery, and exploration is not without risks in an open approach. Your MRI should show a hernia. If it doesn’t, it can be because it was misread. I would have the MRI re-read and for you to see a hernia specialist who is a believer and knows how to treat occult hernias, especially in women. If you wish, you can initiate an Online Consultation with me to help re-review your symptoms, the MRI you had, and get some advice on surgical options, if any.
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Yes. It can.
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Definitely not common. Recurrence rates range from 0.5% to 10% depending on patient risk factors, surgical technique, and surgeon.
Glad ice packs working. Will have to wait until you are no longer coughing to reassess the hernia repair. Likely all will be fine but can’t reassess until later. Seek consultation from your doctor.
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What kind of operation did you have?
Coughing and constipation are the enemies of hernias and hernia repairs. Take whatever medication is necessary to treat the cough.
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Wearing a binder may take some pressure off. Your symptoms sound like the repair may be a bit tight. Hard to judge without examining you.
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Wait another week. If it’s still too much, then seek consultation from your surgeon and consider a second opinion if you’re not satisfied with answers. Local anesthetic into the areas of pain can help. Meanwhile, ice!
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Depends on the technique for the repair. Usually, we recommend transfascial sutures. If these are placed too tight, you can have severe pain at the areas of the knots. If the mesh is placed taut that can also cause pain and pulling. The burning may be related to mesh or to the transfascial suturing of the mesh.
laparoscopic ventral abdominal wall hernia repairs tend to be more painful than inguinal hernia repairs.
a consultation by a hernia specialist can help determine if your pain is part of the recovery or related to a too tight repair.
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No. But requires another neurectomy.
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Nothing. Contrast MRI has no purpose for pelvic hernia.
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So it was a Spigelian hernia?
either way Csection shouldn’t be affected -
Patients do well from lap neurectomy for the genitofemoral nerve.
all neurectomy have about 5% risk of neuroma.
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So sorry to hear.
careful exam to figure out which nerve is at fault is important. Then blocking the nerves at the appropriate place. For example, if it’s the genital nerve, then it should be blocked proximal you the neurectomy site. It’s a tricky thing.
Unfortunately, your experience is among many reasons why studies show no difference in chronic pain when comparing mesh vs non-mesh repair techniques.
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Shall I assume you had an umbilical or epigastric hernia in the midline at your belly button or above your belly button?
Pregnancy in those situations are safe. You may have pain or recurrence. Cesarean section is unaffected.
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Can be the mesh. It can cause inflammatory reaction that irritates the spermatic cord.
Can be the technique. Sometimes surgeons use a keyhole technique or are aggressive in their handling of tissues, resulting in testicular pain because the nerves in the spermatic cord are irritated.
imaging and examination by a hernia specialist are key.
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Please provide me with your wants and needs for the new upcoming site. Obviously the bugs will be fixed. But what added benefits would you like?
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You may have a combination of problems. Sounds dominantly neuropathic. You may also need genital nerve branch nerve block. Repeat injections can help. Also, do you know if the neurologist was really a neurectomy or if the nerves are intact? That may change where the blocks should be done.