drtowfigh
Forum Replies Created
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Hi there
exactly what type of surgery did you have? Inguinal? Open or laparoscopic? What type of mesh, if any? -
I offer an Online Consultation which includes reviewing your entire history, symptoms, past surgical procedures, and any imaging. Plus I recommend a plan of care based on that.
you can contact my office to initiate it. Info@beverlyhillsherniacenter.com -
3 months? That sounds very conservative. Do you know how much steroids they are using each time?
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– lidoderm patch helps
– topical creams of CBD help
– see if ice packs help
– nerve blocks are a good idea
– there are prescription medications that can hel -
You should be fine. It’s not that easy to make these repairs recur.
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Depends on the indication.
If there is a neuroma or neuralgia (nerve pain) from the GFN then neurectomy will cure that.
The nerve runs over the muscle but is otherwise unrelated to the muscle. -
Agree with Dr Brown.
There are no nerves to injure in an epigastric hernia repair, which is way up above your belly button in the upper abdomen.
Not sure why you would have leg issues from the hernia repair unless weird positioning from the operation or a blood clot in the leg.
See your doctor. -
It really irks me that this type of sloppy treatment still goes on. Endometriosis is cyclical pain and doesn’t get worse with standing or activity. IBS never gives groin pains. Patients don’t make up pains that can be explained anatomically. I’m sorry to say, it happens way too much for women. They even label it as “chronic pelvic pain” which really means nothing.
Read what ive written here and online, on my website, in NY Times and Washington Post. My blog post on the pelvic rehab webaite linked above is another good one. If you relate to them, please also share with your doctors and educate them as well.
get an ultrasound or MRI. CT scan is a waste of your money and unnecessary radiation.
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Very satisfying. Thanks for sharing.
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Does the ART include deep tissue massage at the repair site? I don’t recommend it. A Shouldice after mesh removal is already tenuous and in some tension.
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[USER=”2894″]pmv[/USER] have you read your operative report? Did they mention how they handled your direct hernia? Did they patch it or did they imbricate or suture close the defect? Perhaps what you felt was a seroma/hematoma where your hernia defect was. You should not be able to see any deformity from the mesh itself as it’s Dee to the muscles.
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I disagree with that statement. It’s also not based on any documented observations, such a matter anatomy dissections, etc.
Also note that when we talk about closing the internal ring, we usually mean closing the gap. The internal ring remains open enough to allow for the spermatic cord contents to run through it. The rest of it tightened up to reduce risk of other content squeezing through.
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Find a general surgeon who enjoys hernia surgery.
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The hope is that all patients who have hernia surgery can then lead a normal life, including serving their country, no matter how physically taxing.
The reality is not everyone fairs well. If you’ve done fine at 1 year, chances are you will have no problems in the future and recurrence risk is under 1%. We just don’t have any way to predict who will do well and who won’t.
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Depends on the symptoms.
mid the pain is purely neuropathic AND blocking the GFN 100% cures you of the pain, then, Yes. Neurectomy is all you need. Don’t mess with the repair. -
Most likely you’re just fine.
Sometimes patients may Strain the repair or even try to tear at it. but doesn’t mean it’s destroyed or there is a hernia recurrence. -
Please read the Pinned post.
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Get those nerves blocked! No need to delay that aspect.
I agree with the Elavil. I also agree with the Lidoderm patches.
If you’re in a state that allows for marijuana, CBD cream can help too.
[USER=”3024″]andrew1982[/USER] Most importantly: there is a cure. Don’t lose hope. Whatever the problem, it can be fixed. Continue to be your own biggest advocate.
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First, as I always say, it’s not JUST a hernia.
– Tarlov cyst disease is among a spectrum of connective tissue disorders. Theoretically, you are more prone to hernias. There just aren’t studies to quantify that risk. Theoretically, also, tissue repair is suboptimal, as your tissues are already more abnormally deficient than the average patient. In situations like yours, a mesh-based repair is indicated.
– Ehlers Danlos is a completely different animal. It is one of the most extreme connective tissue disorders. In those patients, I not only do a robotic mesh-based repair, I add a plication of the muscles in addition, as the laxity is severe and patching the hernia defect alone is inadequate to address the laxity symptoms.
– Moxed connective tissue disorder is different than the above in that it is an autoimmune disorder. In patients with autoimmune disorder I do not use pure synthetic mesh. Depending on the situation, I use either tissue based repair or Tela Bio Ovitex hybrid mesh which is only 4% synthetic. As a result, it does not inflict the inflammatory risk that can disrupt a well controlled autoimmune situation.
in short, if you have an autoimmune or inflammatory disease or a connective tissue disorder, please get the advice of a specialist that sees rare patients like you and has the experience to handle your situation. These are things that aren’t taught in medical school or residency. I’ve written some books and chapters about these issues and I give talks and I can just hope that that information trickles down to other surgeons over time.
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What is the reason for plug removal? Meshoma related pain? If so, consider just removing the plug Laparoscopic/robotically and that’s it. Usually there is also an onlay mesh with the plug. Don’t disrupt that and it can function as your hernia repair with potentially good longterm result with respect to hernia repair.