drtowfigh
Forum Replies Created
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Fantastic.
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Yes.
There is a great pinned story on the home page about core exercises. -
I’m curious: you never mentioned if the mesh was exposed and contributed to the adhesions after the abdominoplasty. Did the surgeon mention if your fascia repair was intact when he went in?
also, did they cut through your mesh for the laparoscopic exploration? What about for the transverse incision?It doesnt make sense that you had adhesions after a retrorectus mesh repair.
Also, I ask because vomiting can tear the fascia repair and expose the mesh.
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[USER=”2029″]Good intentions[/USER] as always makes the right points.
Surgeons are not infallible. But if a surgical exploration is made and the actual hernia area was dissected away and still there was no hernia, then highly likely there was no hernia.
hernia symptoms can be mimicked by other problems, including hip, sacroiliac, spine, and some Gynecologic disorders.
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Most surgeons are not specialists in women’s hernias and that is why they are often under diagnosed and we have worse outcomes than men.
In Iowa, consider dr Matt Morgan in Pella. I don’t know if any others.
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Texas has a few hernia specialists. Dr Kent Van sickle is one. But most likely you’ll have to travel.
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Thank you for sharing.
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No benefit in waiting if there is a hernia left after mesh removal and it can be primarily repaired with suture alone.
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Exact opposite. Core exercises are great and not only contraindicated but encouraged.
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[USER=”2821″]allj[/USER] its hard to judge what you need via the information in this forum alone. But, in general, try not to get nerves cut if there are other options and if you do need any cut, they should be cut as anteriorly as possible.
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It’s worth looking at hernia as possibility of pain.
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Figuring out the cause of post-inguinal hernia repair pain is a complex scenario. Nerve pain has a very specific distribution of pain, depending on the nerve. If a nerve block of that specific nerve does not help with the pain, then it’s most likely not the nerve. Neurectomy should not be taken lightly. In my opinion, all other viable options should be considered and/or attempted prior to committing to cutting the nerve. There is about a 5% risk of neuroma and/or chronic nerve pain with neurectomy.
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Bloating is likely inflammatory response to all the surgery done inside. The gas is gone pretty quickly. Everyone is different and amount of time with bloating varies. Can be a month.
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all are great
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Any mesh can do so. We don’t see it as much of a problem in the. Retrorectus space.
There are no named nerves of significance that are involved in the retrorectus space.
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Thanks so much for the followup.
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[USER=”2894″]pmv[/USER] the symptoms are suggestive of an inguinal hernia. Also, sometimes of ilioinguinal neuralgia.
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This is very complex and you need to make sure you are being seen by specialists. The question now is: is your current pain related to your procedure or to the original problem?
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Yes. One is able to.
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Use of permanent sutures are standard of care
for hernia repair, especially pure tissue repair . It would not be evidence based to say they should never have been there in the first place.