drtowfigh
Forum Replies Created
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Congratulations.
And yes, that is typical pathology for any foreign body removed for any reason.
We published on this here: https://pubmed.ncbi.nlm.nih.gov/30772445/
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Usually not. Larger hydroceles classically are checked with a small flashlight against the scrotum. It will show a water sac.
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I’m unclear as to why hydrocele is considered. But the work up involves figuring out the story first (what symptoms, when did they start), and then a good physical examination. From there, the surgeon should be able to determine if this is a hernia related issue (MRI pelvis) or a urologic problem (scrotal ultrasound).
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@wirsz Sounds like you simply have a small recurrence after an otherwise successful Shouldice repair from 5 yrs ago.
Go back to the surgeon who recommended laparoscopic repair. Make sure they’ve done at least 250.
Best of luck.
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She uses the terms fascia and connective tissue. That is not anatomically correct. The webs she shows are connective tissue but not fascia.
From a hernia standpoint, we rely a lot on one’s fascia. It so often the strength layer of the muscle repair. Also, you can have fascia tears distinct from hernias. These are most commonly sports related.
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Fortunately we will be upgrading the Forum to a more modern format soon. Hopefully the next gen will be easier to navigate. It will be more like a Facebook forum.
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These misleading and reactive titles are not helpful.
Searching via Google will not find every HerniaTalk post. can’t control what Google serves as results.
In the meantime, we are looking to make sure the Search function on this website is accurate
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Details from the first surgery and how it was performed is key. Eg, was it a keyhole technique?
Mesh allergies/reactions don’t present with local pain.
I’m concerned you’ve had so many back to back operations. I’m curious what the thought process was behind each one. And what was the technique. Each operation has its own risks and thus may be causing you to be further injured if not performed by a specialist.
Post your first operative report here if you’d like. Alternatively, I offer Online Consultations to help figure these puzzles out and provide advice on next steps. You can contact my office directly.
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Give me details please. Eg, what year. How is it unretrievable, etc. I can work with my team to troubleshoot that way.
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ok. let me look into that. thanks.
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Good point. Let me re eval the set up.
The purpose is to only tease out those who have a systemic reaction to mesh, aka Mesh Implant Illness or ASIA. Pain is typically not a dominant complaint for reactions. And we are not looking at confounding the survey with people who have mesh related pain or other complications.
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This feedback is great. Please provide me with as much as you can so that I can improve the survey.
The purpose of the survey is to quantify ASIA/Mesh Implant Illness symptoms. It is not meant to quantify other mesh-related complications.
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Shouldice Clinic will not operate on a clinically non-visible/non-palpable inguinal hernia.
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Will add to our discussion today. Thanks!
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Thanks everyone for your comments and concerns. I agree that there is a growing sense of anxiety, and bombardment that is taking away from what has mostly been a respectful and productive conversation among peers.
I definitely don’t like the tone HerniaTalk is taking. It’s not why o started it.
Hang in there with me. Also, message me directly so that I can hear more of your thoughts.
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Sounds like my suspicion was right. You had a direct hernia. This was repaired. Now you have a recurrence.
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Kinda agree with @nfg12
If it ain’t hurting’, let it go. It’s small and likely won’t cause a problem. You should be able to weightlift and keep it under control. There is no exercise limitation with these hernias.
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It should be up by tomorrow
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Sounds like you had an inguinal hernia, maybe direct type and/or a small indirect type , and it was repaired. Pain 5 years later is a hernia recurrence until proven otherwise. A sportsman’s hernia would not act like this. And you would need to be quite athletic to get such injuries.
If I were to see you, I would get a dynamic MRI or review your ultrasound. If the hernia has recurred, then an open repair with mesh or a redo of the mesh repair would be indicated.
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With larger hernias, there is a wider gap and more thinned tissues. So, trying to pull all that together will result in higher tension at the suture line than for smaller hernias. That tension can result in chronic pain, as you’re in a constant state of trying to tear it apart. So, I assume there would be less chronic pain with a mesh based repair in these situations.