drtowfigh
Forum Replies Created
-
The nerves more commonly at risk from a laparoscopic hernia repair include the genitofemoral and lateral femorocutaneous nerves. Also, the nerves surrounding the vas deferens. If tacks are used, the ilioinguinal and iliohypogastric nerves may also be at risk. These are all, of course, not common.
The 3D Max regular weight mesh is heavier than the lighterweight counterpart. That does not make the scar tissue any denser.
MRI can help differentiate adductor strain from other diagnoses.
-
I strongly recommend against mesh removal at this time. It is not the mesh. Removing it will open a whole other can of worms.
If the nerve blocks helped, why not pursue that? More blocks or perhaps nerve transection if it’s a neuroma.
If it’s no longer the nerve, then maybe it’s a recurrence or too tight of a repair. A 4.5x10cm mesh is on the smaller side, so these options are not unexpected.
-
sounds like a lumbar spine issue…
-
Hernias are definitely in the differential diagnosis. There are great surgeons in North Carolina who can help you. Have you tried: Dr. William Hope, Dr. Brent Matthews, Dr Vedra Augenstein?
Many more can be found here: https://americanherniasociety.org/find-a-surgeon/
-
There are many of us that can help you. Where do you live? Perhaps we can refer you to a colleague.
-
Wow, I am so sorry you are going through so much pain and agony.
Your story at first screamed “endometriosis” to me, and indeed that was your diagnosis for which you underwent surgery. Were you then placed on hormone suppression, such as with Lupron or the Mirena IUD? If not, then recurrent endometriosis and/or inadequate endometriosis surgery may be a possible diagnosis.
Secondarily, many of your symptoms are indeed suggestive of hernia. This can be a routine inguinal hernia or a trocar site incisional hernia from prior laparoscopic surgery. I would have to review your images myself to be sure that those are ruled out.
I am happy to see you, of course. If it helps, you can also contact my office to set up an online consultation. (310-358-5020, talk to Sheila, or sheila@beverlylhillsherniacenter.com). I would love to help you get to a diagnosis and hopefully cure of your pain.
-
For a ventral hernia repair, I assume mesh was used? The sound may be related to the mesh. It can also be a recurrence. Have you considered seeing a surgeon locally in Japan?
-
I appreciate that there are a lot of patients that have had adverse outcomes after inguinal hernia repair. That said, statistically, that % is low. At 15+ years, the expected complications from hernia repair is 1-5% recurrence rate and less than 5% chronic pain. I hope this give you some relief.
That said, the best outcomes are from those who perform the most repairs. So, pick your surgeon wisely.
-
Sounds like it can be a hernia. Inguinals can radiate to the inner thigh and down the leg but not below the knee.
Don’t give up! Seek as many consultations as you can to get to an answer.
-
You’re in luck:
Try Dr. Aali Sheen of the Groin Pain Clinic based in Cheadle, Cheshire. Find him on http://www.groinpainclinic.co.uk
-
Most likely there is no issue with your hernia repair. You may be feeling a pulling or strain on the repair itself. That may take weeks to settle down. I sometimes refer to it as a sheering effect of the mesh along the muscle.
It is rare to have a hernia recurrence, especially early and after a laparoscopic repair. That said, you may not know if there is a hernia recurrence for many more weeks.
I would stretch out the area, use ice, and stop golfing again until your pain cycle has reduced.
-
Some patients with inguinal hernias have hernia-related pain before a bowel movement. I think it is based on the volume that the bowel movement is taking in the pelvis, pushing or pressing on content into the inguinal canal. I do not hear about such symptoms as much from patients with groin strain.
-
UK has very few surgeons who see and treat chronic pain after hernia repair. There are a couple of my colleagues who I will reach out to to see if they will see you. Stay in touch.
-
There have been studies in incisional, ventral, and umbilical hernias and watchful waiting. The consensus is that, though safe to watch asymptomatic/minimally symptomatic repairs, patients with surgical repair have significantly improved quality of life and less overall pain
-
Mesh shifting, movement or folding is dependent on the technique, the amount of dissection, the types of fixation, the places where fixation are applied, the type of hernia, and the patient’s risk factors for recurrence.
-
Almost always, no relation.
-
It is safe for most outpatient hernia repairs to go home as early as 24 hours after surgery.
Infection risk is low after most hernia repairs, typically below 1%. The 30 days number is purely for outcomes reporting, to keep it uniform for all studies and reports. The risk of noticing an infection after surgery drops after the first 2 weeks. That said, there is no reason to stay in a hotel or locally during that time.
-
For inguinal hernias, any repair is considered to be fine and does not interfere with pregnancy. As far as I am aware, there is no specific data regarding Desarda and pregnancy. But there is also not much data regarding any of the other repairs and pregnancy either.
-
Sorry to hear that. Was new mesh placed this last time?
-
Yup. Marcy repair. Single stitch to close the defect. Doesn’t work for adults.