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1. Yes. Imaging may show a recurrence even if there is no examination finding.

2. Testicular pain may be related to inguinal hernia. Also, antibiotic has anti-inflammatory effect. So if pain is improved on antibiotic, it may have been a bacterial infection or a mesh-related inflammatory problem. If pain is cured with the antibiotic, then most likely that’s infectious.

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Thanks so much for this. Are al the kinks addressed to your satisfaction? If not, let me know.

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Agree with Chaunce.

Your symptoms are highly suggestive of inguinal hernia. However, the outer thigh symptoms are not.

Some other casues uses of your symptoms may include sacroiliitis or lumbar disc disease.

CT scan images are not adequate. Need to see the whole imaging. Ultrasound and MRI may be preferred.

Agree with Dr Yunis referral. Also, Jerrold Young. And consider Alex Ayzengart.

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I tell my patients that hernias should be repaired if a) they are painful and/or if b) the hernia is increasing in size.

Otherwise there is no urgency usually.

Also, hernias will all increase in size with time, but thag may not happen for years.

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Short answer: yes.

Hernias can cause bloating
Hernias can cause pain
Pregnancy may cause Diastasis Recti

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So sorry to hear what you’re going through.

This is is a complex problem and I highly encourage you see a surgeon who routinely sees and treats Chronic Post inguinal hernia repair mesh.

Progrip mesh has had excellent outcomes. Not sure about the use of tacks and what the technique was. Every surgeon may have a different technique.

You’re not alone. Women have been shown to be more likely than men to have chronic pain after open inguinal hernia repair with mesh.

Where re do you live? Perhaps we can provide you with a good referral.

Also, ice may help with your pain.

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Do you have an infection after hernia repair with mesh? Any foreign body (mesh or suture) must be surgically removed.

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Thanks for the followup.

I agree agree with imaging. It will help determine if there is a recurrence, fluid collection, or if the mesh has folded in itself.

CT scan is not a good study to evaluate this. It doesn’t show the mesh separate from everything else. MRI pelvis without contrast is a better option and what I use for this problem.

Neeve pain is uncommon with laparoscopic hernia repair. But it is possible. Depends on the technique used to repair.

PS, I will try to repost your initial post on this thread.

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New HerniaTalk Launching Saturday, February 11!

The launch of the new HerniaTalk has been rescheduled for Monday, February 13. We will have more details soon.

–HerniaTalk Admin

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Celebrities with hernias

Love this post!

But, as you can imagine, HIPAA prevents any of us surgeons to divulge any information about our patients, including whether they had hernia repair, the type, and whether they received mesh.

I know most of those on the list had umbilical hernias, many without mesh. Some had inguinal hernias, with mesh, some laparoscopic and some open.

Can’t be more specific… 😳

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New HerniaTalk Launching Saturday, February 11!

Yes! All posts, etc., will remain on the server. We are just improving the platform for you.

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inguinal hernia right side, motility SIBO issues?

Thanks for posting.

I highly recommend you Search this site for more answers. (Search button below).

In short:

– All countries offer non-mesh hernia repair. Perhaps you need to find another surgeon who performs it.

– Smaller piece of mesh is worse than larger piece of mesh. It will cause a recurrence, which can complicate your future.

– Hernias can cause IBS-type symptoms. It would not cause SIBO, however. That is a bacterial issue.

– Mesh that is fully absorbable will most likely result in a hernia recurrence.

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Neurectomy with 2nd surgery

nerve-related pain is complex. you can start with a pain management specialist or a hernia specialist who has experience with nerve-related pain. just tolerating the pain without getting treatment can actually be worse, as some studies show that that can train the brain to live in a chronic pain state.

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Inguinal hernia mesh repair

VetMann:

It seems you may benefit from a thorough evaluation of your prior hernia repair. This may include seeing a hernia specialist and an MRI pelvis

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Irritable Bowel Syndrom (IBS) and hernias

short answer: yes, hernias can cause bloating and GI related symptoms even if there is fat and no actual intestine inside the hernia.

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Dr. Wright, Triple Neurectomies, K. Petersen

thank you for sharing!

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Incisional Hernia and athletics

Competitive weight lifting can be resumed after a hernia repair. Outcome and risk for pain depends on the type of the hernia, size of the hernia, and the type of repair.

If you are a competitive weight lifter, I highly urge you to seek consultation by an expert hernia surgeon who has skills in open, laparoscopic, and even robotic surgery and has the knowledge and experience to offer you the best repair with the lowest risk for pain and recurrence.

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Recurrent pain?

To clarify some questions:

– In the US, it is pretty much no longer considered standard to place plain mesh inside the belly, where it can come in contact with intestines, as the mesh may adhese to, or erode into, the intestines. If any mesh is placed inside the belly that can come in contact with intestines, it is coated with an anti-adhesive barrier of some sort, so that it reduces the risk of adhesion and erosion.

– For the typical laparoscopic inguinal hernia repair, the mesh is NOT placed inside the belly, where it can risk sticking into the intestines. It is placed one layer more superficial, so that it sticks to the muscle, where the hernia hole is.

– Hernia content can include anything, though usually it is just fat and not any intestine.

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Mesh Hernia repair failure or not?

Not necessarily…
not all pain is nerve pain and not all pain is addressed via neurectomy
Neurectomy is most helpful if there is actual nerve injury. Irritation alone is not an indication for nerve transection. There are risks with neurectomy.

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Study Volunteers Needed

I highly support this!

The patient must be enrolled in the AHSQC, which is a quality collaborative that I and other surgeons belong to. You can ask your surgeon to enroll here: http://www.AHSQC.org