drtowfigh
Forum Replies Created
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Shouldice hernia repair in Long Island, New York
thank you so much for sharing!
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Weight guidelines for no-mesh hernia repair
this is generally true.
thanks for sharing -
My story- new hernia- long Hx
The combination of pelvic floor dysfunction and possible inguinal hernia require very careful evaluation, as some of the pelvic floor disorders can mimic hernia type pain.
I recommend that you go to the Hernia Program at University of Michigan. Drs. Dana Telem and Amir Ghaferi are both excellent resources for you. For a surgeon in Detroit, there are a couple who are also members of the American Hernia Society. You can look them up here: https://americanherniasociety.org/find-a-surgeon/
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Hernia-repair pain or urological?
new hernia
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No tacks or sutures for mesh?
Yes. There are a variety of ways to perform laparoscopic mesh fixation. One way is with no fixation, which is how I usually perform it, except for large hernias, obese patients, direct inguinal hernias, and femoral hernias. Options for fixation include glue, sutures, or tackers. There are risks and benefits for every choice.
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Hernia-repair pain or urological?
Sounds like you may have a small recurrence of your hernia repair. I would focus on ruling that out, since it seems that you are already being adequately evaluated urologically.
A hernia specialist general surgeon is the best. Peruse this site for recommendations near you (Search button below).
Nerve entrapment does not occur years after a hernia repair. It is a problem early after a hernia repair.
I usually get an MRI pelvis with valsalva to help in the evaluation.
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inguinal hernia and pregnancy
There is not a lot of data about pregnancy and hernia repair, but what I gather from the research (I’ve given many talks about this) and my own experience (I see a lot of women), below are the recommendations:
1. Hernia repair can be safely performed prior to pregnancy, without affecting future pregnancy.
2. Prefer 6 months between date of surgery and next pregnancy
3. As a 92-lb female, in my practice, I would err on performing a tissue (non-mesh) repair, to reduce mesh-related chronic pain.
4. Hernia pain is rarely a problem during pregnancy, but if you already have pain, best to just get it repaired..Good luck!
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Inguinal Hernia Surgey Complication In Progress?
I recommend seeing your urologist. There are a variety of reasons for low ejaculate volume. One can be obstruction of the vas. They can help figure that out.
That said, as long as you have no pain from it, there is usually no indication for any intervention and/or surgery.
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Please help…. at wits end
Where do you live? Dr. Andrew Kingsnorth in Plymouth can be of help.
By the way, my publication confirms that Ultrasound that shows an inguinal hernia is 100% correct. If it doesn’s show an inguinal hernia, that is 50% correct, and it misses about 1/2 the hernias. So keep trying to find a surgeon.
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4 Hernias- Insurance Won’t Pay need help
All insurances cover all hernia repairs. You don’t have to have life threatening condition.
Perhaps there is another nuance in the rejection of the hernia repair? Perhaps it is not the rejection of the repair but the rejection of your facility or surgeon, as they may not be contracted with your insurance?
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WI Surgeon
Yes. He will do tissue repair for inguinal hernia. No mesh.
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NEW! HerniaTalk site coming soon…
Thank you!
Idoncov…
We currently have that capability. There is a SEARCH bar on the bottom of the page.
However, on the next platform, we will make it much more prominent and on the top of the page. -
4 Days Post-Op (Laparoscopic Hernia Repair)
Dr. Ramshaw has moved to Knoxville and is now Chairman of the Department of Surgery there.
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Irritable Bowel Syndrom (IBS) and hernias
yes, fat containing hernias can cause GI symptoms, such as bloating, but usually not of cramping, unless it is a muscle cramp (not intestinal cramp).
in most situations, I make the correlation between hernia and activity-related symptoms. I do not necessarily have to see the actual intestine stuck in the hernia to make a convincing diagnosis. It is thus not critical to get an ultrasound, for example, immediately at the time of a hernia attack.
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inguinal hernia
thank you for your post.
numbness of the buttock is not related to an inguinal hernia.
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Inguinal Hernia Surgey Complication In Progress?
Open tissue repair is typically performed with permanent suture though techniques can vary.
Open tissue repair has a more difficult recovery as compared with mesh repair. Your experience seems to be within norms. The larger the hernia, the more difficult the recovery. With time, pain and swelling should resolve. It’s best to continue following up with your surgeon to make sure your symptoms are as expected.
Weight lifting or lifting of weights is a controversial topic after hernia repair. Evidence shows that no limitation is necessary. I tend to follow that. However, most surgeons place a weight limit of 20 or more lbs for the first 6 weeks. It’s a gut feeling and there is no evidence to support this recommendation. It’s more of a feeling of safety.
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Mesh Hernia repair failure or not?
The most recent papers show that redo surgery after anhernia recurrence (eg, laparoscopic repair after open repair) have similar recovery than first time surgery. That’s good news.
I would seek consultation from a laparoscopic surgeon. In SF area, try Dr Hobart HARRIS and Matthew Lin.
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Inguinal hernia mesh repair
Mesh-related pain occurs early after surgery. So, do not be concerned that new pain 10 yrs later is related to the mesh. Most likely, it is a hernia recurrence or it is unrelated to the hernia.
Also, the 20% number refers to any chronic pain after surgery, lasting 3 or more months after surgery. Pain that starts 10 yrs later is not part of this number.
Hope that helps clarify and relieve some worries.
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Neurectomy with 2nd surgery
A cut nerve can go in one of three ways:
1. Heal and result in numbness or dysfunction based on whatever function that nerve is supposed to have
2. Have scar tissue grow into the cut nerve end and result in a neuroma. This may cause pain or hyperfunction /hyperstimulation of the nerve.
3. Regrowth of the nerve with reconnection and recomminication with nearby nerve end or other nerves. The results of this is unpredictable.In short, the goal of most elective neurectomies is plan #1. It is also the most common outcome.
Pain is not always neuropathic. Ie, pain may be due to other things besides a cut nerve.
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Mesh Hernia repair failure or not?
Hmmm. Hard to tell.
The ripping you felt may indeed be a ripping, however, that does not necessarily imply that you have a hernia recurrence. Sometimes sutures or mesh will shear from its original placement but the repair remains intact.
Only time will tell. I would followup with your surgeon. Based on your exam, he/she may choose to watch you longer or image you. I choose MRI for these sorts of situations as t shows the mesh distinctly from the hernia repair.