drtowfigh
Forum Replies Created
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Failed bilateral TEP repair
Good points.
Your surgeon should help figure out if your symptoms are due to recurrence of the hernia or from the mesh or both.
Removal of mesh that was placed laparoscopically is no small feat.
In Germany there are excellent surgeons for hernia related pain. You are right that the most famous ones do only open procedures. But they can help you figure out why you have the pain. If they feel that the mesh is an issue, then they should be able to help in that realm too.Some names to consider:
Dr Muschawek
Dr Conze
Dr Bitner -
Undetermined Lower Pelvic
I cannot say definitively, but perineal pain, which is what you seem to be describing, is usually not a result of inguinal hernias.
Sometimes, obturator hernias can cause this symptoms. Sometimes, pudendal neuralgia can cause it. The pudendal nerve may be entrapped by scar tissue, if you had surgery there, it could be directly injured, such as with pressure from a bicycle seat, or may be entrapped by spasms of pelvic floor muscles, hamstring, etc.
So, perhaps you have hamstring or hip injury or strain that is causing secondary pain.
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top hernia doctors in georgia or tn
Both are excellent surgeons for mesh removal for the abdominal wall, if necessary. Dr. Belyansky is also highly skilled and experienced in mesh removal for the groin region.
I am unclear as to exactly what type of hernia you had repaired and where the mesh was placed for your abdominal wall reconstruction. That said, both Drs. Bittner and Belyansky would be skilled to handle the issue and I would highly recommend them and trust their recommendation.
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top hernia doctors in georgia or tn
Drs Bittner and Belyansky are also super gifted and talented surgeons for hernias. I was referring to inguinal hernias, not abdominal wall, and would add Dr Belyansky to the list for inguinals.
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Identifying hernia type from laparoscopic view?
That’s a question that needs to be answered based on each patient’s specific needs and risk factors. Rely on your surgeon to make the right recommendations for you.
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Femoral hernia
That’s the normal size mesh anything smaller may increase your risk of recurrence
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Undetermined Lower Pelvic
Has anyone looked into pudendal neuralgia ?
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Do I Have a Hidden/Occult Hernia?
Of course everyone is different.
The vast majority of patients have resolution of pain during the recovery period. That is typically within the first 6 weeks and for sure by 3 months. We usually get concerned with pain lingering after 3 months, which can happen in a fraction of patients. -
Have had pain for about 3 months
Most patients are symmetric. And we sometimes see new symptoms on the opposite side when one side is repaired. The pain from the one side is no longer masking the lesser pain on the other side.
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Femoral hernia, still searching?
MRI may show residual mesh. Though surgeons estimate the amount of mesh they remove, it is by no means an exact estimate, so it can still be the mesh, as Dr Ramaswamy suggested.
I am happy to evaluate your images and your history if you choose to seek an online consultation. You can call Sheila to set it up: 310-358-5020 or sheila@beverlyhillsherniacenter.com
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South Jersey/Philadelphia Surgeons for hernias
Dr Eric Pauli is in Hershey. He’s great.
Also, David Soybel in Hershey.
In NJ: Lora Melman, Jared Kaufman
For others close to you, check out http://www.americanherniasociety.org and click on Find A Surgeon. -
Hernia mesh and low testosterone
Mesh or hernia repair does not affect testosterone level. Sex drive may be related to the level of testosterone.
Other symptoms need to be carefully evaluated to determine true cause and tailored approach to addressing it. One size does not fit all.
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Large Incisional Hernia & Ehlers Danlos Syndrome
Wow. This is fantastic news. Thanks for posting. Keep it up. Send us an update in 5 lbs!
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Femoral hernias
Yes, but with much higher rate of postoperative pain, longer recovery, higher risks for chronic pain and also higher recurrence rate. It is far from the gold standard.
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Help With Hernia Pain
No referral. Just call to make an appointment. The doctor’s office should take care of the rest or may seek a referral from your medical doctor. It depends on your insurance and the doctor.
I recommend Ramshaw, Chen, or myself as we have the largest experience in the nation if not the world.
Depending on the situation, I work with a urologist and I prefer to perform mesh removals with robotic assistance as my research study has shown that my results in terms of cure is best using that technique.
There is a hope for cure.
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Help With Hernia Pain
See previous post for full thread of comments
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Help With Hernia Pain
Wow.
Ok, lots to discuss here.
First comment: you are at very very low risk of losing your testicle and virtually no risk of losing your leg if mesh removal is performed, especially by a skilled laparoscopic or robotic surgeon who has experience.
It’s a very complex algorithm to follow to determine exactly why you have pain. My hunch is you may have an obstruction of your spermatic cord by the mesh placement. I’ve seen it before. Mesh removal is a cure.
Other things to rule out include hydrocele, varicocele.
This does not on its own sound like a nerve issue.
You really need to see a specialist for this problem otherwise you are at risk of delay in diagnosis, care, and significant decrease in your quality of life.
What is your situation in terms of which civilian doctors you can seek attention from? I know of great hernia surgeons at the VA but they don’t have experience in revisional or complex operations of this level.
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Identifying hernia type from laparoscopic view?
That’s what we call a pantaloon inguinal hernia
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Occult hernia in males
Dr Grishkan does use mesh
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Do I Have a Hidden/Occult Hernia?
The side bruise looks like site of an injection. Or perhaps bumped somewhere. Doubt it’s related to the operation.