drtowfigh
Forum Replies Created
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recurrent inguinal hernia
I’d have to examine you and review the images and your operative reports to figure this out. The story doesn’t make logical sense.
Are you near Los Angeles area?
If. It, let us know where you are and we can refer you for a second opinion
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recurrent inguinal hernia
Odd. Are all these true recurrences?
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‘The Dissolvables’
The jury is not yet out on the dissolvables. To date, there is no evidence that they ar equivalent to any nonabsorbables. That said, there may be unique populations and situations which would benefit from them
Also, yes. We suspect that the rate of absorption does vary among patients.
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Surgeon Secrets
This is really great!
Will share. -
Boston surgeons
Dr David Earle
Dr Yusef Kudsi
Dr Doug Smink -
Hernia forum
Hi and thanks for the feedback. We just updated the program to its newer version and so, the slight difference in the look. The views, dates, etc are unchanged. It can be seen on your phone when held in landscape mode.
We eventually plan to completely upgrade the platform and transition to a new program. I will let you know when the revamping will occur, so no surprises! Also, please continue to give me feedback as you feel it.
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Occult hernia in males
For sure Dd Meher’s is a great surgeon and skilled with pelvic floor repair. It is also a fact that recurrence after tissue repair of an inguinal hernia is on average higher than after mesh repair. Lastly, once hernia has recurred, a mesh repair is considered standard.
I suggest you seek a hernia specialist who also performs laparoscopic surgery to consult for recurrent inguinal hernia repair. If you need help, let us know where you live so we can refer you to one near you.
Yes, men also have occult hernias. I just presented in Chicago about my experience with occult inguinal hernias. 72% were in women. Men have them and present similarly. Also, since you had a tissue repair already, a small recurrence can be masked by the original reconstruction and scar tissue.
Hope this helps.
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Femoral hernia
I strongly advise against femoral hernia repair without mesh in the typical patient. It is associated with higher risk for recurrence and significantly more pain. Laparoscopic repair with mesh is considered the standard.
With regard to the Progrip mesh, there is something unique about it–in a positive way. I do a lot of mesh removal for mesh-related chronic pain, and the Progrip mesh has not yet been one that I have ever had to remove.
Trust your surgeon’s experience. You will do great.
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Right Side Pelvic Pain
Pain below the knee is never hernia related.
Did you look into sacroiliac joint disease or sacroiliitis?
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Femoral hernia, still searching?
You mentioned that the surgeon diagnosed femoral hernia. I assume the examination was suggestive. Imaging may not be accurate so if the examination is consistent with a hernia, then that is stronger proof.
Let us know which region you live in and perhaps we can refer you to a nearby specialist in hernias for a second opinion. Alternatively, you can seek online consultation with me, send in your images, and I will re-evaluate your situation. Call my office and ask for Sheila to set it up. 310-358-5020 or sheila@beverlyhillsherniacenter.com
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Keep yourself motivated.
Thank you so much for choosing to share your story. As you can tell from prior posts, you are not alone. In fact, one patient has very generously shared his diary of thoughts and feeling as he too has suicidal tendencies since his pain.
There are a few Indian surgeons who are willing to help figure out hernia-related pain. Their information is listed in one of the posts. Search for “India” on this site and you should find it.
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Suffocation after Removal
Yup, “Mesh” is doing an excellent job alerting others that there are risks with mesh removal and that it should not be taken lightly, and it should be reconsidered if the underlying pain or discomfort is not significant.
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Left Flank Hernia”Rare”
For this type of hernia, cadaver tissue will not hold and has a very high recurrence rate.
This type of hernia is best performed in the hands of a general surgeon or trauma surgeon who has experience repairing these particular traumatic hernias. In my experience, I have had to repair many of these as redos and it’s just much better for the patient to have the first repair a secure one.
And mesh can always be removed. It’s just a risk/benefit ratio.
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Left Flank Hernia”Rare”
1. Traumatic hernias are notoriously difficult to repair
2. These hernia repairs must include mesh. Tissue repair is not an option. It will fail and there will be even more muscle tears, making the subsequent repair even more difficult.
3. I perform these robotically. Laparoscopic repair is also very good. Open repair is not my preferred method, but is also a good option. It all depends on your surgeon’s preference, the size of the hernia defect, and so on. -
top hwrnia in wisvonsin
The surgeons must do at least a handful of mesh removals. In your case, that would be a handful of laparoscopic mesh removals.
None in Chicago.
I meant Knoxville TN, not Kentucky.
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Abdominal swelling?
So glad to hear.
Please spread the word about our forum to your surgeon.
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Got Hernia???
Yes. Forget idea of adhesions.
Based on your CT, I would err on doing this laparoscopically. You have excellent muscles and it’s a better repair in my mind for this small size hernia.
But your surgeon should recommend whatever technique he/she is best at. -
top hwrnia in wisvonsin
Marcello71,
You correctly point out that putting in mesh requires a different set of skills than taking out mesh. The number of surgeons experienced in mesh removal is very low. Maybe less than a dozen in the US.
I don’t know of any more in Wisconsin. Next closest to you may be Kentucky. :unsure: -
Abdominal swelling?
Search HerniaTalk and you will see repeated comments about the association of bloating and abdominal swelling with hernias. It’s common.
Since you are undergoing laparoscopic surgery, both sides can be evaluated and if femoral hernia is noted, then it can be repaired.
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Got Hernia???
That’s a pretty obvious hernia. It supports my research that 3/4 of imaging for hernias is incorrectly interpreted by radiologists.
That hernia can be the cause of right sided pain, nausea, back pain, suprapubic pain. Not commonly the testicle or lower leg.
Once you have a hernia from an incision, closure with non absorbable mesh is the gold standard.