drtowfigh
Forum Replies Created
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Suffocation after Removal
You are right. After I sent the response, I too felt that the word “just” would be misinterpreted and thereby may perhaps would offend you.
I meant it from a surgeon’s point of view: Mesh removal should not be taken lightly. It is for sure a complex procedure with risks and complications. However, of all the types of mesh removals, the onlay mesh placement is the least technically demanding to remove and neurectomy associated with it is similarly the most straightforward and limited.
I basically was expressing that I am more shocked by your story, because you have such severe symptoms after an onlay mesh removal than perhaps if you had a sublay or sandwich mesh removal with retroperitoneal neurectomy.
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Suffocation after Removal
Well that’s just an onlay mesh removal
There should be no denervation risk to the iliacus.
Keep looking for other causes -
Suffocation after Removal
Both meshes have the blue stripe but the PHS has an anterior and posterior component, which is also known as a sandwich type mesh.
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Can I do these kinds of sports after surgery?
Yes to all.
Exercise does. It typically increase abdominal pressure. Instead, it contracts the belly when engaging the muscles
Exceptions: leg squats and jumping. -
Suffocation after Removal
Sorry, just to clarify: Prolene mesh or Prolene Hernia System (PHS) mesh?
It makes a difference based on where the nerve(s) were cut
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Surgeon challenging Radiologist’s CT scan
If you have symptoms and there is an inguinal hernia on imaging supporting that and there is a bulge, I don’t see where the non concordance is.
If you would like me to re-read the imaging or review your case, let me know. Or call my office and talk to Sheila. 310-358-5020.
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Surgeon challenging Radiologist’s CT scan
All hydroceles start at the inguinal canal and work their way down to the testicle. Yours is reall an inguinal hernia and early communicating hydrocele.
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Suffocation after Removal
What was your original hernia repair? Ie, lap or open? What type of mesh?
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Suffocation after Removal
Ok
Interesting
In the open fashion, it is not typically a radical neurectomy as much as the laparoscopic neurectomy can be (some cut nerves all the way in the back)
I will share your symptoms with our international group of hernia surgeons it’s very important for more of us to be aware of these rare but debilitating complications.
Thanks for sharing. -
Surgeon challenging Radiologist’s CT scan
Sounds like your CT scan is showing a communicating hydrocele with inguinal hernia, which is basically a hernia but smaller. The treatment is similar.
I usually perform these in open fashion, as the hydroceletomy portion is better performed in this fashion.There is a spectrum in hernia disease.
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Have had pain for about 3 months
Thank you!
Please spread the word to your surgeon about this forum.
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Femoral hernia pain
Please keep us posted.
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Referrals
Great questions:
Yoga and any other exercise including walking is protective. Keep it up. They do not cause hernias or make them worse.
Yes, you must wait if you continue to have pain. Your heart is more important than any hernia. The only exception would be if you end up in the emergency with strangulation of intestine in your Hernia. Fortunately, that occurs very rarely, a small fraction of 1% per year.
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Recovery after hernia open surgery
Yes!
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Have had pain for about 3 months
Again, imaging may he misread or inaccurate. I’m happy to review them for you.
Alternative diagnoses include hip labral tear or other hip related pathology.How did your appointment go?
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Dorsal root ganglion stimulation
Thanks for sharing.
It’s so important to have a knowledgeable, talented, and caring pain management specialist. Makes all the difference.
Nerve root stimulator can help a lot of patients with end stage chronic pain disorder.
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Femoral hernia, still searching?
For sure allllll your symptoms are suggestive of hernia.
Imaging with valsalva is advised. Read my article and prior posts here about imaging and hernias. They can be inaccurate and misread. So if your exam is diagnostic, don’t give up.
Laparoscopy can be performed with extraperitoneal evaluation in order to confirm there is no hernia. Simple laparoscopy looks inside the abdominal cavity. It does not specifically look at the muscle level which is behind some fat and the peritoneum. So it’s important that the peritoneum and fat is removed to confirm the muscle is intact or there is a hernia.
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Chronic pain after inguinal hernia repair
Thank you for joining our forum.
You can find a lot of information here about post-herniorrhaphy chronic pain.
One common thread: it’s important to seek a specialist in hernia repair-related chronic pain in order to get the best and most effective relief. You should not suffer for so many years.
Let us know where you live and we can recommend surgeons near you.
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Suffocation after Removal
Did you undergo laparoscopic triple neurectomy?
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No mesh hernia surgeons in Ontario Canada
Most hernia surgeons in Ontario will be using mesh as part of their repair.