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Pain after inguinal hernia repair using PHS.

I reached out to your surgeons In India and they have graciously provided their contact information:

From Dr Sumeet Shah:

He can mail me at sumeet_shah@yahoo.com and I will set up an appointment.

From Dr Rakesh Mattar:

Glad to help him. if it is convenient for him.I can be contacted at dr_rm_khattar@yahoo.co.in or my mobile 9811073612

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Inguinal Mesh Removal

Hard to know. You need a huge database to be able to determine that. There just aren’t that many mesh removals done.

In my study, those who had neuropathic pain or meshoma pain did best. Those that has “mesh reaction” did worst

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Pain after inguinal hernia repair using PHS.

We have had multiple requests from patients in India

There are a lot of great surgeons in India for hernia problems. And those listed below have accepted to see complex patients

Try:
Rajesh Mohan Khattar
Sumeet Shah

Also, Prolene Hernia Sustem sometimes causes pain because it balls up, also known as meshoma. Removal is the only cure.

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Inguinal Mesh Removal

I just presented my data about success with mesh removal at the Annual Meeting of the Americas Hernia Society. For those who had mesh-related pain, 83% had cure or significant improvement after mesh removal. 17% had no improvement or worsening in their pain.

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pain around my groin and belly button

That’s a small belly button hernia.

Urination etc not related.

You need a physician to examine you and correlate your symptoms with the examination findings in order to provide you with help.

If you need a referral, please let us know your geographical location.

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Inguinal Mesh Removal

Most anatomy books mention that these nerves are purely sensory. We now know that the nerves carry motor nerves as well. The motor nerves start branching off early in the path From the spine to the groin. The further distally (far from the spine) you can cut the nerve(s) for surgical neurectomy, the less likely you are to sever motor fibers too

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Lymphocyte

Some patients are very sensitive and can feel pain from even a small fluid collection. If it doesn’t resolve and you have symptoms, consider aspiration of the fluid. There is a risk of mesh infection, so this procedure should not be taken lightly.

Exercise will not cause any problems.

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Lingering problems after possible scar tissue break

I have seen this with patients and have theories about why it happens but no scientific evidence.

All synthetic mesh shrink to some extent. Also, synthetic mesh is not as compliant as normal muscle, as Dr Goldstein mentioned. So it does not stretch with activities.

I feel that once the mesh is adherent to the muscle, with ingrowth, if it’s already tight, then the patient might feel pain, pulling, and this is from a sheering effect.

No good non surgical treatment for this. I have injected steroids into the mesh:muscle region and in some patients that has helped.

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Is it possible for Hernia Without surgery?

It seems “GroCare” is an Indian company that sells a variety of herbal-based concoctions. “Hernicum” seems to reduce gas and pressure and that may indirectly reduce hernia symptoms in patients that are chronically constipated, etc. That is not a cure for a hernia but may reduce symptoms.

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Nerve complication question

Yes. If there is a nerve injury in the groin, some patients feel pain along the length of the nerve, which reaches obliquely around the back.

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pain around my groin and belly button

Hmmm. You need a good examination to see if you have an umbilical hernia (belly button).

If you wish, you can send a picture of your belly button area as an attachment here.

The blood in the urine is not related to the abdomen. That’s usually from the bladder or kidney and should be world up if you continue to have this.

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Inguinal Mesh Removal

I trust Dr. Belyansky’s clinical judgment and technical expertise. I am glad you found him.

A bulging from neurectomy is most likely to occur if the nerve is transected high up toward the spine. The further down toward your groin area (and not your back area), the lower the risk.

Yes, lymphocele or fluid collection can cause pain. It should be aspirated to help.

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I continue to decline where abdominal mesh is – haven’t had a bm in 9 days; used an enema and two balls came out. I know mesh removal is necessary

Of course, what the hospital said is incorrect. All mesh must be logged somewhere. I recommend you get a copy of your entire chart, and find it yourself.

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Pain Diary

I’m happy you have found this site as a means of expressing yourself. There are many patients who can relate. I hope this process is helping you as well as others.

I also urge that you seek support with Chronic Pain support groups that are available both in communities and online. And I hope you have a compassionate primary physician who can help guide you through this process.

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Laparoscopic mesh removal vs open removal

Great post!would be great for patients who successfully had mesh removed to share on this thread.

You are right! Up until this weekend, there has been no data regarding the risks and benefits of lap vs open mesh removal.

I just Presented our data answering exactly this question while at the American Her ia Society meeting. I’ll post the results on my Facebook page @DrTowfigh and tweet it @Herniadoc.

In short, 83% had cure or significant improvement after mesh removal. I remove all laparoscopically placed mesh laparoscopically, not open. I also presented our data at SAGES meeting two weeks ago. We compare laparoscopic vs robotic techniques and concluded that robotic technique for mesh removal was superior to laparoscopic.

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Hernia Repair with pelvic kidney

Can do these laparoscopically if that is in your best interest.

Looking forward to seeing you.

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Hidden Hernia? Can scans be read if emailed?

Consider either MR with Valsalva to evaluate the abdominal wall, or MR enterography (if it may be from deeper than the abdominal wall,or MR T spine to see if the pain is from a pinched back nerve.

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Pain Diary

Not sure if it will help, but may want to consider investing in a TENS unit and play around with it.

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Si joint

Cat scan may show inflammation or fluid at the sacroiliac joint.

Hip is best evaluated with MR arthrogram.

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Epigastric hernia becoming painful

I recommend hernia repair based on symptoms, not based on size.

Hernias that are symptomatic or are increasing in size are the best indication for repair. The goal is to improve quality of life.

Strangulation of hernias are generally rare. All sizes are at risk,, but that number is very very very low.