drtowfigh
Forum Replies Created
-
6th Right Inguinal Hernia
I’m interested to know how many and what types of hernias you had performed and with what techniques. 5 operations is a lot!
And I agree with my esteemed colleagues, Drs. Earle and Goldstein:
Let it heal. You probably just pulled something. It is not going to be late to diagnose a recurrence. If the pain persists after several weeks of rest, local and topical treatment, then you can consider an MRI pelvis. But give your body some rest! Sounds like you’ve been through a lot. -
Medium inguinal Hernia – Traditional Tension Repair
it’s hard to find a surgeon that has a lot of experience in tissue repair alone. they tend to be older surgeons (in general). also, northern california has great surgeons but not too many hernia specialists.
Try
– Hobart Harris
– Marc Zare
– Jeff Gutman -
Post vasectomy complications
Wow. This is truly complex.
I do not see, from an anatomic standpoint, how the vasectomy itself could cause lateral femorcutaneous nerve damage. Those two areas are very far apart. Is it possible that you had genital branch of genitofemoral nerve damage at the time of vasectomy? Where on your body was it performed: the scrotal base or near the groin crease?
It is possible that if the vasectomy procedure was performed at the groin crease and you had a lot of bleeding, that the pelvic nerves were irritated by the bleeding. That may take weeks to months to recover, but again, there should be no permanent damage to nerves due to the blood. Your body takes care of dissolving the clots on its own. The most you would have would be fibrous scar tissue in the area, and that scar is remodeled and softened with time, too.
Your symptoms may either be completely unrelated or a result of too much treatment too early in your course.
So I am stumped. Let me run this by my colleagues who specialize in some of these problems and get back to you on that.
-
Serious pain, femoral hernia maybe?
Also try Dr Bradley Pierce.
http://www.fairview.org/Providers/Bio/D_120548 -
Serious pain, femoral hernia maybe?
Try Dr Archana Ramaswamy.
She is a hernia specialist and skilled laparoscopic specialist.
She is at the University of Minnesota. -
Hidden hernia, undiagnosed, very frustrated
If you feel a popping out and that is reducible then for sure any such hernia can be seen on CT scan, ultrasound, or MRI.
Hernias can occur either at the scar from your prior surgery or in the midline between your belly button and your chest bone. Sometimes, these are falciform ligament hernias. Someone has to very carefully look at your films.
-
Hernia or Psoas?
If you are undergoing laparoscopic surgery, it is not so important to differentiate between inguinal and femoral hernias
What is important is the timing. Most of us agree that most inguinal hernias can be safely watched. Femoral hernias cannot. They should be repaired, especially if symptomatic.
-
Serious pain, femoral hernia maybe?
Groin hernias among women can be small, without bulge, yet highly symptomatic. The pain can go down the leg or around the back. It can be worse during the period. Laparoscopy needs to be done with extraperitoneal exploration. Routine laparoscopy misses most of these hernias.
Meralgia paresthetica is different. It is pain (burning) only at the side of the thigh, not in the front. it is worse with standing. There is no groin pain or pain above the groin crease.
Your story sounds like a hernia. Small ones can hurt.
-
Possible hernia in Los Angeles
An internal hernia is not a muscle proble. It is internal and within the loops of intestine. They are more commonly seen among those who have had surgery in the past or a bad trauma. They can occur without surgery as well but they are rare
Similar to other hernias, intestines can go in and out of the hernia hole. Internal hernias must be repaired. The consequencd of not repairing them can be serious.
-
Hernia or Psoas?
I disagree with most of the comments made to you.
I agree with Dr Vassiliou. -
Hidden hernia, undiagnosed, very frustrated
Thank you for joining!!
Where exactly is the bulge? You can post a picture of that helps.
-
Knee problems…
I have had 3 patients with hernias with similar knee complaints. Not sure what the cause is. Got better after hernia repair.
-
parietex progrip removal, an exercise in futility?
The goal is to remove whatever mesh is bothering you. I try to remove all the mesh but if it’s stuck to important areas and too risky it may be left behind. Depends on the reason for the mesh removal.
Consider driving to Cleveland? See Dr Yuri Novitsky in Case Western
-
Next Step?
Seek consultation by a true hernia specialist. If it were me I would also order dynamic MRI pelvis with valsalva if the exam and clinical history are suggestive.
-
To Remove or Not to Remove?
That answer needs to be provided on an individual basis. Please seek consultation from one of the hernia specialists near you.
See Dr Orenstein’s comments here. http://herniatalk.com/hernia-discussion/1128-22-year-old-mesh,-severe-inguinal-pain,-severe-periumbilical-pain,-both-areas-where-mesh-is-implanted.html
-
Discomfort 100 Days After Bilateral Inguinal Surgery
We don’t wish that our patients have so many symptoms more than 3 months postoperatively. That said, you need not suffer. There may be good treatment for your symptoms. Sounds like possibly you are feeling reactions from the neurectomy and also stiffness from the mesh.
The numbness will take years to feel less abnormal. It won’t go away.
Seek consultation from your original surgeon, and if you wish, let us know where you live so we can refer you to hernia specialists near you for a second opinion .
-
Can someone tell me what I’m looking at? CT scan
What operations have you had in the past?
This is an extraperitoneal mass. Based on its location, it may be nerve-related or lymph nodes. Did you have IV contrast? -
Robotic surgery
That’s a very broad question and the answer varies based on the surgeon’s preference and skills.
To quote a fellow HerniaTalk patient: Don’t choose the method. Choose the surgeon. -
Knee problems…
I’m not aware of any direct relationship.
It’s possible that weakness of the pelvic floor region may adversely affect pelvic alignment and induce more stress on the respective joints. However, for sure there is no correlation that we see at this time. -
Tight penile suspensory ligament after inguinal hernia surgery?
It sounds like you have what we refer to as a “healing ridge.” All patients have this after open hernia surgery of the groin. It is a thick palpable linear mass under the incision. It is a side effect of scar tissue and swelling after closing the underlying tissue in multiple layers and is normal. And it goes away with time in all patients. It may take 6-8 weeks.
There is no such thing as a tight suspensory ligament of the penis and no penile injury is possible with the open inguinal approach. The organs and tissues are just not anywhere near where the hernia repair is performed.
I’m glad you wrote to us, or I would suggest you seek consultation directly with your surgeon rather than relying on the Internet to self-diagnose. It often leads you astray and confuses you more.