drtowfigh
Forum Replies Created
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Hernia Specialists in Massachusetts
HerniaTalk contributor, Dr David Earle, is in Springfield, MA.
There are very limited number of female surgeons who are also hernia specialists. If you have good experience with those you listed, please share with HerniaTalk.
Dr Gina Adrales is in New Hampshire at Dartmouth. She’s the closest I know. -
To Remove or Not to Remove?
I tailor the mesh to each patient’s needs. Would need to examine you and also review what’s been done already.
In WA seek Dr Andrew Wright.
In OR, see Dr Sean Orenstein. -
Pain
I recommend you see your surgeon to help determine the cause of the pain and how he/she can help you get better. There are scores of reasons why one may have pain 10 weeks after surgery. An examination and detailed history is key.
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Venogram shows what?
The suggestions are as I posted. Not a mesh issue.
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Mesh removal after hernia repair
All operations cause scar tissue
All scar tissue remodels and softens/lessens over the years
Some mesh dissolve
Nerves can be entrapped by mesh or scar tissue. It’s not common.
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Hiatal/umbilical
Typically no
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Upstate ny surgeon
If you have out of network benefits with your insurance I strongly suggest you take advantage of it and see Dr Jacob.
Alternatively, try Dr Steven Goldstein. He is a contributor on this forum. You can read his Bio on this site.
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22 Year old Mesh, severe Inguinal pain, severe Periumbilical pain, both areas where mesh is implanted
1. Re-suturing mesh does not work the same as applying new mesh. In my experience, this just results in another recurrence. This is because the mesh no longer possesses the inflammatory component which reacts with the tissue and promotes INGROWTH of the muscle into the mesh.
2. Pain many years after a hernia repair is a recurrence until proven otherwise. Almost all mesh-related chronic pain occurs within the first few months.In Oregon, contact Dr Sean Orenstein st OHSU. He has a special interest in hernias and can help you.
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To Remove or Not to Remove?
Dear Anthony, AKA “Mesh,”
Removal of mesh can be a difficult procedure and has risks of its own, including damage to nearby nerves, spermatic cord/vas deferens, and weakening of the muscle. The rate at which these damages occur may be related to the operation(s) the patient has already had as well as the experience and technique of the surgeon.
The goal is to improve one’s symptoms, not to make it worse, so the decision to undergo mesh removal should be made on an individual basis.
If a mesh removal is performed AND no further mesh or other implant is placed, which in many instances is the best decision, there is a risk that the hernia will recur. In my practice, at that time, a less risky laparoscopic or robotic-assisted procedure is performed with some type of implant to secure the repair and restore the abdominal wall and pelvic floor.
By the way, I think “Chuck” was referring to the surgeons who contribute in Hernia Talk…
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Third Recurrence of Umbilical Hernia
Hope the names I provided were helpful in giving you some direction
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Exercising
It’s a great idea
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Chronic pain post abdominal hernia repair.
Pain is multi factorial. It can be from a hernia recurrence, muscle tear, incomplete mesh removal, tissue injury, nerve pain, intestinal injury.
A careful exam abs review of the history is key.
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Compression shorts
I think they are an excellent idea and promote their use in my practice.
The UnderArmour crisis cross compression shorts for men are great, as are certain girdles for women.
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Groin hernia, no pain. Treatment?
Completely agree.
Spread the word.
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Venogram shows what?
I’ve shared your pictures as you posted them with a group of my hernia colleagues.
Here is my take: this is probably your abdominal wall and/or omentum. If you have iliac vein obstruction, the blood flow needs to get to your liver somehow, and eventually back to your heart, so the veins communicating this back to your heart (abdominal wall, omentum, intestines) will be prominent.
This is most likely not related to your mesh at all. And your pain is also most likely not from the mesh.
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Upstate ny surgeon
Hernias can cause pain with bending, your period, and it’s best when lying flat. It can also radiate to your back.
See Dr Brian Jacob in Manhattan. I know it’s a long ways but he is very skilled and knowledgeable.
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Hiatal/umbilical
Try Brian Jacob in Manhattan.
And don’t give up. You are your own best advocate.
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To Remove or Not to Remove?
Dear “Mesh,”
I don’t believe I received and Contact from you.
Make sure you go to http://www.beverlyhillsherniacenter.com -
Mesh removal after hernia repair
Hi and thanks for using the site to get insight and help. Your questions are likely those of others as well.
The honest answer is we don’t really know. Everyone is different. On average, about 80% are no longer symptomatic from the inflammatory reaction caused by surgery and synthetic mesh after 3 months. And so where around 90-95% after 1 year. Most are asymptomatic within weeks to months. It’s unpredictable at this time who would fall into which category. Rates differ among different techniques, mesh products, genders, and surgeons.
Anti inflammatory medications work the best. That includes ice, naproxen, ibuprofen, Celebrex, and others.
Hip and back pain may be related to a hernia recurrence. It would be uncommon to be due to mesh itself.
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Severe groin pain
My office will work with you to make sure I have all I need.