drtowfigh
Forum Replies Created
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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.
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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.
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Knee problems…
I have had 3 patients with hernias with similar knee complaints. Not sure what the cause is. Got better after hernia repair.
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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
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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.
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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
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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 .
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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.
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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.