drtowfigh
Forum Replies Created
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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.
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To Remove or Not to Remove?
Please do.
via Contact Us form on http://www.beverlyhillsherniacenter.com -
parietex progrip removal, an exercise in futility?
Here are some suggestions provided by a HerniaTalk member:
Dr Matthew Goldblatt and Dr Jake Greenberg are both located in Madison
I personally know both surgeons and vouch for their expertise and quality of care.
Let me know if this is helpful.
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To Remove or Not to Remove?
Thank you for your post. It’s a super important one.
Also, let me know how I can help you. All your symptoms are potentially curable, but it will be a long process that requires your patience.
Please contact me if you’re up to taking that path.
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Exercising
Exercise is protective of hernias, especially among women.
Yoga is great. So is cycling.
Stay away from squats, crossfit -
Venogram shows what?
I am not aware of any studies about this. And I’ve never seen such an intense reaction that can be seen on MR angiography.
My impression is that mesh causes inflammation, which results in increased blood flow to the area, as does scar tissue. This may be a sign of increased inflammatory state.
Why was the MRI done and do you have pain? -
Third Recurrence of Umbilical Hernia
There are a lot of great surgeons near you, but you have to drive.
In NJ, there are Drs. Ravi Brambhatt and Jarrod Kaufman.
If you can make it to NY, I recommend Dr Brian Jacob.
Any other states you’re willing to travel to? -
Third Recurrence of Umbilical Hernia
I recommend a full survey of your risk factors first. And then a detailed review of your prior operative reports prior to committing to a third operation.
You don’t want to have a fourth repair. -
Chronic pain post abdominal hernia repair.
There are a lot of reasons why one has pain after mesh removal. I’m curious what was done with your hernia after mesh removal. Why did the surgeon feel the mesh itself was the problem?
I am happy to see you in consultation if you can fly down to see me. Alternatively, though not ideal, you can request an online consultation. I’d rather be able to examine you but if you cannot fly down, an online consultation is the next best alternative. Go to http://www.beverlyhillsherniacenter.com