Forum Replies Created

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  • drtowfigh

    Moderator
    January 10, 2016 at 4:47 am in reply to: Upstate ny surgeon

    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.

  • 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.

  • drtowfigh

    Moderator
    January 10, 2016 at 4:33 am in reply to: To Remove or Not to Remove?

    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…

  • drtowfigh

    Moderator
    January 7, 2016 at 6:54 am in reply to: Third Recurrence of Umbilical Hernia

    Third Recurrence of Umbilical Hernia

    Hope the names I provided were helpful in giving you some direction

  • drtowfigh

    Moderator
    January 7, 2016 at 6:53 am in reply to: Exercising

    Exercising

    It’s a great idea

  • drtowfigh

    Moderator
    January 7, 2016 at 6:52 am in reply to: Chronic pain post abdominal hernia repair.

    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.

  • drtowfigh

    Moderator
    January 7, 2016 at 6:50 am in reply to: Compression shorts

    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.

  • drtowfigh

    Moderator
    January 7, 2016 at 6:49 am in reply to: Groin hernia, no pain. Treatment?

    Groin hernia, no pain. Treatment?

    Completely agree.

    Spread the word.

  • drtowfigh

    Moderator
    January 7, 2016 at 6:43 am in reply to: Venogram shows what?

    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.

  • drtowfigh

    Moderator
    January 7, 2016 at 6:39 am in reply to: Upstate ny surgeon

    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.

  • drtowfigh

    Moderator
    January 7, 2016 at 6:36 am in reply to: Hiatal/umbilical

    Hiatal/umbilical

    Try Brian Jacob in Manhattan.

    And don’t give up. You are your own best advocate.

  • drtowfigh

    Moderator
    January 7, 2016 at 6:33 am in reply to: To Remove or Not to Remove?

    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

  • drtowfigh

    Moderator
    January 7, 2016 at 6:22 am in reply to: Mesh removal after hernia repair

    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.

  • drtowfigh

    Moderator
    January 4, 2016 at 7:37 am in reply to: Severe groin pain

    Severe groin pain

    My office will work with you to make sure I have all I need.

  • drtowfigh

    Moderator
    January 4, 2016 at 7:35 am in reply to: To Remove or Not to Remove?

    To Remove or Not to Remove?

    Please do.
    via Contact Us form on http://www.beverlyhillsherniacenter.com

  • drtowfigh

    Moderator
    January 4, 2016 at 7:33 am in reply to: parietex progrip removal, an exercise in futility?

    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.

  • drtowfigh

    Moderator
    January 4, 2016 at 3:04 am in reply to: To Remove or Not to Remove?

    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.

  • drtowfigh

    Moderator
    January 4, 2016 at 2:51 am in reply to: Exercising

    Exercising

    Exercise is protective of hernias, especially among women.
    Yoga is great. So is cycling.
    Stay away from squats, crossfit

  • drtowfigh

    Moderator
    January 4, 2016 at 2:45 am in reply to: Venogram shows what?

    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?

  • drtowfigh

    Moderator
    January 4, 2016 at 2:40 am in reply to: Third Recurrence of Umbilical Hernia

    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?

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