[drtowfigh]

Chronic Lower Left Quadrant Pain

Hernias in women can be painful with minimal bulging or other exam findings. The pain is usually just above the groin crease. It can radiate around to the back, down the front of the leg, into the labia or vagina, and sometimes up toward the belly button. The pain is typically activity-related, such as with bending, straining, prolonged standing, coughing/laughing, prolonged sitting. It may be worse during your menses.

A truly negative MRI is usually a good bet you don’t have a hernia. The MRI must be of your pelvis and with addition bear-down (valsalva) views.

If it’s debilitating, I agree with Dr Earle that it may be worth it to have a surgical exploration or get a second consult from a hernia specialist especially one interested in hernias among women. Where do you live? We can help you find one.

If not life-altering, then carry on with your life, including exercise, and time will demonstrate if this is a hernia.

[drtowfigh]

Fascia Tightening ??

I have run this case by a couple of vascular surgeons. They have not seen it to this extent with even lower extremity fasciotomies, where you would expect even more problems. Their concern is perhaps there is an outflow obstruction that is causing the painful pooling of blood.

Have you been evaluated for venous flow obstruction? Perhaps a deep venous thrombosis of the upper extremity or a thoracic outlet obstruction in the shoulder or neck region cruising reduced flow of venous blood back to your heart on that side?

[drtowfigh]

Auto immune disease and mesh rejection

BIOLOGICS mesh are derived from Cadaveric tissue from humans or animals. It is decellularized so there is no immunologic rejection. The basis is mostly collagen and other fibers. Depending on the manufacturing, they can be very inert with little to no inflammation associated with it, unlike synthetic mesh b

[drtowfigh]

pain in my right groin going around my back

Hi
Any update?

[drtowfigh]

recurrence or normal healing from multiple hernias

Hi
Please provide an update

[drtowfigh]

Femoral Hernia

Ldavis:

Try Dr Goodyear in Lansdale.

Also log on to http://www.americanherniasociety.org and see if any surgeon in your state is located near you

[drtowfigh]

Auto immune disease and mesh rejection

Sandiego,

My inclination to your question is: YES!

We have no proof that patients with autoimmune disorders have a different reaction to mesh than others. However, in my experience, I have anecdotally noticed that patients with lupus, rheumatoid arthritis, fibromyalgia, chronic fatigue syndrome have had a prolonged and abnormally high inflammatory response (aka pain) to mesh implantation. Removal of the mesh has resolved their flare up.

I systematically do not place mesh in such patients. If they need mesh, I choose a Biologics tissue with low inflammatory potential (but higher risk for recurrence). There are also hybrid meshes coming to the market that have very little synthetic mesh.

I wish to have an opportunity to study this patient population. To date, no blood tests are abnormal among them to help predict this mesh reaction.

[drtowfigh]

Please Help!

This is great news.
If your pain improves with PT, that’s great.
If you feel that PT actually hurts, then see Dr Ramaswamy again as you may have an occult inguinal hernia.

[drtowfigh]

Chronic pain that will not go away

Dear TJ from Texas:

Some thoughts comments and questions for follow up:

– mesh can tear off its repair and it can also tear in half (though that is less common)

– nausea can be a sign of hernia occurrence

– it is certainly not expected that every single hernia repair you have be torn or tear off. We have to figure out why this happens so that it is not repeated with the next repair. So here are key questions to have answered prior to the next operation:
1. We’re all of these open style repairs (ie, a scar in the groin)? If so, did anyone talk to you about performing your repair laparoscopically? That is usually the go-to technique when open has failed.
2. What types of mesh were used and of what size? Do you know the surgical technique or the brand of the mesh used? These should either be noted in your operation report or elsewhere in your surgical chart. Lightweight mesh is more likely to fail than heavier weight mesh. Small size mesh is more likely to fail than larger size mesh (3×6 inches or larger).
3. What risk factors do you have which make you prone to hernia recurrence? Any of the following: constipation, chronic cough or asthma or bronchitis, nicotine use of any form, overweight or obese, family history of hernias, immune suppression or healing problems such as with use of steroids, collagen disorders, diabetes, other medical problems such as cirrhosis?

[drtowfigh]

is this hernia

Hmmmm.
Hernias don’t move. But intestines do. Perhaps you have a problem related to the intestines?
Have you had surgery before? Is there nausea or bloating associated with this? Any weight loss? Change in bowel movements?

[drtowfigh]

Are my symptoms from a hernia?

Is she better now?

[drtowfigh]

Are my symptoms from a hernia?

Did you figure out what was causing your pain?

[drtowfigh]

Need help in diagnosing hidden hernia

Hi there
Did you see Dr Brunt? We discussed your situation when Dr Brunt and I saw each other at a conference back in May.

[drtowfigh]

Chronic Hernia Pain – Where to turn now?

Hi
Were you able to get the care you needed? Please provide an update so we can all learn from your experience.
Thanks.

[drtowfigh]

Desperate for Diagnosis-Diaphragmatic Hernia-9 mo.

Hi
Have you had any change or improvement of your symptoms or new tests to figure out what is going on?
Read about para duodenal hernia and see if your symptoms are similar. Diaphragmatic hernia is likely not the cause of your symptoms. Is there nausea or vomiting involved? Have you had surgery before? Is there associated bloating?

[drtowfigh]

Lower abdominal tenderness

Infrequently, I have patients with pain that radiates from their groin up to and toward their belly button.

Is the pain still there? Did you find a cause for it?

[drtowfigh]

hernia specialist in New Hampshire

Hi there.
Did you end up having a hernia and a repair to follow?
Curious to know how you’re doing.

[drtowfigh]

Please Help!

Hi there.
Any update as to how you’re doing?

[drtowfigh]

Multiple Surgeries – SECOND OPINION

Hi there.
Any update regarding your situation.
An open exploration to confirm no hernia recurrence is not a bad idea. If there is fat in the canal or a recurrence, the open repair should fix it. If the mesh is bulging into the defect and mimicking hernia symptoms, then an open anterior approach can also address that problem. We see that more often in large build Patient’s or with large/wide hernia defects.
Lastly, there are thee causes for groin pain. This includes hip and back problems.

[drtowfigh]

Mesh Removal

Please call my office and let them know you reached out via HerniaTalk.