[Good intentions]

Actually, without the report you don’t know how big the piece of mesh was.or where exactly it was placed.

The entry point does not determine placement with TAPP or TEP. And the initial reason for the surgery does not determine the final result. If your surgeon saw an inguinal hernia he/she might have “fixed” it without your knowledge. He/she might have dissected the peritoneum back the point where you’re feeling pain to make room for the umbilical mesh.

I would not assume anything. Get as much information as you can and let the facts determine what’s happening.

Good luck.

[USER=”2871″]Runner123[/USER]

[Good intentions]

[USER=”2871″]Runner123[/USER] notifying, forgot.

[Good intentions]

quote Runner123:

[USER=”2029″] I just had an umbilical repaired a couple of months back that I’m having minor problems with.

That is an important disclosure. Do you know how the umbilical hernia was repaired? It is often repaired with mesh. Mesh is rapidly becoming the “do-all” repair method for all sorts of abdominal problems. Since the mesh and tissue contacting it contract, a mesh repair can often cause new problems.

Get the details of your first repair to see what was done. It will also play a part in the repair of your new hernia if you have one. It will affect the types of repair that are possible.

I’m sorry that you are in this situation. You’ll want to become very educated in what was done to you and what might be happening.

[Good intentions]

[USER=”2871″]Runner123[/USER] notifying

[Good intentions]

Hello Runner. Have you had a physical examination by a doctor? I can almost guarantee that that will be suggested. It could be the start of a “normal” hernia, impacting a nerve. If you have insurance and/or can afford it you should start with your doctor, or maybe go directly to a hernia specialist.

Your screen name choice implies that you might be athletic. Does the pain get better or worse with physical activity? If it gets worse that’s a sign of athletic pubalgia, AKA sports hernia. If it gets better but hurts the next day, that might be a normal hernia starting.

The details will help but you might have to get imaging to be sure.

Post your general location and people might have a recommendation for a doctor close to you. Choosing the right doctor is important.

[Good intentions]

Certain words and/or terms seem to trigger the filter. If you think it might trigger it’s best to copy it and change some words if ti does get triggered. Or write your comments in Word or Wordpad and copy them over.

[Good intentions]

quote pinto:

Seems you both are barking up the wrong tree. ‘Tension‘ here is neither shrinkage nor tissue rejection. By definition suture repair involves tension because it stretches the IH membrane together to patch the IH gap or hole. Because mesh repair instead ‘covers‘ not stretches the membrane, mesh repair is hailed as tension-free. If suture repair also can do that then its the biggest story ever–and begs to be told.

quote Good intentions:

“Tension-free” is meant to refer to sutures not pulling through tissue, I believe. So, a surgeon that takes care to evenly distribute the sutures and layers the tissue so that it attaches to itself, could end up “tension-free” after healing occurs, I’d guess.

I think that my words said just that, if you look a little deeper. You can’t pull through the tissue without tension. Pulling is tension.

If you want to criticize Dr. Kang’s claims you should just do so directly. Not really clear what you’re trying to accomplish. We made some good comments about what “tension ” is, or means, by definition of the word tension. Neither of us is barking up a tree, just responding to your remarks.

[Good intentions]

Another article about lack of oversight from trusted governmental agencies. It’s just the state of government in the USA today. All under the same umbrella. Not just the current administration either, a slow degradation over many years.

https://www.nytimes.com/2019/07/27/business/boeing-737-max-faa.html

[Good intentions]

quote Ben999:

I’m surprised Dr. Conze hasn’t been mentioned yet. He’s absolutetly amazing, removed my bilayer mesh and did a Shouldice repair. He does use mesh in some cases, but only if it’s called for.
https://www.hernia-centre.com/

How are you doing now? Is there a link to your story. I can’t keep up with everyone.

Forest is on the path to mesh. Can’t see the forest for the trees seems to apply, he has a surgeon who plans to use one of the uncommon meshes, apparently, “hybrid mesh–disappearing, with some small kevlar weaved into it”, so no verifiable data just the surgeon’s confidence to depend on. He’s also using the latest tools, “robotic, laporascopic surgery”, which means large pieces of mesh implanted.

So, on the one hand we have the “Guidelines” which imply a verifiable proven method and materials, and on the other hand we have an unproven material and new tools to get the mesh in. Regardless, all of these things are used to justify the use of mesh, when the most important thing, chronic pain, is ignored. Sales and marketing are winning.

https://www.herniatalk.com/12329-patulous-bilateral-inguinal-canals-containing-fat

[Good intentions]

The more broad-based discussions are where you can find the truth about the situation. The surgeons just “don’t know” the levels of chronic pain that they are creating. They are becoming more like mechanics or automatons, just following the installation instructions and moving the patient along. It really is a travesty and part of a bigger problem with medical care, worldwide.

https://www.herniatalk.com/9650-to-mesh-or-not-to-mesh-that-is-the-question-dr-bendavid-vs-dr-voeller

[Good intentions]

quote kaspa:

When will my post flagged as spam be revised and published?

It might not. Dr. Towfigh has to have the time to look at it and release it if she decides to.

[USER=”935″]drtowfigh[/USER]

[Good intentions]

quote Forest:

The surgeon is planning to use a hybrid mesh–disappearing, with some small kevlar weaved into it. I cannot find anything more online about this type of mesh.

All my research indicates that the surgeon’s skill is the most important part of the hernia surgery, and there is no way to truly find out how good the surgeon is…only indicators by # of surgeries performed and other doctors recommendations. My umbilical is small and will be sutured.

I just don’t see how suturing the inguinals would be better. Sutures tend to fail more than mesh.

Why would he need an experimental mesh if today’s products are perfected and your problem is simple?

The issue is chronic pain, not recurrence. Your research has misled you, it is biased. Chronic pain is the main problem with mesh repairs.

Good luck. Please stay in touch over the coming years.

[Good intentions]

“Marketing” is interwoven through everything we do these days. Selling.

[Good intentions]

[USER=”2931″]Kablooey[/USER]
[USER=”2941″]texan[/USER]

[Good intentions]

Kablooey, could you describe your experience at Gibbeum Hospital, from start to finish? Traveling overseas is very daunting for most people. How you chose air travel, getting through customs, the need for a passport, etc. Many people in the States don’t have passports and only get them when they need to go out of country.

Texan. your story will help also. Real world details of the experience help people plan their own travels.

Thanks for sharing.

@Kablooey

@texan

[Good intentions]

I can’t argue the use of “tension-free” as a term, but mesh actually is full of tension as the healing process happens. It’s just massive and distributed over a large area.

“Tension-free” is meant to refer to sutures not pulling through tissue, I believe. So, a surgeon that takes care to evenly distribute the sutures and layers the tissue so that it attaches to itself, could end up “tension-free” after healing occurs, I’d guess.

[Good intentions]

quote Forest:

I did see a hernia specialist yesterday. He does robotic, laporascopic surgery–seemed to believe my situation will be relatively easy–all three are small. I am feeling more confident after seeing him.

I can not emphasize enough, here or in my past posts, about how everybody is fooled by the comforting words. First from the device makers to the surgeons, then from the surgeons to the patients.

Your surgeon is going to implant one or two large pieces of mesh in to your abdomen. Probably two, they always find a defect on the other side, The pain you feel now will be nothing compared to the hopelessness you’ll feel if you have mesh problems. There are many stories on this forum from very healthy athletic people who had mesh problem. You have other problems in addition to mesh problems. No offense, but you are not “healthy” so your issues will probably be even worse. Talk to your urologist about how they will have to deal with the mesh if you need a prostate operation. They will have to cut through it or go around it, and your hernia surgeon is probably going to use the largest piece possible.

Do not assume that all of the surgeons talk to each other and are working together, discussing your situation, to help you. They don’t and they aren’t. They are all “specialists” in today’s world and only do what they specialize in, with very little consideration for their fellow surgeons or for your future problem.

I wish I had positive words for you but you are on the path that many people of the forum have been on. You can read through the Topics and find some of their stories from start to today, and the similarities will scare you. Comforting words from the surgeon (easy, I’ve done many, International Guidelines), pulling the trigger to get mesh implantation, regretting it. Be careful.

Good luck.

[Good intentions]

I am fairly sure that the Shouldice Hospital actually uses stainless steel suture material for the actual Shouldice procedure. It’s been a discussion topic. They might use absorbable suture material for closure of the entry point, but I think that everyone does that.

These are good questions though, because “pure tissue” is often used to describe what are really sutured tissue repairs. It’s not pure.

https://onlinelibrary.wiley.com/doi/full/10.1111/j.1464-410X.2009.09155.x

“SPECIFIC EQUIPMENT/MATERIALS

Stainless steel wire 32–34 G is the suture material of choice, and originally chosen because it is inert and does not form a nidus of infection, should one occur. Initially the wire can be difficult to handle but this problem is soon overcome.
“

[Good intentions]

I don’t think that many people really consider the type of suture material used. It’s also not clear that it’s the material itself, the polymer, that causes mesh problems, or if it’s the structure of the fabric and how it interacts with the body once it gets filled with collagen.

It’s a good question but I don’t think that you’ll get a firm answer.

[Good intentions]

I assume that your question is more of a rhetorical statement, but some details might let people offer some advice.

The type of mesh that was removed, the method of removal, were any nerves cut, when is the pain felt, etc.

There a few counterintuitive things I discovered about healing from mesh removal surgery. Like being more active when pain does not diminish, if the pain is constant while inactive.

Good luck. Supply some details.