Jtk2
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I am dealing with this exact issue now and am in constant pain. Had a tissue repair from Yunis 14 months ago. Just had an MRI which showed I still had a hernia, so I will keep you posted as to what my options are now ☹️
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Just had a right inguinal repair with Dr Yunis. Prior to surgery he said if it was a direct he would do Shouldice and if indirect Desarda. Did a local because I have BPH and was concerned about retention which did not become a problem post surgery. Was woken up 3/4 of the way through the surgery because I was moving my arms. Very painful! Afterwards, he said it was a large indirect so he did a 3 layer Shouldice. 36 hours out now. Have moderate pain, plus constipation and only able to walk for a few minutes. Does anyone know what a 3 layer Shouldice is vs 4 layers?
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With Yunis, I don’t think it matters whether you are #1 or #9. I was somewhere around #3. During my pre-op, Yunis rushed in and out of the room off balance and harried. Yunis refused to answer my question re anesthesia, even though his nursing staff specifically instructed me that this was the time that question should be asked. As previously reported, I woke up halfway through the surgery and was forced to endure excruciating pain, as Yunis cut and stitched, completing only 3-layers of a 4-layer rt inguinal Shouldice repair. Later, when I questioned his nurse about the 3-layer repair, she stated this is not atypical even at Shouldice, but that Shouldice does not disclose how many layers they perform to their patients. It has now been 8 months, and each and every day since my surgery, I suffer chronic debilitating pain (far worse than the hernia) with no end in sight.
Post Script: 2 months after the “surgery” I had a follow up visit with Yunis, at which time I asked him what went wrong. His highly technical response was, “I had to move the cord and separate a lot of stuff.” I left a comment on Dr Towfigh’s Herniatalk interview with Yunis, and Dr Towfigh responded, that I should contact her office, which I did, but to date have received no response. C’est la vie…
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Currently supplementing with Raw Organic Fiber. Do you know the name of the English surgeon? Please disregard my reply to you above. Site will not let me delete.
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This reply was modified 1 year, 7 months ago by Jtk2.
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This reply was modified 1 year, 7 months ago by
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Dressings were applied.
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This reply was modified 1 year, 7 months ago by Jtk2.
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This reply was modified 1 year, 7 months ago by
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OPERATIVE FINDINGS: Large greater than 3cm indirect inguinal hernia with mild bulging of the posterior inguinal wall and no evidence of femoral hernia.
DESCRIPTION OF PROCEDURE: The patient was placed under mild sedation, an ultrasound-guided ilioinguinal nerve block was performed with 8mL of 0.5% Marcaine. An oblique incision was made over the right inguinal canal after infiltrating the skin and was carried down to the external oblique fascia, which was opened direction of its fibers. The cremasteric muscle fibers were split and a long indirect sac was dissected away from the cord structures into the internal ring. The cord structures and lateral bundle of the cremasteric were retracted laterally. The shelving edge was well exposed. The posterior wall _____ of transversalis fascia was divided and the posterior preperitoneal fat was dissected posteriorly. The first layer of the Shouldice repair was begun with 0 Prolene suture, suturing the lateral leaflet of the transversalis to the rectus tendon and running this toward the internal ring and running it back using shelving edge of the inguinal ligament to the internal oblique and tying at the pubis. A third and fourth row of 2-0 Prolene was used to reflect the external oblique over the inguinal floor. The lateral external oblique was closed with running 2-0 Vicryl suture. Scarpa’s fascia was closed with running 3-0 Vicryl suture and the skin was closed with running subcuticular 4-0 Monocryl suture. Dressings were applied.
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No
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Thanks pinto, your post helped me to keep things positive. I have a right inguinal repair scheduled with Dr Yunis this coming week, so I’m beyond the point of no return. I will admit though that after reading the study, I was ready to run for the hills. I did bring up the issue of SD with Dr Yunis and he informed me that the operating area was unrelated to sexual function. hmmmmmmm. Will keep everyone updated on my results…
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This reply was modified 1 year, 7 months ago by Jtk2.
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This reply was modified 1 year, 7 months ago by