Ken
Forum Replies Created
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Yes– but all direct tissue repairs utilize prolene sutures. In one of her hernia talk videos Dr T advises that direct hernias the tissue is too thin to support a suture repair. Would love to discuss this with Dr. Kang. nor sure he looks here anymore.
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Good Intentions. Javier is considering Dr. Yunis because he has relatives in sarasota. Can you advise what limits you have?
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Thanks Wellington. Dmd you
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Wellington thanks—-did you have any concerns about getting a tissue repair for a direct hernia? Dr Towfigh is saying that direct hernia needs mesh because the tissue is too thin….What did Dr Kang say about this. Thanks Wellington
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And Dr, Yunis recommends Shouldice for large direct hernia. Can you reconcile why he says something different than you do?
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Good intentions are you a law professor ? It seems you like the Socratic method. It was a poster named jonah jnomesh I believe who said he recurred after weights and tennis. Did your removal surgeon advise you to limit you activity in any way to prevent recurrance? Dr towfigh says in a video on technique that direct hernias usually require mesh
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Wellington congrats on your surgery. Do you feel any tightness or pulling around the repair.
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Oceanic – thank you. Who did your shouldice? Did the doctor tell you what your risk of recurrance was? I am having a lot of trouble finding accurate information on recurrance rates. David Chen says its not a matter of if a shouldice will recur but when? My doctor is saying the same. I am active and he is saying mesh is much better for active folks. You say you have no pain thats great. But can you feel the repair? Tightness? Pulling sensations? Thank you again
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From another post on this forum -maybe kang is best
Dr. Chen performed a manual evaluation of my Shouldice repair and did not feel that there has been a recurrence. He explained that the large raised area near the original repair is not scar tissue, but rather just a symptom of the stretching of the abdominal wall that occurs to facilitate the Shouldice repair. He said that essentially they pull the already weak and thin layer of muscle even thinner to cover the hole where the hernia occurred. Thus, my insides are pushing against an even thinner layer of muscle and causing this bulge or raised area. By the time I had gotten to the appointment, the pain I had experienced for about 3 weeks around the time I made my initial post had mostly resolved. However, I’m having some pain again, possibly from all the poking around the doctor did during my visit. I have a good bit of nerve damage (numbness) in the area and there are instances of sharp pain when poking around the repair, but I can tolerate it.
Dr. Chen did not seem particularly fond of the Shouldice repair and even told me that “when the hernia recurs” (before correcting himself to “if the hernia recurs”), it will be at the site of this raised area. He advised me to refrain from lifting heavy objects or performing non-anatomical movements for pretty much forever. This will be difficult since I play ice hockey and try to stay in shape by lifting weights, but I will try to limit myself to lighter weights and higher reps.
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Pardon? Who is chuck? do you have any input here
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Good intentions thanks for responding. I read your story of mesh removal. Javier had his mesh placed in mexico city. We grew up together there many years ago and have stayed in touch. I told him I had a hernia and he warned me against using mesh. I told him I would ask his question on some american forums. Have you limited your activity at all? I spoke with another member here who had mesh removal and a very painful recurrance after playing tennis.
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I have read that the larger incision causes much higher rate of hernia. Defer to the good Dr. though she seems absent these days