SFIrishGuy
Forum Replies Created
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Good intentions,
I wanted to thank you for the information. I never knew any of this and my surgeon never talked about this as well. I’m taking this as an important lesson to do ones research Becker any surgery on method and medical device product options but as well to never think for a second medical providers are educated fully on these implants.
my new surgeon thinks it’s unlikely the breakdown of the grips on the pro grip would affect me on this way.
im in a tricky situation right now honestly an it has been trying on me mentally. I don’t know where to go, I’m still
in pain and discomfort to which I attested previously. And I’m still dealing with numbness in my leg and feet. I don’t know if I nerd to spear ahead and think about having this repaired or wait it out. -
OK, I was able to received form Kaiser my surgery notes and they are as follows.
Anesthesia Type:
General Anesthesia
Findings:
Direct inguinal hernia. No cord lipoma. Left anatomic progrip mesh. No tacks
Procedure in detail:
The patient was taken to the operating room and placed supine on the operating table. All pressure
points were padded. A time out was performed, pre-operative antibiotics were given, and sequential
compression devices were applies. After a general anesthetic was induced, the patient’s arms were
secured out on the arm boards, and the abdomen was prepped and draped in the standard surgical
fashion with ChloraPrep and sterile drapes.
An infraumbilical incision was made and the anterior fascia was incised. The rectus muscle was
pulled to the side and the dissecting balloon was placed in the preperitoneal space and inflated under
direct visual inspection. The dissection balloon was now removed and the structural balloon port was
placed and inflated. The pre-peritoneal space was insufflated with CO2 and the patient was placed in
Trendelenburg which he tolerated physiologically. Two 5 mm ports were placed in the low midline
under direct visualization after injection of local anesthetic.
We inspected the left side. There was a moderate direct hernia but there was no indirect
hernia present. Using blunt dissection and minimal electrocautery, Copper’s ligament was exposed.
The pseudosac was freed from its attachments and reduced. The lateral space was then opened in a
similar way, making space for where the mesh would lie. The peritoneum was then dissected off the
lateral structures, and swept clear of the cord structures. The cord was reinspected to ensure there
was no additional indirect component or cord lipoma to remove which there was not. Once the
peritoneum had been completely cleared off the area, a piece of Pro-Grip anatomic inguinal hernia
mesh was introduced into the pre-peritoneal space and laid such that it was 2/3 above and 1/3 below
Cooper’s ligament. This was then pressed into place with the mesh hooks.
Once the mesh was in place, the remainder of the local anesthetic was instilled into the pre-peritoneal
space. The mesh was held in place and the peritoneum held away while the space was deflated
under direct visual inspection to prevent any clamshelling. Ports were removed, and the abdomen
was deflated. The umbilical site was closed at the fascial level with 0.0 Polysorb. Port sites were
closed at the skin level with 4.0 Biosyn subcuticular sutures. The wounds were then washed and
dried, and sterile skin glue dressing applied. The patient was awakened from the anesthetic and
transferred to the Post-Anesthesia Care Unit in satisfactory condition.
Sponge, needle and instrument count was correct at the end of the case. The attending surgeon was
scrubbed and present throughout the case.
Estimated Blood Loss:
3 ml
Fluids:
Crystalloid: 500 ml
Drains:
Complications:
(1) No – Per Anesthesia Provider Comments: none
(2) No – Per Surgeon/Proceduralist Comments: none
Specimens:
* No specimens in log *
Implants/Explants
Generated on 12/17/19 7:35 AM
Implants
Implant name: MESH SURG
PROGRIP 15X10CM INGUINAL
LT ANATOMIC SELF FIXATING
Laterality: Left Area: Inguinal
MESH SURG PROGRIP 15X10CM INGUINAL LT ANATOMIC SELF FIXATING LAPAROSCOPIC –
LOG668844
Inventory Item: MESH SURG
PROGRIP 15X10CM INGUINAL
LT ANATOMIC SELF FIXATING
LAPAROSCOPIC
Serial no.: Model/Cat no.: LPG1510AL / Covidien -
Update.
I have spent the entire day on phone and email with kaiser, getting the runaround and hitting brick walls on who can help.
I’m currently at the ER from advice from a new doctor who says there is no other advice they can give but to come here.
my surgeon is unavailable and didn’t respond to requests for help only to find out he is out of office but didn’t set up auto responder or for anyone to monitor their inbox.
my general refused to speak with me or give advice what I should do even when i spoke with a member of his office. He couldn’t be bothered to help and lectured me in email.
please , if the are any specialist in the Bay Area is California whom can help or would be willing to see me please message me. I’m in dire need and I’m not getting the help or care from kaiser Permanente
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Good intentions,
I took the advice from you and dr brown and decided to order a electronic copy of my records. The surgery notes is the ONLY record they won’t allow you to view online at the kaiser portal.
once I receive I will have to look through and paste here some info for answers.
what is your experience with mesh? You seem to have what or done. Did you have it removed? Have you benefited from it? What alternatives to mesh did you find?
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To good intentions ,
do people post their ops report on this forum for review? Is this typically of members here.
I don’t have the report. I have to still submit application
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dr towfie,
thank you for getting back to me. Dr Nguyen thinks the numbness isn’t related to the mesh despite me thinking otherwise. So he wants to get rechecked with neurology. as we speak my leg leg is tingling and numb. I still feel the mesh as I breathe in and out. So I continue to be scared and have no clear path to what I shouldn’t do
no discussion of mesh removal or even alternatives to mesh. I’m not aware of them or options.
im at a point where I don’t even know if I wish to continue with my health care provider since they have snot adddessed my case in the right or timely way. why would I trust them now to operate.
any advice is helpful
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Dr brown,
I spoke with dr Nguyen yesterday Ans results ftom
MRI were not indicative of a wrong placed mesh. There was no evidence of a fold or tear but as Dr Nguyen stated I was still for the scan so it might not show anything.not to many options. I can either move forward with having it removed and redone but there is no guarantee I would not feel the same thing as before or worse. The full risks have yet to be discussed. But regardless as he explained I can’t move forward until more time has passed and I have gone through the pain management and modality clinic at kaiser and gone through some therapy before he can make that recommendation. Recommended that maybe with time something may change. But as he stated if I’m having this much pain and discomfort it should come out.
in the interim he asked me to still
move forward with injections and a neurological exam again to deal with the numbness in legs.i still
have pain, throbbing and burning type of pain in my groin. Scared a bit and just wish to feel better. -
Dr brown ,
I am not making to much progress. It has been frustrating since you have to raise so much noise with kaiser to be heard or seen. It’s disheartening
I have telephone. Appointment with dr Nguyen this afternoon to go over results of the MRI. My numbness and tingling has gotten worse. My left food and now right stay tingling all day. So I’m very scared.
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Dr Bill Brown,
Good morning sir. Thank you again for taking the time to speak with me on this forum. From your reply I am going in next month to do a second round pain injection block on the ILLOINGUINAL nerve. Nervous and tired of the pain all the time but I will try.
last week I traveled to kaiser in Oakland and had intake from dr David Kang Nguyen who is a specialist and we talked about the options. He was familiar with this forum and I believe he may know you as well. He decided after a complete review of my hernia area to send me in for an MRI which was fine last Friday. I am awaiting the results with much anticipation and nervousness.
im still in pain. I have tingling sensation throughout my left body in my feet and arms which they can’t seem to understand why. But pain resonating in my base of my parts I’m getting more nervous. I am hoping this is all nerves and not damage to my sperm cord or anything.
Your advice had been helpful. I will keep the thread going here and if you are available than I may need to speak with you at your office.
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You need a very careful physical examination.I HAVE AN APPOINTMENT THIS TUESDAY WITH A SPECIALIST IN OAKLAND FOR HERNIA REPAIR. KAISER KEEPS PASSING ME ALONG TO SURGEON TO SURGEON AND IT FEEL NOBODY TAKES ME SERIOUS AND BEEN FEELING SO ALONE IN THIS. THE EMAILS I GET FROM SURGEONS IS THAT OF ANNOUNCE TO ME.
Did your skin get numb after the injection, if not then you did not have an adequate nerve block? I HAD THE GENITOFEMORAL NEVER BLOCK AND FELT NOTING. THERE WAS NUMBNESS THE FORST DAY BIT THAT WAS THE NUMBING AGENT THAT INJECTED ME PRIPR. THE NEXT DAY IT WAS THE SAME. DR RECOMMENDED TO DO THE ILLOINGUINAL NERVE BLOCK IN A FEE WEEKS. DONT KNOW IF THIS WILL WORK OR SOUNDS LIEK IT COULD.
If you are skinny the mesh can often be palpated. I AM A HUSKY MAN, I WORK OUT AND I AM NOT SKINNY NOR FAT
If the mesh is injected with a local anesthetic and you feel better for a few hours, that would be strong evidence that the mesh is the source of your pain.I HAVE BROUGHT UP THIS INFORMATION BUT NOTHING YET FORM DR. 🙁I HAVE AS WELL MENTIONED THE IDEA OF AN MRI AND IF THE MESH IS CONNECTED TO THE SPERMATIC CORD AS YOU INDICATED BUT SECOND SURGEON JST PASSED ME OF TO SPEAK TO NOW IF THE 3RD DR. IF IT IS WHAT IS THE SOLUTION?
DR BROWN, THANK YOU FO TAKING THE TIME TO ADVISE ME ON THIS. THIS HAS BEEN A PAINFUL JOURNEY AND I FEEL IT IS NOT BEING ADDRESSED LIEK IT SHOULD. I AM ALMOST 3.5 MONTHS POST OP AND BEEN TRYING TO ADDRESS THIS WITH KAISER SINCE THR 4TH WEEK. CAN YOU ADVICE HOW YOU WOULD APPROACH THIS IF YOU WERE IN MY SHOES? DO I MAKE A GRIEVANCE? I HAVE SPOKEN TO SO MANY PEOPLE EVEN GOING SO FAR AS TO SPEAK WITH THE UNIT DIRECTOR OF SURGERY BUT EVEN NOW I FEEL I AM NOT BEING TAKEN CARE OF LIKE I SHOULD.
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Dr Brown,
Thank you for responding. I had the enitofemoral nerve block done and it did nothing. I am still in pain and discomfort. I will be ok for days then any activoty will bring on this lingering and radiating pain in the mesh area. The Dr who performed it says we should wait 6-8 weeks and maybe try addressing the ilioinguinal nerve next.
IN the meantime Kaiser placed me in contact with the pain management clinic, some specialists for groin pain. Don’t know if this will work.No, the director had not physically looked me over. I emailed my Dr what you asked about the MRI and the spermatic cord. I am waiting for a response.
🙁
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I reviewed the medical records with a head surgeon and nothing out of the ordinary was documented. It was routine. I went in for an ultrasound to see if the mesh was intake and indeed it was or they said they cannot see any evidence of reoccurrence.
I did take some time to talk to the Director at least of the department so let her know how I felt.
Right now I am waiting to schedule a session with the pain injection clinic to start steroid injection in hopes ot help rest my nerves as the Dr had said. I hope this will help. As well I am reaching out to acupuncture groups for help as well. maybe they can do something
I am still in some pain. The poping and cracking sisnt as bad but there seems to be a main nerve that I feel that is painful. I can at times feel it when I wear tighter pants and I breathe in. I feel it move. It even throbs. Could this be a nerve?
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would steroid shots be something I should explore?
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quote SFIrishGuy:Dr Brown? Yes kaiser you have to make a lot of noise. I was afraid to hear this advice. Am I allowed to ask for those notes and photos? I am getting a second opinion from another kaiser surgeon tomorrow to review. My god I am so worried I will end up being permanent in pain and not treatable or will cost me in the end.
And do you feel if this was do wrong than should I entertain Kaiser’s request to start steroids shots?
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[QUOTE=SFIrishGuy;n13914]
Dr Brown? Yes kaiser you have to make a lot of noise. I was afraid to hear this advice. Am I allowed to ask for those notes and photos? I am getting a second opinion from another kaiser surgeon tomorrow to review. My god I am so worried I will end up being permanent in pain and not treatable or will cost me in the end. And if you are stating in your opionion this may have been operated wrong than what is your opinion on this idea of getting steroid shots?
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quote DrBrown:[USER=”3017″]SFIrishGuy[/USER]
If you have this much pain this quickly after the operation, the cause is usually a problem with the operation itself.
Post the operative report and any photos taken during the operation.
With Kaiser you need to make a lot of noise. If necessary get a second opinion from a surgeon outside of Kaiser.
Regards.
Bill Brown MDDr Brown? Yes kaiser you have to make a lot of noise. I was afraid to hear this advice. Am I allowed to ask for those notes and photos? I am getting a second opinion from another kaiser surgeon tomorrow to review. My god I am so worried I will end up being permanent in pain and not treatable or will cost me in the end.