sngoldstein
Forum Replies Created
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Hernia site pain during menstration?
Sounds like
endometriosis. If a CT
Scan doesn’t show anything, you need a laparoscopy by a good gynecologist. -
Alternatives to mesh
As usual, Dr. Towfigh is right on the money. I would like to add that hernia repair is not a minor surgery. It is a reconstruction of the abdominal wall. The tissue you were born with was not strong enough and that is why you have a hernia. Hence, something strong like mesh is needed for an adequate repair. Laparoscopic mesh repair by an expert surgeon has a very low risk of problems.
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Burning, Shooting Pain after mesh repair
If you are improving, you will likely continue to improve. It takes 1-2 years for the body to fully heal and all inflammation to resolve. Many studies have shown that exercise is more effective than medication for pain. Your body is made to move. Keep at it.
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Does surgery resolve occult hernia pain and symptoms?
Yes, if symptoms are due to a hernia, then a hernia repair should fix them. In reality the symptom resolution rate is about 80% because something else may be causing the pain. The type of repair does not seem to matter. It should be whatever your surgeon is most comfortable with. No, it should not matter if they are an athlete.
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Hernia mesh fixation questions
I don’t fixate mesh except in rare circumstances. Other people fixate all the time. What works for one surgeon may not work for another and we are all quite opinionated and maybe a touch egotistical. Either way, what matters is that your surgeon does what works for them, has good results and happy patients.
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Are my symptoms from a hernia?
I can’t mention everything on the website but I deal with all sorts of hernia and groin pain issues. These can be very difficult cases and I am not actively seeking them out but I will certainly give you my best shot at solving your problem.
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Hernia Surgery Risks in an 88yr old Woman
Unless her health is too poor to tolerate a relatively minor operation, she should get it fixed. Femoral hernias in elderly women are at significant risk of strangulation, which can be a big deal. I do not agree that laparoscopic repair is in any way outdated but open under local or spinal may be safer in this case. Find an experienced surgeon who can give you a detailed explanation of the risks and benefits of the various approaches so you can make a proper informed decision.
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Are my symptoms from a hernia?
It sounds more like a nerve issue than a hernia. I would be happy to see you and try and figure this out. My office number is 518-272-0027. The practice web site is http://www.littlescars.com.
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Transparency in pricing for surgery
I think all of medicine should have transparent pricing. My issue with publishing rates is that the insurance rules essentially prohibit it by forcing us to keep our rates artificially high. Also, the hospital where I work is unable to give me pricing for a cash patient, and when they do it seems to be different every time for the same procedure.
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Unusual Abdominal Injury
Gastroenterologists take care of your intestines and internal organs. The surgeon is the person for abdominal wall issues. Exercise is generally beneficial as long as it is not causing pain.
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What to tell the ultra sound technician
You are correct; ultrasound is very operator dependent. You need a tech who knows how to look for the hernia. The patient should be standing and the tech should be having them cough and strain.
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Does my Grandma have a hernia
A second opinion would be reasonable. Unfortunately groin pain can be quite complex to figure out. Sometimes pain management can help. Other studies that can show a hernia include ultrasound and upright MRI. And, yes, a hernia may not show up on a CT.
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Does my Grandma have a hernia
He should look at the actual images, not the report. You may have to bring him the scan on a cd. You will need a surgeon who is comfortable reading the scan.
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Does my Grandma have a hernia
She very well may have a hernia. She should be seen by a surgeon with an interest in hernia. The surgeon can look at the CT images and her hernia is probably visible. Radiologists frequently do not mention small, fat containing hernias in their reports because they are so common.
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Should I have a hernia re-done?
The first step is to have someone who knows what they are doing do a diagnostic block with local anesthetic and see if that relieves your symptoms. If that is successful, then a permanent ablation should work. Other than failure and numbness, there shouldn’t be any issues. As far as the other side goes, a laparoscopic repair should have a lower incidence of acute pain, but it is more important to get the operation that your surgeon is most comfortable with.
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Chronic Hernia Pain – Where to turn now?
I would say your best bet is the Lichtenstein Clinic at UCLA. They have by far the most experience in the world dealing with post-op hernia pain.
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Should I have a hernia re-done?
I am a hernia surgeon in the Albany area. There’s no point in redoing your hernia if there is not a recurrence. You may benefit from a nerve ablation. Yes, you probably have a hernia on the other side.
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Repair of Small Epigastric Hernias
I am a hernia surgeon in upstate NY. I normally use mesh but in a tiny hernia like this a single suture should be fine as the defect is probably less than a few millimeters. I only use absorbable sutures because it is the scarring that repairs the hernia, not the sutures. Permanent sutures will eventually saw through the tissues and create another defect. I try to use monofilament whenever possible because there is a lower risk of infection. As long as all the herniated contents are removed an the edges freshened, you should get a good result.
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Pain after mesh repair
You need a good pain management person, or even better, a hernia surgeon who knows how to manage this problem. It is not uncommon. Many of these issues can be solved with a simple injection to destroy the offending nerve or possibly an operation to remove it. I don’t know anyone in Utah as I am in NY but the Lichtenstein Clinic in California specializes in this problem. Google them and see what they say.
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Inguinal hernia: 33 year old female patient- mesh?
I have had numerous patients have children after TEP repair, both C-section and vaginal deliveries and no problems that I know of. As long as her surgeon is experienced, she should do fine.