Krisztián Wirsz
Forum Replies Created
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And that is the same Dr Brown who can be seen around these forums??
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Yeah the report says it was a 4 layer Shouldice. And indeed, it was not done in Canada.
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I had Lichtenstein on the 13th of October, with transversalis fascia plication. The recovery has been fine so far, although a lot slower than if it was a first time repair. The surgeon had to carve out a lot of scar tissue plus cut some nerves out (I don’t really know which but the base of my male member on the right side is kinda numb), and for this reason they had to put in a drain to let the juices ooze out, to prevent a seroma I guess. I still had major swelling for more than a month and my groin still is looking slightly puffy on the right, but it’s slowly improving. I have not gone back to full training, I’m taking it extremely slow and cautiously, so for only been walking and ding some very gentle PT. Going to see a PT guy next week to start formal PT’ing with him. Not planning to do any sport for another 2 months, and even then it’s only going to be swimming, hiking, leisurely cycling and paddle boarding (the latter in the summer of course). That’s it for now.
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Was your neurectomy done via a posterior approach?
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I was alright after the repair. My right oblique felt tight after it but I had no pain. I gradually eased back into training and did all sorts of sportive activity, with no problem. I have to add I never had a typical hernia bulge, but a weird asymetrical look to my groin before my surgery that never went away.
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Yeah, I am speculating it is the genitofemoral plus the ilioinguinal, judging by the affected area. This weekend I was somewhat more active – had to fix the window shutters – and I have like a 3-4/10 pain down there but interestingly it’s localized to the inguinal region and maybe goes a little to the testies, no adductor pain this time.
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Thank you for the compliment. I was studying English Applied Linguistics in university but unfortunately life intervened and I had to prematurely quit. Also spent some time in England specifically to learn English, but it was a long ago.
So yeah, apparently with ultrasound guided nerve block injections they could identify the nerve or nerves that are causing the pain. Unfortunately single neurectomies are a lot less effective – according to the literature – then triple.
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It doesn’t even say the type of suture used in the report…I am fuming.
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I am 40 and I made peace with not being 25 anymore. “Unfortunately” I still look 25 but my body is saying no to the type of training I had abused it with for 15 years now. It’s all cool, I am fine with leisurely swimming and hiking for sport, but chronic pain I cannot accept.
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I had not done anything strenous for months now. Today I thought I would do some very light exercise and the pain is back altough not at full swing fortunately. This lap surgeon who I mentioned is the one who said in my particular case a Lichtenstein with neurectomy might be more suitable. I guess every lap surgeon also has to be able to do a solid Licht since that is the default they convert to in case there is anything going South during surgery. What you wrote about the numbness caused by neurectomy would be a godsend compared to pain. Unfortunately there is no guarantee the surgeon could find all 3 nerves in the scared mess and even if he did, nerves can regenerate. That is why I am kind of wary of Lichtenstein,the inlay placement of the mesh means it is right there where the nerves would be trying to grow back. I appreciate your Biohernia recommendation, I have contacted Muschaweck’s office months ago. The surgery would be 8K euros which is half of my savings. I can’t afford that…I’m in Eastern Europe, it’s a lot of money (for me) here.
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Walking is one of the few things that does not really make my symptoms worse, quite the opposite. If I am careful enough not to aggravate my groin I can be largely painfree with some amount of discomfort only, that doesn not interfere with my current job or relaxing.
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Well when I had a flare up of my symptoms, I got discomfort, pain, shooting sensation and even some burning in my adductors, testicles, groin onbviously and even higher up (like halfway up towards my belly button). I guess this leads some surgerons to think there might be nerve involvement. What I described was my worst flare up in May, since then I haven’t had such serious relapse but this is due to me not really doing anything strenous. Traning I was previosuly able to do is almost completely off limits now. If I just walk and do my daily businness (only lift and carry my groceries) I almost feel normal.
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Hi!
Thanks for the reply. The surgeon said it is possible, that this January (and subsequently a couple of more times this year) while performing strenous physical activity I managed to rupture the scar tissue and possibly some part of the stitches of the Shouldice repair, which are now putting some mechanical stress on some of the nerves when the abdominal muscles are either contracting or being twisted. This last surgeron who recommended Lichtenstein with neurectomy said if he did a laparoscopy (which is his main specialty by the way) I might end up with no resoltuion to my pain because the nerves are still going to be entangled in scar and physical activity will take me back to square one…
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Hi! I have similar problem to yours (pseudo-recurrence 5 years after Shouldice) with pain following exertion as the most prominent symptom. I have been to 5 different surgeons and even asked dr Towfigh and I got 5 different answers. No surgery, laparoscopy, open surgery (Lichtenstein) with triple neurectomy, only neurectomy, etc. I am confused as hell and pretty dissapointed in medical science and/or these surgeons for not being able to arrive to a mutual conclusion. How are you coping wuth your problem and did you need surgery eventually?
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Can the sutures of the Shouldice be removed with a posterior approach?
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How can you be so close minded? Do you know my financial situation at all? Do you know anything about the private hospitals and surgeons in my country? Could you point my country on a map? 😀 You’re talking from your American high horse telling me to spend all the money I have on hernia surgery abroad, when there is a war next door to us and I can literally not know if I will need my funds to save my family and myself. You have zero idea Billy.
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What the hell are you talking about? I said we have good surgeons here, hernia specialists too, very good private hospitals. Why on earth would I spend all my savings when I can get surgery in PRIVATE CARE – in case you still don’t understand – here in my country with a SPECIALIST for cheaper, because EVERYTHING is cheaper here??!
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This reply was modified 1 year, 5 months ago by Krisztián Wirsz.
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This reply was modified 1 year, 5 months ago by
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Sorry I won’t go international for a hernia surgery. Tons of peoole had hernia surgeries around me, most of them on insurance for free and I don’t know one at the moment who is having problems. That consultation with travelling and accomodation would set me back 2K euros easily. You guys need to understand that is not realistic for us in Eastern Europe, plus we have excellent hospitals and surgeons here too, but prices are way lower. Besides, after a failed Shouldice I really doubt another open pure tissue repair is on the table.
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You don”t seem to understand how reality works. Some people in the world simply cannot spend 8-10 thousand euros on a procedure that can be done in his country by qualified surgeons for a fraction of that Western European price lol. What a recommendation, Jesus. Please don’t even bother to reply.
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I contacted Muschaweck’s clinic but the price is too steep for me. They said they have a package for foreigners for around 8K euros. I can get 3-5 laparosopic (which is more expensive) surgeries here in private care for that amount.