Doctor insights on:
Open Hernia Repair With Mesh
Traditional suture repair of inguinal hernia back in 2012. Hernia has recurred. Should I opt for open mesh repair or robotic laparoscopic?
Either: Both are equal and should remedy the problem ...Read more
A hernia is a hole in the abdominal wall through which the lining of the abdominal cavity protrudes, creating a sac. Hernias are common in the groin, belly button, upper-midline, or associated w/scars. The exact method of repair varies w/the type & size of the hernia as well as patient-factors, however, the basic principle is the same: close the hole, often ...Read more
It may not be...: Inguinal hernia repair is technically challenging, open or laparoscopic. The laparoscopic repair is relatively new and not all surgeons are comfortable performing repair this way. Statistically, the failure rate of open hernia repair is between 1-5% depending on sugeon expertise. Conversely, laparoscopic failure is much higher up to 10% and more depending on experience. More experience=less failur. ...Read moreSee 1 more doctor answer
Post-op pain common: Talk to your surgeon! tell him/her what's going on. You're the best judge of how much pain you can tolerate but let your surgeon know. S/he should have warned you about post-op pain as well as potential complications. Check back in w/your surgeon to be sure your pain isn't due to bleeding, infection or repair gone bad. ...Read moreSee 1 more doctor answer
Persistent Seroma: Seromas following surgery can be very frustrating for both the surgeon and for the patient. Though usually most seromas get better with time occasionally there are some seromas to refuse to go away. Seromas that have been present for a long time tend to form capsules which prevents permanent resolution. Sometimes these chronic seromas need to be surgically removed. ...Read moreSee 1 more doctor answer
Hard work: Mesh placed for a hernia repair may need to be removed , either for infection, intractable post op pain of an extended period, or for hernia recurrence. In the latter, the graft should be left in place , and repaired with another adjacent or overlying graft. To remove a graft requires an open exploration, removal of tacks or sutures, then direct removal of the graft. Can be difficult. Good luck. ...Read moreSee 1 more doctor answer
Besides a larger incision site what is the difference between open hernia repair and laparscopic hernia repair?
Lap is from behind.: The open approach is an anterior approach or one that repairs the hernia through the skin incision above the hernia. The laparoscopic repair is a posterior approach to the hernia . This technique from behind the hernia inlapherently has the advantage of a wider overlap of patch material which yields a lower recurrence rate in many cases. ...Read moreSee 1 more doctor answer
"Double" Hernias,etc: Controversy exists amongst hernia surgeons which approach is best. In my experience, people return to normal activities faster via laparoscopy. This is most pronounced with bilateral ("double") hernias. Also, people with recurrent hernias originally repaired open benefit greatly from the laparoscopic approach. ...Read moreSee 2 more doctor answers
Risk with new device: Surgery, inherently has risk. The risk/benefit analysis where you compare your risk without surgery to the risk of your procedure/surgeon combination is how you decide if you want to proceed with surgery. The linx device has an excellent profile. Stay in contact with your surgeon and report any new symptoms. Be well. ...Read more
Upcoming op for recurrent sport hernia. Prev. op was open suture without mesh. New surgeon will use open anterior w/mesh. Risk of testicular damage?
Caution: Not a simple problem. If you have had a previous open repair, and you're still having pain, I would strongly recommend a laparoscopic repair IF you need one. Only about 20% of inguinal repairs are done this way, so you'll have to find a surgeon w/ enough training/experience. Try the Americas Hernia Society website to find one near you. Hope this helps! ...Read more
Could small recurrence of inguinal hernia be detected with ultrasound. (note repair done with mesh in open style)?
Have reducable lump 5 weeks post laparo inguinal mesh repair. Identical to original hernia. Thoughts?
Nonspecific : Many people have a variety of mild sensations in and around the area where a her is repair was performed for years. Usually they are not serious. If the symptoms are severe, limit activities, or persistent, you should have an exam by a primary care provider, or ideally your surgeon. Hope this helps! ...Read moreSee 2 more doctor answers
Maybe: But only early after surgery while taking narcotic medications, which can cause constipation. If you are not taking pain medication & the hernia is already well healed then hernia surgery & constipation would likely be unrelated. See your family doctor for an exam. ...Read moreSee 1 more doctor answer
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