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Doctor insights on: Open Hernia Repair With Mesh

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Are there any real benefits of laparoscopic over open inguinal hernia repair with mesh?

Are there any real benefits of laparoscopic over open inguinal hernia repair with mesh?

"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 more

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Dr. David Earle
570 doctors shared insights

Hernia Repair (Definition)

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


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I had an open inguinal hernia repair with mesh almost 2 weeks ago and the pain seems worse this week than last. Very tight and stiff feeling. Normal?

I had an open inguinal hernia repair with mesh almost 2 weeks ago and the pain seems worse this week than last. Very tight and stiff feeling. Normal?

Post-op pain recheck: 29 year old male says "had an open inguinal hernia repair with mesh almost 2 weeks ago and the pain seems worse this week than last. Very tight and stiff feeling. Normal?" There are many more questions the Doctor could ask, bottom-line when a post-op pain persists or gets worse person should go back to the surgeon for evaluation/ management as indicated. ...Read more

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I had open umbilical hernia repair without mesh done 24 days ago. I have little pain but feel ill, headaches, fainty. This is mostly at night.

I had open umbilical hernia repair without mesh done 24 days ago.  I have little pain but  feel ill, headaches, fainty. This is mostly at night.

Umbilical hernia: Does the site hurt , is it s red ,swollen, tender,discharge ? if yes call the doctor immediately in the AM. if not would still seek medical attention over next 24-48 hours, may be subclinical infection,or reflux, h pylori, as these entities would explain the headache (from reflux to the sinuses and malaise. faintness. . ...Read more

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Hi,I had an open Inguinal hernia repair without mesh ten days ago and I feel ok now.I wanna know when can I back to gym and workout with high strain .

Hi,I had an open Inguinal hernia repair without mesh ten days ago and I feel ok now.I wanna know when can I back to gym and workout with high strain .

Why?: nobody since 1990 will repair a hernia without the screen sorry to be the one that give you the bad news. I know you are in Iran , and they might be doing things differently there. or they might not have the screen because of the economic boycott, but repair the hernia without a screen will increase your chance to have a recurrence from 5-10% to 35-40% go back to regular workout you need 3 months. ...Read more

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I had inguinal open/mesh repair 2 months ago. I plan to lose between 85-100 pounds over the next year. Will losing weight affect my hernia repair?

I had inguinal open/mesh repair 2 months ago.  I plan to lose between 85-100 pounds over the next year. Will losing weight affect my hernia repair?

Hernia repair: No, weight loss shouldn't affect your repair. The weight loss will actually take pressure off of the repair site and lower the chance of complications. Best wishes on your weight loss journey! ...Read more

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Is there any correlation between inguinal open mesh hernia repair and constipation?

Is there any correlation between inguinal open mesh hernia repair and constipation?

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 more

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I am going to get open mesh ingunial hernia repair surgery this week. Will i be able to have sex after the surgery?

I  am going to get open mesh ingunial hernia repair surgery  this week. Will i be able to have sex after the surgery?

Yes: For open and laparoscopic inguinal hernia operations, i tell my patients to return to call mental activity as tolerated by pain. This is a variable amount of time, but usually most people after open inguinal hernia operations are back to normal activity at 2 to 3 weeks. If any complications arise, obviously this may not hold. There are also exceptions to this rule. Good luck! ...Read more

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Two months after inguinal open/mesh hernia repair, i still have discomfort in groin/testicle. I'm starting to worry about my recovery. Should i be?

Two months after inguinal open/mesh hernia repair, i still have discomfort in groin/testicle. I'm starting to worry about my recovery. Should i be?

May take time: See your surgeon for an exam to be sure you are healing well. Some skin nerve and testicular discomforts can take some months to fully resolve. ...Read more

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Rt hernia repair w/SUTURE ONLY in 2012. Recurred. Surgery tomorrow w/open mesh. Could have chosen LAP, but didn't. Mistake? Surgeon is specialist

Rt hernia repair w/SUTURE ONLY in 2012. Recurred. Surgery tomorrow w/open mesh. Could have chosen LAP, but didn't. Mistake? Surgeon is specialist

I don't think: you made a mistake. Hernia recurrence is not that uncommon. If your surgeon is experienced in this area, you should follow his recommendation re: lap v. open operation. Both operations have equivalent long term results. ...Read more

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Extremely painful fluid build up under skin after open mesh inguinal hernia repair. How common is this, and how long does it usually last?

Extremely painful fluid build up under skin after open mesh inguinal hernia repair. How common is this, and how long does it usually last?

Likely Seroma : The most common cause is build up of clear fluid called Seroma due to interruption of minor lymphatic vessels. If minor and minimal symptoms may resolve by itself, if sore and tense may need to be drawn off with a needle ...Read more

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9 months post open inguinal hernia mesh repair i now have discomfort. A few weeks before i began*mild* ab exercises. Is scar tissue the likely cause?

9 months post open inguinal hernia mesh repair i now have discomfort. A few weeks before i began*mild* ab exercises. Is scar tissue the likely cause?

Scar tissue : You had an open inhumanly hernia repair 9 months ago and started working out. It is possible that scar tissue is the cause. Try to build your exercise program up over time. The repair is as healed as it will get by 9 months. If you continue to have discomfort call your surgeon for evaluation. He/she will want to know what/where/when and how it gets better or worse. ...Read more

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I'm a 58 year old. Had open inguinal hernia mesh repair surgery. Job requires lifting 75-150 lbs. How long is recovery before going back to this job?

I'm a 58 year old. Had open inguinal hernia mesh repair surgery. Job requires lifting 75-150 lbs. How long is recovery before going back to this job?

If you want after 4w: Healing will be near complete after collagen tissue i is formed i that will take place 3 Wks , most of the people will go back to work in 4 to 6 wks. obvious other factors , your motivation , general health , non healing etc will limit early return to work . When you go back obvious you will not going to lift 150 lbs on first day , has to be progressive. ...Read more

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Should I try the Shouldice clinic/method for a recurrent inguinal hernia repair, given the first repair was open mesh?

You can try: any major medical center. Shouldice Center in Canada may be fine. There may be a facility closer to you that does laparoscopic repairs of recurrent hernias too. Ask your doctor about the specialists in your region. ...Read more

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A week long cough 130 days after open mesh inguinal hernia repair now have a stinging pain when i cough, step/lay or stretch a certain way. Concerned?

A week long cough 130 days after open mesh inguinal hernia repair now have a stinging pain when i cough, step/lay or stretch a certain way. Concerned?

The cough: You need to find out what is causing the cough and if the cough is persistent talk to your doctor who may prescribe a cough medicine for you. Perhaps the scarring at the incision site has made the area more sensitive to pain but you really need to call this to the surgeon's attention if this persists after you have recovered from the cough. ...Read more

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I had an right iguinal hernia open mesh repair 1 month ago...I have some numbness/very mild discomfort in my left leg, foot, groin!there is no bulge?

I had an right iguinal hernia open mesh repair 1 month ago...I have some numbness/very mild discomfort in my left leg, foot, groin!there is no bulge?

Prob not related : Start by going back to your doctor. They will examine you and figure out what is going on. Prob not a hernia as it would not give foot symptoms. Rarely, one could get a clot after surgery. Need to b seen in person. ...Read more

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I had left inguinal hernia surgery( open repair without mesh) in 2010. I feel pain at surgical side only when i ejaculate. What could be the reason?

Spermatic cord : The spermatic cord may be compressed. This structure carries sperm from the testicle to the prostate, and travels through the area of the hernia repair. Treatment may require surgical revision, but it may be a simple as a steroid injection. Get an appointment with the surgeon who did it or another general surgeon for evaluation. ...Read more

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Dr. David Earle
1,431 doctors shared insights

Hernia (Definition)

The ascendence of the gastroesophageal junction into the chest above the diaphragm through the ...Read more