tag:blogger.com,1999:blog-2760353953251845523.post1513694196581596036..comments2024-02-10T02:14:39.898-05:00Comments on Buckeye Surgeon: Inguinal HerniaJeffrey Parks MD FACShttp://www.blogger.com/profile/15650563299849196122noreply@blogger.comBlogger17125tag:blogger.com,1999:blog-2760353953251845523.post-52278316005966776972015-02-03T11:13:49.371-05:002015-02-03T11:13:49.371-05:00My wife and I have been in the process of moving i...My wife and I have been in the process of moving into a new house for a few weeks now and I think that I pulled a hernia. I was lifting my wife's vanity desk and I got a sharp pain and now I can hardly pick anything up. I think that I will have to go see a doctor and get it looked at. I fear that I might need to get hernia surgery, but we will see what the doctor says. <br /><br /><a href="http://www.herniainstitute-la.com/procedures/" rel="nofollow"> http://www.herniainstitute-la.com/procedures/</a>Anonymoushttps://www.blogger.com/profile/07197039377166431795noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-28980105238196230322015-01-30T04:55:38.852-05:002015-01-30T04:55:38.852-05:00What is the actual use of hernia mesh? And is ther...What is the actual use of <a href="http://www.dolphinsutures.com/surgical-mesh" rel="nofollow">hernia mesh</a>? And is there any special mesh used for hernia operation?Anonymoushttps://www.blogger.com/profile/10816735652479546004noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-83840040071145671222011-01-15T15:23:16.568-05:002011-01-15T15:23:16.568-05:00Hello! I am a patient from Spain, so Im sorry if I...Hello! I am a patient from Spain, so Im sorry if I make any mistakes writting.<br /><br />I had an inguinal hernia on my left groing three years ago, so I had surgery, and the surgeon used the Rutkow-Robbins technique.<br /><br />I do a lot of sport,especially surfing, but the doctor told me I should be fine after 3 months.<br /><br />But here's the catch. I saw a small protuberance last christmas on the same side of the operation and surprise! another one, pretty big and scary on my right side. Both duly put back in by myself.<br /><br />Now Im fine, and the doctors have told me I have nothing and ruled out any intervention yet, but I cant help thiking its gonna happen again, its like it could show up anytime... Any suggestions? <br /><br />Thanks!! :)Jose Maria Camposhttps://www.blogger.com/profile/02794216853165854649noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-76650011087783990962010-09-03T03:55:59.689-04:002010-09-03T03:55:59.689-04:00what about an endoscopic hernia operation?what about an endoscopic hernia operation?herniahttp://www.herniakliniek.nlnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-43084900161279712042010-08-14T14:40:20.677-04:002010-08-14T14:40:20.677-04:00What are your thoughts on the Prolene Hernia Syste...What are your thoughts on the Prolene Hernia System (PHS)for inguinal hernias?Unknownhttps://www.blogger.com/profile/07775102804040868531noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-43291512339224095092009-07-09T13:17:39.368-04:002009-07-09T13:17:39.368-04:00I had open incision for an inguinal hernia exactly...I had open incision for an inguinal hernia exactly two weeks ago. The tension free mesh was used. The incision site feels good, and looks to be healing well. It still has the speed bump from swelling. I am having a dull pain in the testicles that is uncomfortable. Is this normal? Will this go away over time, and if so, how long should I expect?sfrancoishttps://www.blogger.com/profile/06701143450315470029noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-71613418270343135752009-03-06T19:26:00.000-05:002009-03-06T19:26:00.000-05:00Had open on the left 10 years ago and laproscopic ...Had open on the left 10 years ago and laproscopic repair on the right 5 days ago. The open repair was extremely painful compared to the laproscopic which hardly hurt at all. I took pain meds only the day of surgery and nothing thereafter.I actually got on a plane and flew the next day with very little discomfort. I do have swelling in the hernia area after the laproscopic but I assume it is from the space created by the balloon and fluid filling it. I also like the no restrictions. I took off 3 weeks this time because of the pain with the previous repair but certainly didn't need it.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-67440786576151611712008-12-11T04:33:00.000-05:002008-12-11T04:33:00.000-05:00Hi, I had a bilateral ingunial repair 3 weeks ago ...Hi, I had a bilateral ingunial repair 3 weeks ago (laproscopic) and now I can feel a lump on one side - I'm concerned as it feels like it's about to re-occur or already has, it's not causing particular discomfort but I am going back to the doc to check that it's ok. Some say this is just scar tissue/swelling and it's normal - could this be the case? ThanksAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-49854217636601024892008-03-11T10:25:00.000-04:002008-03-11T10:25:00.000-04:00Had the procedure last Friday.Found your post very...Had the procedure last Friday.<BR/>Found your post very helpful to the semi-technical layman.<BR/>Thanks!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-87141640636375608482008-01-02T10:27:00.000-05:002008-01-02T10:27:00.000-05:00My boyfriend has had 2 inuinal left and right hern...My boyfriend has had 2 inuinal left and right hernia surgerys over last 2 years. Since the last surgery which was about 8 months ago his semen appears very thin and has difficulty refraining from ejaculating. Please let us know if there is anything he can do?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-44343332430962833662007-12-14T00:19:00.000-05:002007-12-14T00:19:00.000-05:00"Fascinating, Jim", as Spock would say.Seriously, ..."Fascinating, Jim", as Spock would say.<BR/>Seriously, this is great stuff to read as a layman (patient). Thanks for the insight!!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-76862792142930925742007-12-13T08:27:00.000-05:002007-12-13T08:27:00.000-05:00Sid, is that the Kugel hernia repair?Sid, is that the Kugel hernia repair?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-58713781175205322762007-12-13T01:00:00.000-05:002007-12-13T01:00:00.000-05:00I only open a very small amount, just enough to sl...I only open a very small amount, just enough to slide the mesh under and manipulate it into place, after a finger sweep to clear the properitoneal space. It's just, essentially, enlarging the internal ring.Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-9695116442481367882007-12-12T18:35:00.000-05:002007-12-12T18:35:00.000-05:00Doc Schwab- Sounds like a Nyhus-type pre-peritonea...Doc Schwab- Sounds like a Nyhus-type pre-peritoneal repair, only from the standard anterior approach; I like the idea. Do you open the entire floor/transversalis fascia? Sounds similar to that prolene hernia system product. <BR/><BR/>Anon- Hiatal hernias are a different animal. Hiatal hernia in and of itself is not an indication for an operation. Hiatal hernias are often associated with GERD and patients with refractory GERD are candidates for Nissen and hiatal hernia repair. Nowadays, the standard of care is to perform these fundoplications laparoscopically. Most hiatal hernias can be tightened at the same time using interrupted sutures. Large hiatal hernias and especially paraesophageal hernias usually require some sort of prosthesis for coverage. Failure rates for Nissens usually run 10-25% depending on the surgeon. it ain't a perfect solution.Jeffrey Parks MD FACShttps://www.blogger.com/profile/15650563299849196122noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-15284648216029647652007-12-12T17:53:00.000-05:002007-12-12T17:53:00.000-05:00aving thsi type hernia seems to be popular in our ...aving thsi type hernia seems to be popular in our family. both my son's were born with one of these hernias that were fixed by open surgery when they were a few months old. This was a few decades ago. My grandson who is now 1 yr old was born with bilateral hernias. He was a premmie so he also had a few other problems. He had bilateral lap surgery when he was 4 months old. All of them had no problems following surgery and I dont even remember that they had much pain or needed prescription pain meds. My sons were hospitilized for several days but grandson came home the next morning.<BR/><BR/>Do you also do fundoplication surgery with hiatal hernia repair? If so, do you use mesh with them and is the results typically better with lap or open? husband had this surgery done locally with an open procedure using mesh for the hernia repair. <BR/> I had mine done at a big out of town acedemic surgery center not using mesh but rather he fixed my hernia with 3 stitches. Husband had his done in 1994 and yet today he has had no problems with reflux and his hernia has not recurred. mine however was a completely failed surgery within 6 months. My hernia was back and my wrap had also failed. So to me it seems open is better, as is repair with mesh but I wondered if this is the norm or if lap is usually a good surgery for this.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-4723216530265294382007-12-12T16:33:00.000-05:002007-12-12T16:33:00.000-05:00Very nice post, Buckeye! Great explanations.Very nice post, Buckeye! Great explanations.rlbateshttps://www.blogger.com/profile/15236331355857884458noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-12635219748170034142007-12-12T13:26:00.000-05:002007-12-12T13:26:00.000-05:00You're absolutely correct about the learning curve...You're absolutely correct about the learning curve. I can't count how many hernia repairs I "did" in training before I really understood the anatomy. I think it takes helping someone else do a few to solidify the knowledge. And it sounds like your approach is a lot like mine, in that I prefer open repairs for most situations, for the cost, the speed, and the comparable post op discomfort. I reduced or removed the sac, opened the transversalis fascia at the internal ring and slid a rectangular patch of marlex into the propertioneal space. Over time I used a larger and larger patch, widely covering the inguinal floor, and made a lateral slit to allow passing a thin "leg" lateral to the cord. Directed it flat with a couple of deBakeys, sutured only with a single stitch used to re-close the transveralis, grabbing a bite of the mesh below. The whole thing took only 15 minutes or so. My post op instructions were to avoid things that made it hurt more. The only infection I ever had was in a guy with dermatitis in the area, in whom I placed a mesh anteriorly, a la Lichtenstein. Never did it again.Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.com