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Laparoscopic incisional hernia repair

Posted , 6 users are following.

selphie85
selphie85

After reading, searching, googling, checking~ I finally made my decision to do laparoscopic incisional hernia repair after May 2017 as on May 2017 I will going to HK visit my Grandma. Now I need some opinion, suggestion or any story about before and after laparoscopic incisional hernia repair with or without mesh.. I know I better ask my doctor but I want to know how you all doing after repair.

For your information, I develop a incision hernia on December 2016 at my belly incision which I removed my gallbladder on August 2016. My doctor said the hernia defect still small, maybe not yet 1 cm. Then he said can wait and see. Now I sometimes will feel burning sensation, ripping, pain and a feel like someone is playing your belly.. 

Thanks

 

1 like, 15 replies

15 Replies

  • shirley133
    shirley133 selphie85

    Posted

    Dear Selphie be really careful about mesh repairs,  A dutch television programme called RADAR has made a documentary about mesh implants mainly for POP and SUI.  It is quite a long watch but well worth it, at one point a consultant surgeon who is collecting and analysing explanted mesh tries to cut through the mesh with a very sharp knife he is a big fellow, and he cannot cut through it, this is because once implanted the mesh is colonised by cytoplasts and what is flexible when implanted becomes rigid.  At first for some patients after mesh has been implanted there are no problems, but the rate of problems goes up year by year, in other words the longer it has been implanted the higher the risk of problems with the mesh.  Do find out all you can about the different types of repair out there, I have had mesh in me for an incisional hernia repair for over 2 years, and to be honest I would not recommend it, however do not take my word for it find out the facts for yourself, do your research, I cannot tell you how much I regret not doing the research before impantation of polypropelene mesh.  Take care. 
    • phil17356
      phil17356 shirley133

      Posted

      Hi Shirley,

      I have just watched the RADAR video ... I am absolutely staggered and appalled by the gung-ho, cavalier attitude of those “Notifying Bodies” and that no mechanism exists for ensuring that due diligence is performed when developing implantable devices like there is for drugs.

      In 1995 I had a prosthetic heart valve implanted. I know it’s serial number. I can access the test results online for the tests that the manufacturer did prior to shipping the device and I have had no adverse effects from the device.  I don’t know what processes exist to control the manufacture of prosthetic heart valves, maybe I was just lucky, either way I naively thought that the same high level of professionalism would be applied to the manufacture and use of all implantable devices.

      At the present time I have an abdominal incisional hernia and I was very concerned about the horror stories I have seen on this forum from people who have had meshes implanted. However given the high rate of recurrence for other techniques/approaches I was resigned to the fact that I might have to have one implanted.

      When I eventually saw my elected consultant surgeon he said he would use a Component Release (referred to as CST in the states) technique which involves freeing one of the abdominal muscle layers to form a patch over the hernia thus forming a tensionless repair. No mesh would be used. I am mightily relieved.

      So I got lucky again! ……. maybe, I haven’t had the procedure yet ………. The thing that worries me now  is that one really has no way of knowing in advance what will happen or be used during surgery, after all I won’t be in a position to give my approval, even if I knew how to evaluate what was happening, once unconscious. I can request a copy of the surgical notes/report but I’m not sure I’ll get it or be able to interpret it if I did and anyway it would be too late to say "I don't give you permission to do that", especially since I will have signed a release form prior to the surgery.

      Selphie,

      I’m in agreement with Shirley; research meshes very carefully and thoroughly, ask your consultant about the Component Release technique, watch the RADAR video that Shirley mentions and I wish you good luck.

      Tell us how you get on.

      Regards,

      Phil.

    • selphie85
      selphie85 shirley133

      Posted

      Thanks Shirley~ I will watch it later after i finish my works~
    • selphie85
      selphie85 phil17356

      Posted

      Okiez~ I need ask my doctor what brand mesh he gonna use before anything go on. Thanks Phil~
  • judith14588
    judith14588 selphie85

    Posted

    Hi Selphie, I am sure Shirley is correct.  She knows what she is talking about.  As we all know, she is not your doctor.  Your doctor is going to know best but I would have some conversations regarding this with your doctor.  I had surgery in September, 2015 for a small incesional hernia.  My doctor said I had strong muscles so he just sewed it up.  I am sure due to mesh issues.  I went to the ER 10 days later for an intestinal obstruction due to adhesions.  I spent 4 days in the hospital with an NG tube up my nose....not pleasant.  

    This hernia repair didn't work.  May 2016 I went in for a mesh hernia repair.  This was a major 5 hour surgery with a specialist brought in.  This required 2 months of rest after surgery. The mesh is really large and covers my entire abdominal area.  

    Will I have issues in the future?  My doctor doesn't think so.  Here it is.....could I live without the mesh.....it appears no....not well.  I had a Squamous Cell Carcinoma on my lip with Mohs surgery yesterday.  I will always have a scar on my face.  I don't want a scar but without it I would eventually die of cancer.  

    This is just to say, sometimes we need to do things to keep seviving.

    My appendix ruptured on a cruise ship in the Atlantic Ocean and was airlifted to the Azores.  A lot of internal damage was done but had to be done or I would not have survived.  

    We all have to do what we have to do.  If mesh has to be put in, then you need to get it done.  Many people survive just fine with it. They are just not talking about it on the internet.  

  • Tammyshernia
    Tammyshernia selphie85

    Posted

    I have not had my surgery yet so I can't tell you till after march 25,

    • selphie85
      selphie85 Tammyshernia

      Posted

      Hi Tammy.

      May I know which kind operation u choose? Open o laparoscopic? With or without mesh? I now still thinking even I make my decide~ headache!

    • Tammyshernia
      Tammyshernia selphie85

      Posted

      There telling me laparoscopic but since my stomach is upside down there may have to cute into me as far as mesh go's I haven't asked that but my husband things they'll have to use mess at this point in time I don't care what they do I just need fixed I felt like I was having a heart attack so I went to the er which I never do and my heart is strong thank god but if I eat sweats I have a bad attack and I read from from a guy on here that corn syrup can have an affect and he wS so right so no more sweets till I'm fixed..lol but on fri I will call the dr and find out if they use mesh .When are you having surgery 

    • selphie85
      selphie85 Tammyshernia

      Posted

      I see. I not sure when will i hv my operation but properly will on early of August. I need ask my Doctor again bout all the cost, and the arrangements as my doctor ask me to do another endoscopy... I keep gastric pain after gallbladder removed, when the pain increase, it will shoot to my back or my back right side shoulder... Doctor said maybe have bile duct stone... And i need to arrange my works... I work as accountant so not easy to take leave.. alot woks need to arrange. So worry XD
  • selphie85
    selphie85

    Posted

    Is me again~ 2 days ago just do a another ultrasound n tye doctor found out no hernia... Weird... Now my parents ask me go another hospital for a check again... Huhuhu
    • Tammyshernia
      Tammyshernia selphie85

      Posted

      I'm not sure what your saying  I'm sorry were you diagnosed with a hernia once before now there saying you don't have one or are they say it's to small to be giving you any problems I don't care what any drs say if your having enough problems that you can't breath or eat as far as I'm concerned that's reason enough to operate that's my opinion where are you from I'll tell you I no for a fact I could live like I am for another 6 month or even 3 I literally feel like I'm dying 

    • selphie85
      selphie85 Tammyshernia

      Posted

      Hi Tammy~ I from Malaysia. Yes. 1st Doctor said I hv hernia, after few months, my parents asked me go for another check and result is I dont hv hernia. Then next week, I will go for 3rd checking. If really hv, then will get it repair as soon as possible. Hehe
    • Tammyshernia
      Tammyshernia selphie85

      Posted

      Selphie you need to go to a gastroenterologist and have them do a gastrointestinal endoscopy that's how they found mine I looked up which dr had the best ratings and I had my dr refer me to him in 3 weeks I had a colonoscopy and the endoscopy done that's how they found it first do your research on which dr seem to have the most stars ...lol kind of like picking which hotel has the best ratings I have been living like this for year I some how got 1 of the best gastroenterologist and he found my surgeon I also looked him up and he travels all over the world to do seminars that's why I had to wait 3 months to have my surgery so it was suppose to be the end of April but they have now moved my surgery to march 25 don't give up you need help I use to worry about the money it was going to cost but at this time I don't care if I had to give him my house I do have great insurance so I'm a lucky one also gave a great husband who what's me out of pain I'll pray that you find someone pkease keep me posted they never even saw how bad I was tell I had that 1 test google that type of dr your general practitioner won't be able to tell you much about you gut you need a stomach dr pkease remember there is someone out there that can help you you just need to find him or her

    • selphie85
      selphie85 Tammyshernia

      Posted

      Ic ic. I not worry bout the cost but worry bout do I really hv the incisional hernia... Mine is do ultrasound scan then will know hv o not. Since I do 2 times n get different result, so i will go another 1 time again..

      And u said go do endoscopy, i done before and i hv medium sliding hiatus hernia~ i still fine with this juz sometimes will get bloating n gastric. Hehe

    • Tammyshernia
      Tammyshernia selphie85

      Posted

      I no the feeling I sit in a recliner with my arms over my head so I can breath its crazy I'm counting the days to breath again

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