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Recurring hernia or scar tissue pull?

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February 24th, 2011
Hello, my name is Tom and I had inguinal hernia surgery about 5 years ago. I believe that the mesh repair was used. In the past I have thought I tweaked my hernia but was told by doctors it was just scar tissue stretching or a pulled muscle. For those instances the doctors were right, I have been pain free 95% of the time. Recently I tweaked it again shoveling snow. It has been sore for a 2 and a half weeks now. I went to see my primary care physician and he said there was no sign of a hernia, I did the whole cough test and he felt all around the area and did not feel a hole. It doesnt hurt when I cough or sneeze and there is no bulge. The soreness still has not gotten much better.The main concern is I am getting married at the end of March and dont want to have any issues right before the wedding/honeymoon. What are the chances of a hernia recurring in the same spot? I have read places that said using the mesh makes it more likely to happen and some places have said the mesh makes it less likely to happen. I am hoping that this is all in my head and my primary care was right. Thanks for any advice that you all can give!
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First Helper bachow
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bachow
replied February 24th, 2011
Experienced User
My best suggestion is to also go to a hernia specialist, NOT a general surgeon. While your PCP is a good first step, PCPs usually don't have the best skill at detecting smaller recurrent hernias as they must deal with a wide range of medical issues and rarely focus on this issue solely. True hernia specialists will be able to detect subtle problems.

Also, I would strongly suggest you get a copy of your surgical report so you and whoever you go to know what was put in you, mesh wise, if anything. It always surprises how many people never ask for a copy of the surgical report after the ordeal is over.
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kayakerjohn
replied February 26th, 2011
Groin pain
I have exactly the same condition that you have. The surgeon I saw could not detect a recurrence of the hernia. He sent me to a pain management doctor who gave me sample Lidocaine patches. They don't help. He said he could try an injection and I am ready to try that.
John
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bachow
replied February 27th, 2011
Experienced User
80% of the time, it's a waste of your time to return to the same surgeon that did the initial hernia repair. They almost always...never find a problem with THEIR repair; and then send you on your merry way to see countless pain specialist that do nothing buy mask the pain with pills and injections. Surgeon integrity, accountability and responsibility have fallen in the past years. One of the strongest suggestions I can give to anyone considering a hernia surgery, or any surgery for that matter, ask the surgeon, point blank, what he will be doing for you if problems develop with his repair job months or years down the road. Watch how fast you get a bunch of BS for an answer.
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thebarber
replied February 28th, 2011
aint that the truth...i went and am currently going through it 8.5 months post op....

next tomorrow is mri scan
bachow...you said it...it is a business and that is what it is....
never mind patient satisfaction...this surgery and general surgeons and their uses and measures of suture materials...mesh..and other methods leave permanent undesirable results that you never ever were told could happen to you...
so in a nutshell you are absolutely correct...
i should know first hand...
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annagelle65
replied January 9th, 2012
I am now having surgery for my 7th ventral hernia.. My new Dr is going to use the canadian procedure.. He says that using mesh guarantees that I will have another hernia. And the above person that says don't go to your family Dr is correct. they don't know enough to advise you on anything.. get a 2nd opinion from another surgeon. My family wanted me to go back to the surgeon who did my last 3 surgeries.. The last two were last Jan and this July with at least 48 staples each. I am finally getting real Help at OSU in Columbus OH.. from Dr Manilchuk.
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