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Dear Ask The Doctor: 3 months ago I had open hernia surgery with mesh, about an inch above my belly button. The bump itself was about an inch long from center to my right side. The incision was made vertically, and a mesh was inserted. There is still a slight bump on the right half of the original bump, and the left side near the scar seems to be flat. I am still experiencing a nagging pain where half the bump is still present ( this bump is very small and its hard to see unless you look down on it from a certain angle ). I went back to my Dr and he claimed it was from where he cut out fatty tissue. He didn't seem to pay much attention and when I again insisted I have a nagging dull pain in that area he said" I don't know what to tell you" . I have a bad feeling the procedure did not cure the entire area of the hernia. Is this possible? Can a hernia be a certain shape like left to right and not a perfect dime sized shape in which a round mesh cannot perfectly cure?
Dear Clayton: Mesh repair has become the primary treatment option for hernias regardless of size or location. It is very unlikely that the entire area of the hernia was not covered by the mesh. While I understand your concern about the shape of the hernia versus the shape of the mesh, the mesh is usually cut and shaped to meet the necessary criteria of the hernia being repaired. This ensures a proper repair.
I am inclined to think the cause of your continued symptoms is the possibility that a piece of tissue has been "trapped" in the repair. This would explain both the bump and the nagging pain. You will have to ask your surgeon about this possible complication as it can only be fixed with another operation which would involve removal of the current mesh and replacing it with a new one. |
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Last Updated ( Monday, 13 December 2010 )
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