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  • Post Desarda Repair

    I had my right side indirect inguinal hernia repaired via the Desarda repair method with Dr. Tomas in Fort Meyers, Fl. When he operated on me he also found one direct hernia and repaired it also. Itís been close to 4 months since the surgery and probably the sutures are absorbed now. I am still dealing with pain which was initially gone after 6 weeks recovery. I returned to work which involves being a package delivery driver. Lots of lifting. My first several weeks back to work were great. No pain. Then I had groin pain in my right inner thigh which is gone and improved with daily stretching. However, in the past few weeks Iíve been dealing with a pain that is similar to that before I had the repair. The pain is occurring between the lower half of the incision line and genitalia. Itís also painful to push on. Not debilitating, but very uncomfortable. Pain level about 4-5 on a 1 to 10 pain scale at its worst. The amount of pain seems dependent on varying degrees of bowel movements and the amount of time on my feet. Iíve gone back to wearing the hernia truss because it seems like the added support reduces pain. I take white willow bark supplements on a daily basis for regular back pain and some of that pain could be dulled down too. Iím still also applying arnica pain cream as initially prescribed. The area that hurts is the same area that hurt the worst during my 6 week recovery and that pain was completely gone after 6 weeks. That pain was virtually non existent for my first several weeks back to work and the pain I experience now has gradually set in to where it is now. The healing ridge is almost completely gone. Why am I having this pain similar to before the surgery, but the difference being it actually hurts to push on it? A bit concerned. The pain levels donít seem to be fading, but instead yo yo with my bowel movements and time on my feet. Am I having a recurrence or is something else going on? Should I get scanned (CAT and/or Ultrasound) to check things out down there? Any experienced input on this would be greatly appreciated.

  • #2
    You should have Dr Tomas re-evaluate you. Ultrasound or MRI preferred.
    #ItsNotJustAHernia
    www.BeverlyHillsHerniaCenter.com

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    • #3
      This is what Iíve been thinking. I canít find anybody who wrote reviews and journaled their Desarda Repair recovery online that talked about this kind of pain with varying bowel movements months after surgery. I sent an email out Dr Tomasís assistant and patient liaison inquiring about this, this morning. Being that itís Sunday, I probably will not hear anything until tomorrow at the earliest. Iím here in NJ, but basically would need a script for the scan. I hope itís not a recurrence. I donít have another $3,500 plus travel expenses to do it again. Actually his price increased this year I think to $3,750. My insurance only reimbursed me a little over $800 since he is cash payment only.

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      • #4
        Can you clarify a little bit in the relationship between the pain and the bowel movements.
        Does the pain act up before a bowel movement , during, or come about and persist after a bowel movement and was this similar to what you experienced before you had the surgery?
        Also always a good idea to get the operative report to see if there was anything unusable about what was found during surgery.
        Since you job includes lifting and bending what did dr. Tomas say about how much time would you need to recover and get back to the demands of your job?

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        • #5
          The pain builds up to the moment of defecation and slowly recedes after, but not completely. The area is always tender and painful to pressurized touch which is different. This pain is further exasperated with physical activity, especially lifting and long term standing. Iím assuming the fecal matter pressure builds up internally causing the pain to build. Itís even worse with a hardened bowel movement. The pain I would describe as a fatigue ache with a weakening feeling similar to what I had before surgery, but to a lesser degree. Before surgery I was forced to sit down with the pain and heaviness. No detectable or reducible bulge yet. Thatís how the hernia started out last time and my family doctor told me for years I didnít have hernia till one day I sneezed and out the bulge came with a popping sensation with almost every cough or sneeze. Location wise the pain is just above the genitalia to my right of the line of symmetry if you were to divide my body in half vertically. Itís very close to the bottom of the incision line just below where the healing ridge is fading.

          I was told 6 to 8 weeks to return to work and received written clearance just over 6 weeks with graduated work duty for a couple of weeks. My work load was lighter than normal. Any serious heavy lifting was not done directly, but I used gravity assistance and a hand truck. I really did put the Superman cape away and I still have out of precaution.

          My surgery was done at the Lee Health Hospital in Fort Myers, FL. Would they have the operative report? What do you mean by what was unusable during surgery?
          Last edited by ssonic99; 1 week ago.

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          • #6
            Pretty sure he meant unusual.

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            • #7
              Outside of any reports, my wife remembers Doctor Tomas telling her after the surgery was over that everything went well and that my muscle tissue was very healthy.

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              • #8
                Iliohypogastric nerve entrapment? Maybe?

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