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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; 04-15-2019, 02:19 AM.

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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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                • #9
                  Any updates?

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                  • #10
                    ssonic99 your symptoms sound like a hernia. Dr Tomas should be able to help evaluate you for that.
                    #ItsNotJustAHernia
                    www.BeverlyHillsHerniaCenter.com

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                    • #11
                      I received a response from Dr. Tomasís assistant. He gave my chiropractor instructions to fill out a script for an MRI. I have the script and in the process of scheduling a right groin MRI with contrast. He seemed to indicate that the MRI may give false results due to pseudo lesions and that the area is still healing, but still seems to think the pain I feel is normal until muscle tissue adjusts to my level of activity. Dr Towfigh, it feels similar to my original hernia, just that the pain hasnít started going into my back yet and I can actually pin point the sore spot. The truss does help. I really hope it is not a recurrence. In the event that it is failed repair, is it still possible to have shouldice repair?

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                      • #12
                        @ssonic99 Hope you are doing well!, it would be nice if you can give us an update about your situation , I am interested in knowing if pure tissue repair as desarda are recommended or not? thanks!

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                        • #13
                          My MRI is scheduled for this Monday. I will find out soon enough and post the results and hopefully find out soon what Dr. Tomas has to say about it. The good news is my situation and pain doesnít feel like itís getting worse.

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                          • #14
                            patient I would definitely not deter you from a Descarda Repair. My situation is unique I think as far as my profession. My job is very intense. I donít know your situation or the extent of your hernia or the health of your connective tissue. A Descarda Repair could be very well suited to your situation and nothing can substitute the opinion of a Doctor and getting imaging done. Get more than one opinion from doctors who are well versed in various forms of pure tissue repair. I was torn between Descarda and Shouldice. Descarda won out because of Dr Tomasís online reputation and because my situation was rushed. I would have needed to lose another 15-20 lbs to qualify for a legitimate Shouldice Repair. That would have taken another 2 months with the diet I was on. My hernia was getting worse week by week noticeably plus in order to pass my DOT physical, I had to have a rapid plan of action to fix it.

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                            • #15
                              Got the MRI results back and according to the radiologist doctor, he/she does not see a hernia. Iím in process of sending the MRI CD to Dr Tomasís office for review.

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