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Re: hernia repair [Pedalhead] [ In reply to ]
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NO heavy lifting (weight required for you to strain) for 3-4 weeks. NO such thing as you can't lift over 20-30 pounds! The weight required for an individual to strain is highly variable. This time is required for the mesh to seal to your body. Whether you use suture(open method) versus laparoscopic(tac's) this just keeps mesh in place.

PAIN will tell you to back off. SORENESS is ok. The quicker people get back to doing activities the better. Now those who "WAIT" 4-6 weeks before resuming activity are this amount of time behind..(workers comp!!)
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Re: hernia repair [rph60] [ In reply to ]
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rph60 wrote:
NO heavy lifting (weight required for you to strain) for 3-4 weeks. NO such thing as you can't lift over 20-30 pounds! The weight required for an individual to strain is highly variable. This time is required for the mesh to seal to your body. Whether you use suture(open method) versus laparoscopic(tac's) this just keeps mesh in place.

PAIN will tell you to back off. SORENESS is ok. The quicker people get back to doing activities the better. Now those who "WAIT" 4-6 weeks before resuming activity are this amount of time behind..(workers comp!!)

Does no heavy lifting with "strain" mean no bearing-down (Valsalva maneuver)? Asking because climbing steep hills on bike does require some bearing down. Are patients supposed to avoid bearing down on the toilet?
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Re: hernia repair [Pedalhead] [ In reply to ]
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It's ok to strain (valsalva) briefly but not for extended periods for 3-4 weeks. Such as hill repeats or extended climbing, period. Lifting heavy box from car to house but not 50 times. Bearing down on toilet ok. Lifting weights ok but not so much you are straining "groin area".

If you are doing something and it "hurts" first 3-4 weeks it is too much.
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Re: hernia repair [rph60] [ In reply to ]
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rph60 wrote:
It's ok to strain (valsalva) briefly but not for extended periods for 3-4 weeks. Such as hill repeats or extended climbing, period. Lifting heavy box from car to house but not 50 times. Bearing down on toilet ok. Lifting weights ok but not so much you are straining "groin area". If you are doing something and it "hurts" first 3-4 weeks it is too much.

Practical advice ^^^^. How much does it vary re: hernia size and location, and non-tension open or lap with mesh?
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Re: hernia repair [Pedalhead] [ In reply to ]
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Amazingly all hernia defects fairly close in same size and get same size "patch repair". Some have more "stuff sticking out." There are only 2 types of inguinal hernias and get same incision/s whether open vs laparoscope.

Open and laparoscope are both "tension free."
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Re: hernia repair [Gasgas] [ In reply to ]
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End of July 2013
Mesh
Still not quite 100% but each week it gets better.


#howihammer #swimmingmatters
Those who can tri. Those who can't du. Those who won't cycle.
http://www.swimmertri.com
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Re: hernia repair [Gasgas] [ In reply to ]
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Double laparoscopic inguinal repair last year. With mesh. Was able to choose my surgery date, so I picked day one of the olympics and had the best 2 weeks sick leave imaginable ligged out in front of the telly.

I was back on my bike on the turbo within a week, light running 10 days. Tempo run not long after 2 weeks. Probably not a great idea, but took part in the (UK) national club relays 3 weeks after surgery. Swim was tough - lots of tightness through the abdomen. Cycle not great due to a bit of weakness in the hip. But I ran well, 18 min 5k thankyou very much three weeks after abdominal surgery. Like I said, probably not the best idea, but that was my experience and I didn't have any recurrence, touch wood.
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Re: hernia repair [Gasgas] [ In reply to ]
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I must add that the worst pain came from the CO2 they inflated my abdomen with. It's a unique feeling to want to fart out of your armpit.
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Re: hernia repair [mileswimr] [ In reply to ]
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Can anyone describe what the symptoms feel like?
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Re: hernia repair [Gasgas] [ In reply to ]
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Laproscopic repair with mesh five years ago. No complications with the procedure but I did suffer worse than expected loss of core strength. Going back to what I did before was pushing my luck. I had to work up my core strength g-r-a-d-u-a-l-l-y. Eventually just fine.
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Re: hernia repair [rph60] [ In reply to ]
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Two questions for the docs concerning laproscopic inguinial repair (single side):

6 weeks out from the surgery is the patient pretty much okay to do anything as long is there is no pain (i.e. soreness is okay)?

In lean patients, is a small bulge to the side of the largest incision expected and if so, is it expected to reduce back to "flat" over time? If yes, roughly how long?
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Re: hernia repair [TriBiker] [ In reply to ]
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Absolutely agree. I'm not a physician, but just like any injury, don't rush yourself. It took me a few months to rebuild the strength and confidence to train normally again without thinking about it. That was almost eight years ago and I have not had additional problems. The "bump" disappeared relatively quickly but the scar tissue from the incision (which I remember felt almost like a pencil under the skin) took about a year to go away. Since then, no more of the aches that plagued me for years before the surgery.
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Re: hernia repair [michael_runs] [ In reply to ]
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Yup, usually allow patients to do anything around 3-4 weeks out. When you say largest incision where exactly is the incision?

Soreness ok.

Robert
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Re: hernia repair [rph60] [ In reply to ]
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rph60 wrote:
When you say largest incision where exactly is the incision?

It's the top incision (of the three) right on the underside of the navel.
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Re: hernia repair [michael_runs] [ In reply to ]
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That's normal with ANY surgery and with LAPAROSCOPIC approach, that being the largest incision it is more noticeable.. Called a HEALING RIDGE.
It will disappear after 2-3 months. Don't let it's presence keep you from doing anything..

Robert
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Re: hernia repair [rph60] [ In reply to ]
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Laparoscopic approach will get you back on your feet faster. I perform 90% lap and 10% open hernia repairs. Both are tension free. Recurrence rates are similar as long as the surgeon has experience.
Good luck with your hernia.
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Re: hernia repair [gatr7] [ In reply to ]
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gatr7 wrote:
Laparoscopic approach will get you back on your feet faster.
Disagree. My active patients running/biking within 1st week of surgery. Bloating can be PITA.

gatr7 wrote:
Both are tension free. Recurrence rates are similar as long as the surgeon has experience.
Totally agree.
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Re: hernia repair [Gasgas] [ In reply to ]
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THIS couldn't come at a better time, I'm glad I found this post!

I just found out today that I have inguinal hernia on my left side. My surgeon is doing it laproscopic with a plastic mesh repair with titanium anchors. I have had pain here for months and maybe years off and on. It feels good to hopefully be to the bottom of this. I have not been able to run since August because of newly found labral tear in my left hip also. Now I'm wondering if all this left sided pain has nothing to do with the hip and it's been this hernia all along. Guess I'll find out after the 4th when I have the surgery!
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Re: hernia repair [IronHoosier] [ In reply to ]
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Good luck with the surgery. Be sure to get some of that urinary pain relief stuff. Azo I think it was called. Peeing after having a catheter was the worst part of the entire experience. I didn't discover that stuff until the second day. It was a godsend.
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Re: hernia repair [michael_runs] [ In reply to ]
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Whoa, wait a sec. A catheter is needed? Any chance around that?
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Re: hernia repair [prattzc] [ In reply to ]
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NOT if it's done with the laparoscope! Bladder will be in the way. NO OPTION..

Robert
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Re: hernia repair [prattzc] [ In reply to ]
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At least they put it in and removed it while I was asleep. But yeah, that part sucks.
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Re: hernia repair [michael_runs] [ In reply to ]
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Glad I found this thread. Went to the doc shortly before Thanksgiving and referred to a surgeon. My GP apparently referred me, but its 12/3 and still no word from them. I understand Thanksgiving will slow things down, but in the mean time I wanted to see if anyone on ST had any surgeon recommendations for the Central Texas region? I don't really trust referrals, which I often see as more of a business practice.

Thanks!

______________________
Don't Think. Just do it.
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Re: hernia repair [Apollo526] [ In reply to ]
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I'm finally seeing a specialist this Friday after a year of pain and my hernia pain is pretty much gone all of a sudden. Figures.
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Re: hernia repair [prattzc] [ In reply to ]
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I just had laparoscopic surgery for an inguinal hernia. The surgeon actually found two and repaired them both this past Wednesday. Is it normal for 3 days later to have your whole abdomen look like you are 7 months pregnant? Sure is uncomfortable!
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