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Science Forum Index » Medicine - Nursing Forum » Persistence of hernia pain postsurgery
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| Kurt Ullman |
 Posted: Sun Dec 24, 2006 11:26 am |
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Tomorrow will be 4 weeks from my bi-lateral laproscopic hernia surgery
with mesh. I am feeling much better, but still have sharp pain, pulling
at the two inciscion sites when I move around. Is this pretty much
normal? The rest of the pain has gone away, although I am still downing
600 mg of Advil q 6 hr? |
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| Mortimer Schnerd, RN |
| Posted: Sun Dec 24, 2006 11:56 pm |
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Kurt Ullman wrote:
Quote: Tomorrow will be 4 weeks from my bi-lateral laproscopic hernia surgery
with mesh. I am feeling much better, but still have sharp pain, pulling
at the two inciscion sites when I move around. Is this pretty much
normal? The rest of the pain has gone away, although I am still downing
600 mg of Advil q 6 hr?
I don't think it's normal. I had a laproscopic gastric bypass with repair of an
umbilical hernia and my pain didn't last anywhere near as long as yours. Three
days after surgery I was out with the pressure washer spraying the front of my
house. Picking up a bucket of water may not have been the brightest thing I've
ever done but i survived without damage.
IIRC, I probably used Lortab elixir sporadically for the first 4 or 5 days (more
for sleep than for pain) and then went to nothing.
--
Mortimer Schnerd, RN
mschnerdatcarolina.rr.com |
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| Norminn |
| Posted: Mon Dec 25, 2006 7:13 am |
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Kurt Ullman wrote:
Quote: Tomorrow will be 4 weeks from my bi-lateral laproscopic hernia surgery
with mesh. I am feeling much better, but still have sharp pain, pulling
at the two inciscion sites when I move around. Is this pretty much
normal? The rest of the pain has gone away, although I am still downing
600 mg of Advil q 6 hr?
You had small skin incision, but a lot of structural repair  ) Advil q6
seems odd after four weeks. My guess, and it is only a guess, is that
there might be adhesions - only explanation I can find for "sharp" pain.
I assume skin healing has gone well, with no open area or infection
since surgery? Suture material can cause a lot of inflammation before
it gets absorbed, and if not very deep may even surface. If you are a
large person, there can be significant stress on the operated area -
mebbe a support garment for a while?
My favorite pain remedy is heat - hot shower and a little ROM might
help. I would get the doc's ok first. Could be that part of internal
repair is coming undone, so avoiding strain would seem important. Does
the pain occur when just turning or walking, or does it require some
exertion or straining? |
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| Kurt Ullman |
| Posted: Mon Dec 25, 2006 7:45 am |
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In article <rnOjh.6792$X72.6331@newsread3.news.pas.earthlink.net>,
Norminn <norminn@earthlink.net> wrote:
t
Quote: Does
the pain occur when just turning or walking, or does it require some
exertion or straining?
Just turning and moving. Pretty much dull pain all the time and then a
sharp, knife-like pain when I get up from a sitting position, or try to
bend over. |
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| Rick Morris |
| Posted: Mon Dec 25, 2006 12:23 pm |
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On 12/25/06 5:13 AM, in article
rnOjh.6792$X72.6331@newsread3.news.pas.earthlink.net, "Norminn"
<norminn@earthlink.net> wrote:
Quote: Kurt Ullman wrote:
Tomorrow will be 4 weeks from my bi-lateral laproscopic hernia surgery
with mesh. I am feeling much better, but still have sharp pain, pulling
at the two inciscion sites when I move around. Is this pretty much
normal? The rest of the pain has gone away, although I am still downing
600 mg of Advil q 6 hr?
You had small skin incision, but a lot of structural repair ) Advil q6
seems odd after four weeks. My guess, and it is only a guess, is that
there might be adhesions - only explanation I can find for "sharp" pain.
I assume skin healing has gone well, with no open area or infection
since surgery? Suture material can cause a lot of inflammation before
it gets absorbed, and if not very deep may even surface. If you are a
large person, there can be significant stress on the operated area -
mebbe a support garment for a while?
My favorite pain remedy is heat - hot shower and a little ROM might
help. I would get the doc's ok first. Could be that part of internal
repair is coming undone, so avoiding strain would seem important. Does
the pain occur when just turning or walking, or does it require some
exertion or straining?
My surgeon told me that this was likely related to the mesh pulling on
occasion as the tissue grows through it. I would be sure to talk with your
doc and monitor for infected mesh symptoms as we see a few of those every
year on our surg unit.
--
"Goethe tells us in his greatest poem that Faust lost the liberty of his
soul when he said to the passing moment, ' Stay, thou art so fair .'"
- Robert Francis Kennedy |
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| Kurt Ullman |
| Posted: Mon Dec 25, 2006 1:14 pm |
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In article <C1B5570C.18130%wmorris@neb.rr.com>,
Rick Morris <wmorris@neb.rr.com> wrote:
Quote: My surgeon told me that this was likely related to the mesh pulling on
occasion as the tissue grows through it. I would be sure to talk with your
doc and monitor for infected mesh symptoms as we see a few of those every
year on our surg unit.
On occassion as in all the time?? Nothing interesting there, no
fever, no obvious swelling, no redness, etc., etc. |
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| Norminn |
| Posted: Tue Dec 26, 2006 5:26 pm |
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Kurt Ullman wrote:
Quote: In article <rnOjh.6792$X72.6331@newsread3.news.pas.earthlink.net>,
Norminn <norminn@earthlink.net> wrote:
t
Does
the pain occur when just turning or walking, or does it require some
exertion or straining?
Just turning and moving. Pretty much dull pain all the time and then a
sharp, knife-like pain when I get up from a sitting position, or try to
bend over.
I haven't done any reading about herniorrhaphy for about 100 years, but
logic tells me that there are likely to be adhesions and/or points that
take stress on movement ... hard to explain, but the mesh is not going
to stretch, right? So ..... where the normal muscle would stretch but
is reinforced by mesh, the end points of the muscle might take most of
the strain and pinpoint pain.
What regimen has the doc given you for activity, stretching or exercise,
diet/weight loss? Back in the day, the goddesses of nursing education
always preached against any kind of abdominal support; the philosophy
being that it would bring on muscle weakness. If some kind of support
will add to comfort and allow more movement, then mebbe that is in
order? Just a guess )
Hot soaks have always cured what ails me - good thing I never get
headaches ) |
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| Kurt Ullman |
| Posted: Tue Dec 26, 2006 5:38 pm |
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In article <lsgkh.7144$X72.4348@newsread3.news.pas.earthlink.net>,
Norminn <norminn@earthlink.net> wrote:
Quote: What regimen has the doc given you for activity, stretching or exercise,
diet/weight loss? Back in the day, the goddesses of nursing education
always preached against any kind of abdominal support; the philosophy
being that it would bring on muscle weakness. If some kind of support
will add to comfort and allow more movement, then mebbe that is in
order? Just a guess )
Hot soaks have always cured what ails me - good thing I never get
headaches )
Talked to the doc today. He says just inciscional and nothin' to
worry about. Not usual, but not rare. Read up on some studies since I
first posted, and a couple of reviews suggested 1-2 month pain from the
operation may occur in ~ 10% of the patients. Guess I am "lucky". He
said activity that don't hurt is okay, don't stretch it, and nothin'
about weight loss. Especially since the other side is fine and there are
no indications of infection and there is no frank swelling.
So, keep up the advil and call him if it doesn't resolve (it has
improved markedly over the month) in another 4 weeks, give him a call.
The thing that REALLY torques me off is that they did not know there was
a hernia on that side if they hadn't opened me up. So, if they had just
left well enough alone. (g). |
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