Post hernia repair questions 
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 Post hernia repair questions

On Tuesday I had a right direct inguinal hernia same day surgery (mesh;
MAC; not laproscopic.) I applied an ice pack as directed, over my
clothing. The following day the shaft of my {*filter*} started turning purple
& puffy :-O I thought I had caused frostbite, although my {*filter*} never
felt icy cold. On Thursday I removed the dressing as directed and saw
quite a bit of black and blue discoloration in the right mons pubis and
{*filter*}. I phoned the clinic and was told this is not unusual, and the
penile appearance also was not unexpected. They said as long as it
doesn't get worse I'm okay. (Afterward, I wondered what worse meant.)

Today my {*filter*} looks more normal but my {*filter*} is still purple and
feels full; the {*filter*} are not visually apparent amongst the full or
swollen tissue. In addition, the skin of the {*filter*} is starting to get
kind of itchy, and it's starting to look scaly or flaky. This has me
worried.
 - - - - -  - - - - -
Is this normal, or is something amiss?
 - - - - -  - - - - -
(My follow up appointment is not until Wednesday.)
Also, I was given Percocet for pain as needed. From about 12 hours to 36
hours it was handy, but now there is little or no chronic discomfort,
just the occasional sharp jab when I move around. I don't think the
Percocet would be too useful for that kind of pain; am I correct? Are
those little sharp jabs to be expected? I am obeying orders to not do
any heavy lifting, and I am generally taking it easy. I presume that the
usual day-to-day movements of life should not do damage to the repair;
correct?

Thanks!
Unruptured Pete



Wed, 29 Mar 2006 12:47:06 GMT
 Post hernia repair questions


Quote:
> On Tuesday I had a right direct inguinal hernia same day surgery (mesh;
> MAC; not laproscopic.) I applied an ice pack as directed, over my
> clothing. The following day the shaft of my {*filter*} started turning purple
> & puffy :-O I thought I had caused frostbite, although my {*filter*} never
> felt icy cold. On Thursday I removed the dressing as directed and saw
> quite a bit of black and blue discoloration in the right mons pubis and
> {*filter*}. I phoned the clinic and was told this is not unusual, and the
> penile appearance also was not unexpected. They said as long as it
> doesn't get worse I'm okay. (Afterward, I wondered what worse meant.)

> Today my {*filter*} looks more normal but my {*filter*} is still purple and
> feels full; the {*filter*} are not visually apparent amongst the full or
> swollen tissue. In addition, the skin of the {*filter*} is starting to get
> kind of itchy, and it's starting to look scaly or flaky. This has me
> worried.
>  - - - - -  - - - - -
> Is this normal, or is something amiss?
>  - - - - -  - - - - -
> (My follow up appointment is not until Wednesday.)
> Also, I was given Percocet for pain as needed. From about 12 hours to 36
> hours it was handy, but now there is little or no chronic discomfort,
> just the occasional sharp jab when I move around. I don't think the
> Percocet would be too useful for that kind of pain; am I correct? Are
> those little sharp jabs to be expected? I am obeying orders to not do
> any heavy lifting, and I am generally taking it easy. I presume that the
> usual day-to-day movements of life should not do damage to the repair;
> correct?

Black and blue discoloration with swelling, completely normal. It will
subside over the next few weeks and cause no problems. Looks bad, but pretty
common.

Skip the percocet now if you don't need it, take ibuprofen.

Post-op activity -> if it hurts, don't do it, otherwise it doesn't matter.
The recurrence rates for a properly performed tension-free mesh repairs such
as yours are extremely low, and not related to postoperative activity. Most
surgeons I know send their patients back to unrestricted activity whenever
the patient feels ready. For self-employed patients, that's usually a few
days. For worker's comp patients-about 6 weeks (study was done on that,
which I read a year or two ago, but now I can't find it).

HMc



Wed, 29 Mar 2006 13:12:27 GMT
 Post hernia repair questions

Quote:
P T writes:
> Is this normal, or is something amiss?

It all sounds normal.  The itching and flaking may be from topical
sterilizing solutions (either the remains of the solutions themselves or
some minor irritation from them).

Quote:
> Also, I was given Percocet for pain as needed. From about 12 hours to 36
> hours it was handy, but now there is little or no chronic discomfort,
> just the occasional sharp jab when I move around. I don't think the
> Percocet would be too useful for that kind of pain; am I correct?

It could be, but I never took more than one or two Percocet in total, as
the pain had diminished to a dull ache within 24 hours.  It was an
annoyance, but hardly severe enough to justify that kind of horsepower.
I just took aspirin later on.  I think I walked around with an ice pack
for a day or two.  The occasional pains on movement lasted for weeks,
although they diminished very rapidly after the first two days or so.

Quote:
> Are those little sharp jabs to be expected?

Yes.

Quote:
> I am obeying orders to not do any heavy lifting, and I am
> generally taking it easy. I presume that the usual day-to-day
> movements of life should not do damage to the repair;
> correct?

Correct.

--
Transpose hotmail and mxsmanic in my e-mail address to reach me directly.



Wed, 29 Mar 2006 15:27:51 GMT
 
 [ 3 post ] 

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