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Fourth Hernia~Need Advice

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In a message dated 11/26/02 9:17:15 PM Central Standard Time,

gr8fulmare@... writes:

<< Can they totally reinforce my stomach muscles? Should I also see a

plastic surgeon? >>

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I'm in the process of waiting for approval from ins to repair 2 very large

hernias. If you are going to have a plastic surgeon fix yours, you should

make sure he's done a lot of them, and on WLS post-ops. Otherwise, a general

surgeon would probably be better, as usually, they do more hernias than p/s's

do. I asked my p/s how one avoids getting more hernias, and he said there's

really no guarantee. My bypass surgeon had already told me that my hernias

would require imbrication and mesh. The p/s will actually use something

better than mesh, not goretex but something along that line (can't remember

the name). I asked about that too bcuz I've read that it's easier to get

infections with the mesh than with this other fabric. I think it may also be

important to make sure that the surgeon doesn't just stitch the skin together

but also sutures the superficial fascia first, as this makes the repair

stronger. Ask the list for referrals to (names of) good surgeons in your

area; probably there are people who could recommend one for you with lots of

experience.

Carol A

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Hi,

I had open RNY 4 1/2 yrs. ago and have lost 130 lbs. I have had a

hernia operation every year since, one ventral, at my original

incision site, the other two above right (above gallbladder, which I

had removed during 2nd hernia repair). I am now feeling another bulge

in the same area of the previous 2 hernia surgeries. I can't go

through this every year! I had my first two repairs done by my GB

surgeon, and the last one I went to a major university hospital and

had it done by the chief of gastro-intestinal surgery. I have now

made an appointment with him for a look-see. Does anyone have any

advice or has anyone gone through anything similar? Can they totally

reinforce my stomach muscles? Should I also see a plastic surgeon?

Any help would be greatly appreciated!

Lou

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