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Hernia? Oh, Boy!!!

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The question was raised about hernias: do they get worst? should they

be left alone if thinks that they should? do anybody have them?

I am a bileopancreatic diversion (BPD)patient (4/25/00)with open

extreme distal RNY and I have had hernias of every size, type and

level of severity. BPD patients are more prone to them and the

duodenal switch patients in our support grou seem have had a lot of

hernia that turned to bowel obstructions. I had itsy bitsy ones that

didn't need intervention, and middle and big ones that needed

intervention eventually, and some really big ones that needed

immediate attention, and one hernia that developed as a bowel

obstruction that became gangrenous and was within minutes of killing

me. That one cost me a third of working instestines. Therefore I

consider myself something of a layman expert on hernias. Add to that

personal experience, my professional background as a hospital

inspector and medical care investigator and I think I can offer a few

opinions about hernias.

I have been opened from breastbone to groin and hip-to-hip so many

times that I may have a zipper tattoo put on the scar line. My

feelings about hernias are:

--you don't want them, even though they can help your approval

process for palstic surgery

--you may get them whether you want them or not becasue they are

more common after ANY kind of abdominal surgery

--if your surgeon is someone you trust and he says they are too

little to play with, leave them alone--hospitals are dangerous places

(as I know from job) and you should stay out of them unless you

really have no other choice

--most hernia repairs are relative easy and a permanent fix if done

right so don't be afraid to get them fixed if you need to

--have hernias fixed right from the start--have yourself repackaged

and shrink-wrapped with mesh if that is needed--no short cuts you

will pay for them later

--pay attention to pain because those suckers can kill you if they

get twisted, go gangrenous and rupture--the resulting infection can

be so massive they might not be able to fight it with any antibiotics

Best of luck.

Rick S.---The Nortalian Stallion

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The question was raised about hernias: do they get worst? should they

be left alone if thinks that they should? do anybody have them?

I am a bileopancreatic diversion (BPD)patient (4/25/00)with open

extreme distal RNY and I have had hernias of every size, type and

level of severity. BPD patients are more prone to them and the

duodenal switch patients in our support grou seem have had a lot of

hernia that turned to bowel obstructions. I had itsy bitsy ones that

didn't need intervention, and middle and big ones that needed

intervention eventually, and some really big ones that needed

immediate attention, and one hernia that developed as a bowel

obstruction that became gangrenous and was within minutes of killing

me. That one cost me a third of working instestines. Therefore I

consider myself something of a layman expert on hernias. Add to that

personal experience, my professional background as a hospital

inspector and medical care investigator and I think I can offer a few

opinions about hernias.

I have been opened from breastbone to groin and hip-to-hip so many

times that I may have a zipper tattoo put on the scar line. My

feelings about hernias are:

--you don't want them, even though they can help your approval

process for palstic surgery

--you may get them whether you want them or not becasue they are

more common after ANY kind of abdominal surgery

--if your surgeon is someone you trust and he says they are too

little to play with, leave them alone--hospitals are dangerous places

(as I know from job) and you should stay out of them unless you

really have no other choice

--most hernia repairs are relative easy and a permanent fix if done

right so don't be afraid to get them fixed if you need to

--have hernias fixed right from the start--have yourself repackaged

and shrink-wrapped with mesh if that is needed--no short cuts you

will pay for them later

--pay attention to pain because those suckers can kill you if they

get twisted, go gangrenous and rupture--the resulting infection can

be so massive they might not be able to fight it with any antibiotics

Best of luck.

Rick S.---The Nortalian Stallion

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