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Meshoma

May 3 2008 at 6:10 PM
Stan 
from IP address 99.243.84.247

I don't exactly know what meshoma is but someone said I probably have it.I had ingunal hernia surgery using a plug 4 months ago and for about 2 months now I've had pain right on the incision mark.On the the top part of my scar there is hard spot which i think is the mesh harding up.If it is the mesh causing the pain should it be removed.

 
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AuthorReply
Dr. Goodyear

68.38.215.253

Re: Meshoma

May 4 2008, 7:50 AM 

A "meshoma" is a neo-term used to decribed the retracted and hardened mesh plug that in some cases causes symptoms similar to your description. There are many causes for Post-Herniorrhaphy Pain Syndrome (PHPS). After conservative measures such as Physical Therapy or Pain Managment fail, surgical intervention in those patients with persistent severe or debilitating PHPS may include mesh removal. However, it must be noted that removal of these plugs is neither easy nor risk free. They may at times become quite adherent to vessels or other tissue requiring extensive surgery to remove. In doing so, the collateral tissue damage from the extensive dissection may create as much chronic pain as did the meshoma itself.

 
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Stan

99.243.84.247

Dr.Goodyear

May 4 2008, 11:52 AM 

Would the Shouldice surgeons be good at removing the mesh,because I read on their website if there is trouble with the mesh from your hernia surgery they will remove it and perform a pure tissue repair plus I've heared they are really well trained surgeons.I only live about an hour away from the Shouldice hospital in Thornhill, in a way I wish I went there first for my hernia operation.

 
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GDSM

68.39.109.134

Re: Dr.Goodyear

May 4 2008, 6:55 PM 

I would seriously look into that option

 
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GDSM

68.39.109.134

Re: Meshoma

May 4 2008, 10:52 AM 

Dr. Goodyear is correct here. The surgery for removal of the plug and onlay patch is quite extensive and should only be performed by a surgeon who is experienced in the removal of these mesh products. It took me 2 years to find one, but because the mesh caused so much damage to the nerves and surrounding good tissue, I still live in pain everyday, but at least I can stand up straight, which I couldn't do while the plug and patch were still inside. I believe with what the surgeon told me to be true, is that if I had come to him sooner, I would not be dealing with all of this now and the mesh would have been easier to take out. I can not say enough to anyone who is considering a hernia operation, YOU MUST RESEARCH THERE ARE OTHER OPTIONS!!! If the mesh has not been in to long, you should at least what Dr. Goodyear says try pain management for at least the nerve blocks, if you do not recieve any pain relief from the blocks then find a surgeon who will extracate the plug and patch, but do it soon because the longer it is inside you the more difficult it will be to take out.

 
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stephanie

75.68.28.33

removal of mesh

April 28 2012, 8:20 AM 

Hi,

My brother had a hernia and had it repaired with mesh. After about 2 months he was experiencing hip, back, and leg pain. It got so bad that he couldn't walk or even sit up. A year after surgery he had the mesh removed. It has been 5 weeks since the removal of the mesh and he still can't walk or even sit up. He has some days where he is better than others but still has a lot of hip pain. Can you tell me what your time limits were after surgery where you got less pain or were even able to stand up? Please e-mail back and let me know. I hope and pray things get better for you.

Steph

 
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Jerry

68.44.203.9

Meshoma

May 4 2008, 10:55 PM 

Stan,
First off, I am not a surgeon but I have to say that I think it is premature to assume that you have a meshoma -- especially at this stage of your healing process. This quote was from a site explaining the aftereffects of surgery. "It is normal to feel a hardness or lump under your incisions. This is part of the normal healing process and will resolve in several weeks."
Also, since the plug and patch are embedded under layers of your anatomy I think it is unlikely to be able to feel the hardness of them by touching your incision. It could be a neuroma, fluid, or a number of other things that you are feeling.
If your symptoms persist, I would have your surgeon take another look and if a meshoma is still suspected you may want to get an MRI. Do a search in this site for "MRI or CT scan" and you will see some suggestions as to how to proceed with the MRI and how to get an article that should be given to the radiologist who will be reading the MRI. That's the only way mine was discovered!
Good luck!
PS By the way, if you used an experienced herniologist I would be even more inclined to feel that it's not a meshoma since they really know how to fix the patch/plug in place to minimize any chance of migration or balling up.

 
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eric k.Johnson

98.215.20.30

mesh migration due to improper fixation

November 7 2011, 12:29 PM 

I was the recipient of a kugel mesh implant in 2005. Since that time I have experienced constant pain in my leg, abdomen, testicles, and back...that did not exist preoperatively.
My surgeon told me he used no tacks, sutures, or staples to affix the implanted device?
Did my Surgeon error?

 
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Erin

99.138.0.112

Re: mesh migration due to improper fixation

November 8 2011, 2:12 PM 

This is to Eric, if you don't mind me asking....was the surgeon who performed your surgery a general surgeom or a hernia specialist? Perhaps you should go to an actual hernia specialist, like Dr. Goodyear or Dr. Grischkan in Cleveland or some others who have been mentioned to see what they have to say. In my opinion, talking to an actual hernia specialist versus a general surgeon is like night and day.

 
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Erin

99.138.0.112

Re: Meshoma

November 8 2011, 12:35 AM 

Hi, I'm not a doctor, so i'm just throwing out ideas here...but I remember reading about something called the "healing ridge"...which I guess is sometimes a normal part of the healing process after hernia surgery. It's basically where there is a hard ridge type look and feel where the incision was made during hernia surgery. Again, I'm definitely not a doctor and I could be wrong, but maybe that's what you're referring to? Perhaps look up that term and see what you read? From what I read, it was considered a normal part of the healing process and supposedly goes down in time...not overnight though, more like months. I hope you find answers and relief soon...best of luck.

 
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Anonymous

38.98.60.66

Re: Meshoma

November 8 2011, 1:47 PM 

Confused! I have the same problem as the author of this thread (minus the plug). Meshoma or healing ridge? How can the patient or the surgeon tell the difference?

 
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Jeff

68.177.115.85

Re: Meshoma

November 15 2011, 2:26 PM 

The surgeon can not physicall detect the meshoma, and in most cases will not show up on medical scans. It is a guessing game until surgery to remove it. Healing ridge is easy to detect since it is just below the surface of the skin.

 
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