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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Re-operated Cesarean Incision Due To Severe Abdominal Pain. Facial Shearing Done. Pain Above Pubic Bone. Any Opinion?

I had a cesarean 2 and 1/2 years ago. Due to severe deep abdominal pain at the incision site, which did not go away with infiltrations, I was reoperated. The pain was lancinating, shooting pain. They found that the fascia was under a great deal of tension and therefore they used a mesh to repair it ( facial shearing ). Now a year after the repair surgery, I have pain deep above the pubic bone.... Like a foreign body occupying pain. Your opinion? Thank you.
Sat, 30 Mar 2013
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OBGYN,  's  Response
Hello
thank you for your query.
My opinion is that is the the mesh that was inserted that is causing the foreign body sensation.
The mesh sometimes gets displaced and would impinge on the pubic bone, causing such pain.
Also, sometimes it might slighly erode through, leading to such pain.
Unfortunately, the only way to know whats exactly happening is to have a diagnostic laparoscopy or a laparotomy and visualize the area.
You would also do well to evaluate yourself for urinary problems.
calcium and vitamin D deficiency sometimes predispose to pubic bone pain.
Consult your surgeon at the earliest for an evaluation.
Take care.
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Re-operated Cesarean Incision Due To Severe Abdominal Pain. Facial Shearing Done. Pain Above Pubic Bone. Any Opinion?

Hello thank you for your query. My opinion is that is the the mesh that was inserted that is causing the foreign body sensation. The mesh sometimes gets displaced and would impinge on the pubic bone, causing such pain. Also, sometimes it might slighly erode through, leading to such pain. Unfortunately, the only way to know whats exactly happening is to have a diagnostic laparoscopy or a laparotomy and visualize the area. You would also do well to evaluate yourself for urinary problems. calcium and vitamin D deficiency sometimes predispose to pubic bone pain. Consult your surgeon at the earliest for an evaluation. Take care.