Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

137 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Had ventral incisional hernia repair using mesh. Feeling abdominal pain and bloated. Mesh failure?

Answered by
Dr.
Dr. Grzegorz Stanko

General Surgeon

Practicing since :2008

Answered : 5770 Questions

default
Posted on Wed, 30 Jan 2013 in Abdominal Pain
Question: Hello. In 2007, I had a ventral incisional hernia repair using mesh. I recovered well and never had any problems. Last year, I had to have an emergency hysterectomy with a ventral incision. The mesh was opened and patched by an OB surgeon and plastic surgeon and then closed with in multiple sutured layers. I again had a great recovery and no difficulty. 2 weeks ago, I noticed abdominal pain and bloating. Yesterday, I felt really bloated and uncomfortable. I have very strong abdominal muscles and when tensed they are very firm. Now I can tighten the muscles, but everything feels squishy and I am unable to attain that firmness in my abdomen. I am having normal BM's, no fever and this pain is maybe a 3-4/10 with a continual sensation of bloating. There is mild tenderness throughout abdomen that I can palpate, but no specific area. Could this be indicative of mesh failure? I hate to go in to the doctor for these mild symptoms, but it is very strange. Thank you. Regards, XXXXXXX
doctor
Answered by Dr. Grzegorz Stanko 1 hour later
Hello!

Thank you for the query.

There are several things which may cause your symptoms. You need to know that after so many abdominal surgeries, your intestines are covered with intra-abdominal adhesions. This adhesions in some cases do impede proper intestines function and result with partial or total obstructions. Depending of the localization of such adhesions, it can make intestine narrow and result with symptoms like yours.
The other thing is edometriosis. I assume that your ovaries were left alone. If so, you have normal hormonal functions and if any endometrium cells were left inside the abdomen, it can still be stimulated by ovaries and give such symptoms as well. Moreover, every endometriosis gives more adhesions and leads to obstructions.
With all of this, mesh failure is the last thing which can cause your sufferings. Such mesh after a years gets stuck with the tissues, become ingrown and it would be very very hard to move it or remove it.
I suggest you to visit your doctor and have abdominal CT with oral contrast (enteroclysis) to see if there are any problems with intestines.

Hope this will help. Feel free to ask further questions.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,  
Medical Procedures

Recent questions on  Endometriosis

doctor1 MD

Hi, may I answer your health queries right now ? Please type your query here...
I am 42 years old female, got married its been 1 1/2 year, its been two years i have consistent urine infection problem, its been a year I was operated for a fybroid on the uterus, for 2 months I was ok, again the problem started, my urethera burns like anything, i sit in the bathroom whole night and keep on drinking water, I cannot pee properly, i am constipated all the time, for that I have to take supplement, my stomach swells, have pain in the rectum, its been 2 years I am on antibiotic, now the doctor has given me Enantone 3,75, after taking the 1st injection, I still had my periods, infact the period is not finishing, I am so scared whats wrong with me, I exercise regularly, he thinks I have Endometriosis, I want to have a baby, what should I do

doctor1 MD

Hi hope you can help. My daughter has just had a Laparoscopy,treatment for Endometriosis and is on the mend. The problem is the health Insurance wont pay out as they say we did not tell them of her past Urine infections. Are Urine infections related to Endometriosis?

doctor1 MD

I was disgnosed with endometriosis in feb2003 due to ruptured of choc.cyst - opened surgery done. In Apr2008, I had done one cystectomy via laparoscopy - other finding : PID with pelvic adhesion, right follopian tube opened and left follopian tube blocked. In oct 2008, i had done my first IVF, during day 1 to last day of gonal f /growth hormone injection, encountered extremely painful lower abdominal and bowel/anus pain?? and got pregnant with twin but lost one in Jan2009. In Nov 2008, i was hospitalized due to post ivf hyperstimulation syndrome, OHSS, Paracentesis. In Jan 2009, I was hospitalized for 7 days due to threatened miscarriage and placenta previa In Mar 2009, I was hospitalized for 7 days due to threatened miscarriage In end of Mar 2009, Membrance ruptured, bed rest until baby had to force deliver via c-section In May2009, Caesarean section - gave birth to 26 weeks baby In May 2010 - Jun 2011, stopped breast feeding in May 2010, started to feel pain during mensus time and after mensus...pain can last for 15days (from day1 until day 15 or more) In Jun2011, I was hospitalized due to lower abdominal pain- disgnosis : recurrent of endometriotic cyst and also found myoma/ fibroids in my uterus, given ponstan In Oct 2011, 2nd IVF done..extremely painful lower abdominal and bowel/anus pain?? pain similar to 1st IVF done..no responding well - injection to the max and yet failed to get pregnant. In Feb2012, I was hospitallized due to lower abdominal pain- similarly ponstan was prescribed as pain relief In Jun2012, CA125 83.4H, us done, cysts and fibroids grew bigger than before and dr said i have adenomyosis In Oct 2012, cystectomy and uterus fibroids myomectomy done via 3 holes, 1 cyst removed and 2 fibroids removed and adhesion released. In Nov 2012, CA125 102 H In Nov 2012, MRI done . Mild changes of lumbar spondylosis at L5/S1 level and A26mm partially imaged cystic lesion is seen in the left hemipelvis- ? Left ovarian cyst In end of Nov 2012, I was hospitalized with lower abdominal pain and lower back pain (bowel /anus pain)...not disgnosis yet... yet to find out.....dr had refered me to Mental Health Dr, neuro dr, gynae....physiotherapy... not seen them yet. From my history, can you tell what wrong with me. I have been experiencing such Hell pain eversince the first IVF and it was the similar pain haunting me for the past 2 1/2 yrs. Of course the most painful feeling was during IVF time - it was 100xxx times painful than everymonth mensus cycle and after the cycle. During Mensus time it was extremely painful...i cannot sit or lie down....nothing could help me..ponstan start to loss effective for the past few months..the pain was whole day pain...never stop only get worse at certain hour and could last for more than half a day and sometimes more than that. Symptoms 1. Lower abdominal pain, from the left front (felt like from the left ovary- swollen feeling, expanding and contracting kind of feeling ) and middle front (like the uterus was pulling down to the birth canal), 2. lower back ...not able to pinpoint on which area, i felt like from the anus /bowel...the pain was like continue shooting pain radiated from the bowel/anus and felt like it was contracting...extremely painful ...when this pain started...it make my left side of my waist ache and numbness, pin and needle can be felt at my left hip and left butt and left knee....no able to pass gas ...sometimes pass motion making the situation worse and weak in urination. My abdominal felt cold and fever at the time i was in pain.

doctor1 MD

Hi there, I have endometriosis and have already had two laporoscopys and I m due in for another as the doctor thinks it has spread to my diaphram and possibly further up, my bladder is stuck to my stomach as a result of the endo and they are hoping to fix this as well,I am bleeding about 20+ days and even though my period has stopped I am getting heavy bleeding that may last for an hour or so and its thick heavy and red, I am also experiencing very bad chest pains on the left side (which is where I expereince the worst of my endo pain which is agonising at times) and a cold sensation down my left arm, it used to be only occassionally but now it is very frequent, I am waiting to see another specialist but I am concerned about the increase in pain within my chest and the cold sensation, is there any advice you could give me, I would very much appreciate!

doctor1 MD

I get a lower back pain which is excrucitating right after my cycle ends.its remians for 4-5 days. And have to take painkillers.Its very debiliating.The feeling is like something in stuck inside which is unable to come out.My lower portion gets...

doctor1 MD

My daughter, 30, no children has always had severe cramps and periods. Now, every two or three months, she almost passes out with pain, sweats profusely, turns white and freezing. I just witnessed this last night. How soon do I need to get her to...

doctor1 MD

Hello, my 18 year old daughter has been having HORRIBLE female problems. Within the last year she has been on Deproprevara, exploratory endometriosis surgery and then switched to Mirena IUD. Last week she switched to a new OBGYN and he put her on...