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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Incisional Changes In Midabdomen Wall With Scarring Mean?

well got test done on my stomach,because the mesh hurts me bad an these bumps,well think is scarring..well got my report ,because I tired of him telling me nothing wrong..long story had 4 surgerys with him 2/3 of my colen half small gone.had bag an removed..my guts came out wich was from the surgery,call hernia..well he did for free because no other doc work on me..well tod pain so bad cant take it from the mesh he put in less then 2 years ago an bumps hurt where he stich it there inch apart on my mesh wich covers my stomach was big..we got report mysef read it..havent seen it..pleas tel me what this ? trace fluid seen in the pericardium,incisiional changes seen in the midabdomen wall with scarring,right latera area at the laparoscopy with scarring there a grade 1 spondylolisthesisl5s1 postsurgica changes but no definite recurrent hernia..I hurt so bad in my stomach this mesh an other spots..plus right side front an back hurt bad..sorry about spelling
Mon, 12 Dec 2016
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history about the repeated abdominal surgery, fixation of mesh, pain in abdomen at the bulges it has, report showing trace fluid in pericardium, incisional changes seen in mid-abdominal wall with scaring - spondilolistheis of L5 over S1 and so on...
All this history is indicative that you have incisional hernia with pain.
The possible causes are:
Nerve entrapment syndrome at the operated area.
Or nerve stretching over the development of hernia.
I would advise you the following:
Clinical evaluation and examination by the operating Surgeon for incisional hernia or the condition you are in at the moment.
Further investigations to decide the complexity of the situation an to see whether the present situation needs conservative treatment or can not wait and may need surgery to relieve the symptoms.
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What Does Incisional Changes In Midabdomen Wall With Scarring Mean?

Hi. Thanks for your query. Noted the history about the repeated abdominal surgery, fixation of mesh, pain in abdomen at the bulges it has, report showing trace fluid in pericardium, incisional changes seen in mid-abdominal wall with scaring - spondilolistheis of L5 over S1 and so on... All this history is indicative that you have incisional hernia with pain. The possible causes are: Nerve entrapment syndrome at the operated area. Or nerve stretching over the development of hernia. I would advise you the following: Clinical evaluation and examination by the operating Surgeon for incisional hernia or the condition you are in at the moment. Further investigations to decide the complexity of the situation an to see whether the present situation needs conservative treatment or can not wait and may need surgery to relieve the symptoms.