Being celebrity in my own Professional field, I had a chance to work and live in many countries across the world!
I have highest expectation of quality and not easy person to be pleased.
Well … Dr Brown even over exceeded my quality expectations! Dr. Brown is extremely detailed, precise, and methodically accurate the way he’s planning and performing surgery.
Recovery process was so fast and so easy that after one week after surgery I already was on my way to Hawaii with my lovely wife for Vacation and even trained a few dogs while I was there 🙂
If you are determined like me do not insert any foreign implant like mesh put into your body with all possible side affects you need to see Dr Brown.
Dr Brown is one of kind Amazing doctor who will get it done and get it done well.
You will be amazed…
After any operation the body goes through three stages healing.
Inflammatory Stage: During this stage the white blood cells move into the incision to remove injured cells, bacteria, and debris. This stage can be minimized by the surgeon with gentle handling of the tissues and careful hemostasis.
Proliferation Stage: During this stage fibroblasts move into the area to lay down collagen and fibronectin. The strands of collagen provides the strength of the repair. The fibronectin binds the collagen strands together. Because of the collagen deposition, on about day 5 you will feel what is called the “Healing Ridge” under the incision. This will be firm and mildly painful ridge of tissue. It will extend beyond the incision for about 2cm. Myofibroblasts will then move into the area. These cells contain muscle fibers and will contract to pull everything together. This will make the operative area will feel very tight. The…
Compression or pressure on the operative site after surgery is very helpful by providing support, decreasing swelling, and helping with hemostasis.
- After surgery, the muscles requires time to fully heal. During this time external pressure will help support and protect the repair. The pressure will also make it easier to move around.
- After any operation there is swelling of the tissues. This swelling can be at the incision but may also involve the scrotum and penis or the vulva. External pressure will force the lymphatic fluid back into the vascular system where it is reabsorbed.
- Bleeding after surgery is a potential complication. The blood can collect under the skin to form a pocket of blood or it can spread into the tissues (bruise). Pressure at the operative site decreases the chance for any hemorrhage.
If you have compression shorts, bring those with you. Pick compression shorts that not only apply…
Post Operative Pain Control
You have decided to your inguinal hernia or your sports hernia repaired, but you are worried about having pain after surgery. Luckily by understanding the innervation of the region, pain control after surgery has vastly improved. The ilioinguinal and the iliohypogastric nerves provide sensation to the inguinal region. These nerves start at L1 and L2 and then travel to the inguinal region between oblique muscles. Local anesthetics can be used to block the nerves and thereby minimize postoperative pain.
Types of Nerve Blocks
- TAP Block (transversus abdominis plane). Using an ultrasound machine the ilioinguinal and the iliohypogastric nerves are visualized between the transversalis muscle and the internal oblique muscle. Then a needle is used to inject local anesthetic around the nerves.
- The ilioinguinal and an iliohypogastric nerves can also be blocked at the anterior superior iliac spine. At this site the nerves travel between oblique muscles.…
Hi Dr Brown,
I wanted to tell you how appreciative I am that you did my hernia surgery. I feel great and the scar is hardly noticeable. I hope that you had a nice Christmas.
Let’s say you have the symptoms of a hernia and you’re concerned you might have one. These symptoms may include pain when you bend, cough, or lift something; a heavy feeling or pressure inside your abdomen; constipation; swelling underneath your skin around your groin, or a burning sensation where the swelling is.
What do you do?
The first thing you’ll need to do is to see a good hernia specialist to make sure that a hernia is actually the problem. If you are in fact diagnosed, you’ll need to decide whether to have a hernia operation or leave it alone.
Many people who are diagnosed with a hernia decide to ignore it—either because they don’t want to have an operation or they don’t have very much pain. In some cases, in fact, there’s no pain at all, and patients convince themselves to just wait and see if their symptoms become…