General Information

Options for Post Operative Local Anesthetics

Local anesthetics are best way to control pain after surgery. There are very few side effects and the pain often can be completely eliminated, not just covered up with pain pills.  They work by blocking the signals that nerves send back to the brain.


Lidocaine is the most common of the local anesthetics. It has very rapid onset, but only lasts for a few hours. It is very safe medication as long as dose is kept less than 300mg. The most common serious complications are cardiac and central nervous system. This is great anesthetic for operations where there will be very little pain after the operation. For example, removing a skin lesion.

Ropivacaine and Bupivacaine

Ropivacaine and Bupivacaine last much longer than Lidocaine and thus are much more helpful in surgical patients.  If injected into the tissues, they will work for about 8 hours.  If injected around a nerve,…

Bruising after Hernia Surgery

Is Bruising Dangerous?

Bruising after surgerAfter surgery there is always some blood left behind no matter how carefully the operation was performed. Sometimes this blood will slowly work its way up to the surface and form a bruise. A bruise is simply blood in the skin and it can be very colorful, but it is not dangerous. Also remember that blood is a liquid and it sometimes runs downhill. What that means is that even though the operation was in the inguinal area, it is not uncommon to see a bruise in the scrotum and penis or the vulva after surgery. Initially the bruise will be dark blue or purple. As the body breaks down and reabsorbs the blood the bruise will develop shades of green and then in a few more days you will see shades of brown and yellow.

If you think you may have an inguinal hernia and want…

Hernia Surgery Post Operative Compression

Compression Shorts for Post Surgery CompressionCompression or pressure on the operative site after surgery is very helpful by providing support, decreasing swelling, and helping with hemostasis.

  1. 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.
  2. 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.
  3. 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…

Can Hernias Repair Themselves?

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…

How Do I Choose a Sports Hernia Surgeon?

Find a Doctor You Can TrustTrust Your Surgeon

No surgery should be taken lightly. It means trusting another person to go inside of your body with tools and make you better. Especially when it comes to something as painful as a sports hernia, you’ll want to make sure you’ve found the right medical professional to take care of you. Not only for the surgery, but for the follow-up process as well.

If you’ve been diagnosed with a sports hernia, it’s both good and bad news. The bad news? You have a sports hernia. The good news? You weren’t misdiagnosed, which is unfortunately very common with sports hernias. And when you’re misdiagnosed, you don’t receive the proper treatment, which can cause even more problems.

If you’ve been correctly diagnosed with a sports hernia, it’s time to find the right professional to help get you on the road to recovery. But finding a good…

The Most Common Causes of Inguinal Hernias

Inguinal Hernias – Easier To Get Than You ThinkCommon Causes of Hernias

An inguinal hernia happens when tissue, such as part of your intestine, bulges through a weak spot in your abdominal muscles. This bulge can be painful, especially when lifting a heavy object, twisting, bending over or coughing. Though uncomfortable, an inguinal hernia, is not life threatening or dangerous (unless it becomes incarcerated or strangulated, in which case you should seek immediate medical attention); however, it will not improve or heal itself over time.

Humans adapt. If you’ve been dealing with an inguinal hernia for some time, you may not notice just how much you’ve adapted your routine and body movements to avoid aggravating the pain that comes with this condition. Inguinal hernia repair is one of the most common surgeries. Dr. William Brown advises his patients to repair the hernia without mesh at a time when it’s convenient for you,…

William Brown, MD
Hernia Specialist

Dr. Brown has been repairing inguinal hernias for over 30 years, taking care of Athletes with Sports Hernia injuries since 1999.  Dr. Brown has been taking care of patients with complications from mesh for so long that his hair is gray. Luckily he still has some hair.

His patients include players from the San Jose Sharks and the San Jose Earthquakes as well as athletes from the NFL, AFL, NBA, and the local college teams. As well as Athletes from 15 foreign countries.

Fremont Office
William H. Brown, M.D.
39470 Paseo Padre Pkwy
Fremont, CA 94538
(510) 793-2404
Fax: (510) 793-1320

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