Open Inguinal Hernia Surgery

Well, it’s been nearly 10 years since I had diagnosed myself with a hernia. Back in 2007, I had went to my PCP, Urologist, and a General Surgeon. Nobody was able to diagnose the hernia. I eventually gave up and was learning to live with it. Over these 10 years, I have developed multiple levels of disc herniation in my lumbar and thoracic spine. I honestly blame the hernia for my back problems though I cannot prove it. I feel like had compensated my body in a way that messed up my back.

Anyway, I decided to follow-up on my hernia situation as it seem to have gotten slightly worse. In December 2016, I was diagnosed with an inguinal hernia (sports hernia). I had the hernia surgery on January 06, 2017. The surgery was not done laparoscopically. I had open hernia surgery with a mesh implant to support the area. I am now post-op 3 weeks to date. My doctor, Dr. Sanjeev Rajpal, is a reputable general surgeon in Brooklyn, NY. I had my open inguinal hernia surgery done at Beth Israel Mount Sinai Hospital off Kings Highway in Brooklyn, NY. So far everything seems to be healing up nicely. He says I should be ready to go back my normal life style within 6 weeks of the surgery, no restrictions.

This was my first surgery. The first 10 days of recovery are a nightmare. My genitals were black and blue and swollen like a grapefruit. Very scary stuff. Your abdomen is so weak that you cannot really support your testicles 100%. I wound up purchasing a scrotal support. I’ll followup as I continue to heal. Please feel free to ask questions.

Medication for Chronic Back Pain – History

A friend of mine started having back issues in 2009. He was referred to a pain management doctor.  He was started on Tramadol and then shortly switched to Tylenol with Codeine #4. The Tylenol with Codeine became ineffective after about 6 months, so was switched to percocet 7.5mg x 2 per day. As the pain increased the doesage was increased to 10mg x 2 per day.

He was steady with this for years. Between wear and tear from his job and a car accident, his condition had worsen and the pain level increased. He went to a 50mcg/hr Fentanyl Patch and 2 Percocet 5mg x 2 per day. The patch was giving him rashes, He then switched to oxycontin 30mg x3 per day. As his pain increased and tolerance built up, his percocet increased to 10mg x 5 per day.

So he was on oxycontin 30mg x 3 per day and oxycodone 10mg x 5 per day. He was steady with this plan for about a year. His tolerance had built up and was switched to oxycodone 15mg x 5 per day, still on the same oxycontin doseage. It wasnt working. He was then switched to oxycodone 30mg pills x4 per day. He was still having minimal luck due to his tolerance and pain level.

The doctor had decided to change his plan. He was started on Methadone 10mg x2 per day and 15mg oxycodone x4 per day. Now, increased to 20mg Methadone x3 per day. The methadone supposedly plays a special role in reducing opiate tolerance. This is the current plan and it is working for him finally.