Pre hernia surgery

[Jordan Feigenbaum]

Repaired hernias are unlikely to re-herniate if repaired properly, but sometimes sh*t happens, unfortunately.

[Juicetastysoup]

Repaired hernias are unlikely to re-herniate if repaired properly, but sometimes sh*t happens, unfortunately.

thanks Jordan. All I needed was “unlikely.” I’ve not been doing anything too strenuous, but still getting some light weights and PT in. I WISH someone would have sat down and said “oh you want to be active, here’s some things to do,” instead of just no info than “no twisting, stretching, etc.,” and “nothing over 20#,” which makes you feel like you are going to re-herniate.

is there a reason they don’t say that? Just for my education

[Jordan Feigenbaum]

thanks Jordan. All I needed was “unlikely.” I’ve not been doing anything too strenuous, but still getting some light weights and PT in. I WISH someone would have sat down and said “oh you want to be active, here’s some things to do,” instead of just no info than “no twisting, stretching, etc.,” and “nothing over 20#,” which makes you feel like you are going to re-herniate.

is there a reason they don’t say that? Just for my education

They don't know what movements, loads, etc. increase the risk of repair failure and feel like they have to say something. It's all made up. Again, the current guidelines recommend against movement restrictions. Whether or not advising people to do whatever they want post op results in more, less, or the same complication rate as the standard of care now is unknown, but hernia repairs are really successful and I don't see this changing for the worse if the post op instructions encouraged exercise....even hard exercise.

[Juicetastysoup]

They don't know what movements, loads, etc. increase the risk of repair failure and feel like they have to say something. It's all made up. Again, the current guidelines recommend against movement restrictions. Whether or not advising people to do whatever they want post op results in more, less, or the same complication rate as the standard of care now is unknown, but hernia repairs are really successful and I don't see this changing for the worse if the post op instructions encouraged exercise....even hard exercise.

thanks! Given the Danish study does standing a lot or loaded walking (rucking) increas risk?

[Jordan Feigenbaum]

thanks! Given the Danish study does standing a lot or loaded walking (rucking) increas risk?

We don't really know anything regarding complications or re-herniation risk from that data. I think you're highly likely to be fine regardless of what you do, but as always, you should consult with your doctor. For more specifics relating to your case and what you should do, a consultation may be beneficial.

[Juicetastysoup]

We don't really know anything regarding complications or re-herniation risk from that data. I think you're highly likely to be fine regardless of what you do, but as always, you should consult with your doctor. For more specifics relating to your case and what you should do, a consultation may be beneficial.

I’ll schedule a consultation. This study is linked in the 2018 guidelines. Does it indicate that heavy lifting predisposes to hernia formation?

https://pubmed.ncbi.nlm.nih.gov/8274556/

[Jordan Feigenbaum]

I’ll schedule a consultation. This study is linked in the 2018 guidelines. Does it indicate that heavy lifting predisposes to hernia formation?

Hard to say, as this specific study isn't accessible. That said, the finding that cases had a higher level of occupational exertion is unsurprising, though I don't think the evidence suggests this really predisposes people to hernia formation...perhaps realization, but that's another thing altogether. Still, this finding is directly contraindicated by others of the same design so...I don't really think too much of it at this point.

In any case, I believe the information provided in the YouTube video is current and relevant.