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Shirin Towfigh, MD

Board Certified General Surgeon
450 N Roxbury Dr., #224, Beverly Hills, California
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33 Questions Answered
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QUESTIONS ANSWERED

most umbilicus hernias under 1cm in width can be repaired without mesh. 

Many between 1cm and 2cm can be repaired without mesh. 

It is not standard to repair hernias over 2cm without mesh. 

There are directories online for hernia surgeons in your area. 

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Shirin Towfigh, MD

Board Certified General Surgeon

Sounds like endometrioma in your wound. That would be dark looking and bleed with each menstrual cycle. The operation is removal of the endometriosis 

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Shirin Towfigh, MD

Board Certified General Surgeon

So you are correct that a hernia that is stuck can cause vomiting. That doesn't seem to be the situation here. In fact, vomiting may be causing the hernia to pooch out. I would see a pediatric surgeon. 

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Shirin Towfigh, MD

Board Certified General Surgeon

How is the lump now? Sometimes this can be a fluid collection. If so, it will resolve. Your surgeon needs to examine this. 

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Shirin Towfigh, MD

Board Certified General Surgeon

No single mesh type has been shown to have better outcomes. Gore Rex mesh can be removed, as can any other mesh. There are risks with the procedure regardless of the type of mesh. 

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Shirin Towfigh, MD

Board Certified General Surgeon

I recommend Diastasis closure at the same time as a hernia repair, as the diastasis closure will help improve the hernia repair. 

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Shirin Towfigh, MD

Board Certified General Surgeon

Both open and laparoscopic/robotic-assisted options exist for incisional hernias. The best repair is based on your surgeon's recommendations and talents and after examination and review of your risk factors for repair. 

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Shirin Towfigh, MD

Board Certified General Surgeon

Nausea can be seen with hernias. Also, Nissen fundoplication may cause nausea. 

If the full GI work up is complete, then hernia repair may help resolve the nausea. 

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Shirin Towfigh, MD

Board Certified General Surgeon

Pain at the belly button can be a sign of a tear or hernia (recurrence) at the site of the belly button. Imaging can help confirm this. I often see patients with belly button hernias that have pain on the side of it. 

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Shirin Towfigh, MD

Board Certified General Surgeon

Sounds like an incisional hernia, not a diastasis recti. The thinning seen on imaging is your scar tissue or original closure that has spread apart with time. 

See a general surgeon or hernia surgery specialist for repair. 

provider-Shirin Towfigh, MD-photo

Shirin Towfigh, MD

Board Certified General Surgeon

Shirin Towfigh, MD reviews

Shirin Towfigh, MD

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