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Nov 08, 2023

Multiple Hernias and Upcoming Surgeries - Seeking Advice and Sharing My Experience

This topic is about someone who has been diagnosed with multiple hernias along a scar from a previous surgery and is seeking advice on managing their condition and upcoming surgeries. They are also scheduled for gallbladder removal and are concerned about future hernia repairs and activity restrictions. Here are some helpful insights and advice shared by others:

- The gallbladder removal is prioritized because the stoma is close to it. During the procedure, an assistant will lift the ostomy to facilitate the laparoscopic work.

- After at least a month, the surgeon plans to repair the three hernias by suturing each hole and covering them with synthetic mesh. However, the surgeon mentioned that abdominal strength might only return to about 70% after each operation, so future hernias could still occur.

- Until the surgery, it's important to avoid lifting, using weight machines, and doing leg presses. Stationary cycling is allowed, but any new abdominal pain or a sudden stop in stoma output should prompt an immediate visit to the ER.

- The person used to lift weights and do leg presses in physical therapy but now needs to stop these activities. They are dealing with an ankle sprain and currently ride a bike for 7 miles and walk half a mile daily. They are worried about losing upper-body strength and are looking for arm exercises that don't involve lifting.

- At the gym, they feel self-conscious because they can only use the bike and are anxious to return to full workouts, but they face months of surgeries and recovery.

Advice and insights from others include:

1. Lifting and Activity Limits
- Some people were advised never to lift more than 10–20 pounds for life. Heavy lifting has led to additional hernias and even sepsis for some.
- Consider making extra trips with groceries or laundry, getting help with heavy items, or avoiding tasks that require straining.

2. Support Garments and Equipment
- Using a large hernia belt or an elastic weight-training waistband can help protect the abdominal wall.
- While one surgeon was neutral on belts, members suggested wearing one if it feels supportive, especially during walking or chores.

3. Exercise Modifications
- Continue with stationary biking and daily walking. Consult a physiotherapist for arm-toning exercises using resistance bands, isometrics, or very light weights.
- Avoid leg presses and most weight machines until cleared by a doctor, and reconsider the intensity of workouts to prevent setbacks.

4. Post-Surgical Tips
- After mesh repair, some people reported flatter abdomens, better appliance adhesion, and less discomfort.
- Be prepared for possible changes in stoma profile; one person had to switch from a flat pouching system to a convex wafer afterward.

5. Coughing and Abdominal Support
- Persistent coughing can create or worsen hernias. Brace the abdomen or stoma with a hand or a small pillow when coughing.

6. Footwear and Posture
- Wearing supportive shoes, like cushioned tennis shoes, can reduce jarring forces on the abdomen during walking.

7. Mind-set and Social Concerns
- Avoid comparing progress with others at the gym. Cycling 7 miles daily is already a significant workout.
- Healing well now will allow a safer return to broader exercise later. Patience is key to long-term success.

8. Blockage Warning Signs
- If there is pain along with reduced or absent stoma output for more than 24 hours, seek immediate medical attention as it could indicate a blockage.

While no specific manufacturers of belts or meshes were mentioned, the emphasis was on quality support garments and following the surgeon's advice.
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