Incisional hernia after transplant: Anyone else?

Posted by btwest6 @btwest6, Dec 26, 2020

Would be interested to hear others experience with incisional hernia after liver transplant. Thank you.

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I am 1yr 3months post kidney transplant and have a large- 7-8 centimeter incisional hernia. I look like I am pregnant on my right side. I see the surgeon next month. As I eat and drink throughout the day it grows and I can feel my skin pulling apart. My scar has started pulling apart and is growing in width. I believe this hernia occurred shortly after transplant but didn’t show for some reason on the scans. They gave me a support band and told me to wear it. I noticed my side growing and mentioned it a few times to the doctors with no remark from them. My nephrologist saw it and said oh you have a hernia but did not refer me to anyone. My last visit I showed the doctor, because it had grown so much and pain really started up, she scheduled a CT scan that shows a 7-8 centimeter incisional hernia.

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Sorry it should have read March 2022.

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Good morning
I had my liver transplant in October 2020. In April 2021 I noticed a small golf ball sized lump on the right side lower surgical site. My incision is an upside down hockey stick. I contacted my gastroenterologist and she said it was a hernia and that we'll keep an eye on it. After a couple of months it started getting bigger. I then contacted my transplant Dr and he said it might be best to have surgery to decrease the risks of infection. I was referred to a surgeon and waited for a surgery date. Our dear friend COVID-19 again reared it's ugly head, and elective surgeries were put on the back burner. I had my hernia surgery last March 2021, after waiting a year. When the surgeon got in there it turned out my entire incision site had ripped open and I required a complete abdominal wall reconstruction. One year out and I feel amazing. My liver is functioning at 100% and the incision has healed nicely. I now have to watch my weight as my abdominal wall is very thin. Just hang in there. Kermit the frog had a saying "It's hard being 💚 green ", I now say "It's hard being transplanted. I want to wish you well and whoever your God is I wish him to continue to bless you🙏

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Profile picture for btwest6 @btwest6

My husband is 10 months post transplant and has an incisional hernia. His local doctor looked at it and said it was appropriate to wait until his 1 year visit to Mayo. He has increasingly had tenderness to touch, and seems to be increasing in size. We were just curious about others experience with symptoms and repair.

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Hello Jackie here..my liver transplant was
November 2020. In June
2021, incisional hernia was discovered right on liver spot. It was uncomfortable. And a
Good buldge. Had the surgery.it was tough since 6 mins ago had the transplant. I was on the drug sirolemus, and a Mercedes liver surgery
Scar. WHO ..the hell knows. The whole experience was a nightmare from transplant..I had some kind of complications and did not wakeup from surgery till 5 days later stayed in ICU for over two weeks...so while that was trying to heal.here comes the hernia surgery .whoopie

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Profile picture for Cheryl, Volunteer Mentor @cehunt57

@jackie421blfdgurl I’ve been on Tacrolimus for nearly 17 years for pancreas transplant. I also have Chronic Kidney Disease stage 4. Tacrolimus is toxic to kidneys. I have biopsy verified evidence of kidney damage due to Tacrolimus.

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I am so sorry to hear your news. As I always start out..they can put a man on the moon..why the hell do they make drugs that r toxic to our bodies..take a pill for one then take two more
To counteract the first pill what a bunch of bullshit..I pray for u.

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I just realized this thread started a few years back and pertained to incisional hernias after transplant. I had a pancreas transplant in 2005. In 2006 I had an enteric conversion surgery (everything was taken apart, put back together and hooked up differently). In 2011 I noticed a small bulge. My doctor diagnosed an incisional hernia but said it was best not to treat unless it changed in size & shape or became uncomfortable. In 2012 I had a bowel obstruction and I got scared that the pain I was experiencing had something to due with the hernia. I ended up having hernia surgery (2012?) and have piece of surgical mesh where the hernia was.

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Profile picture for jackie421blfdgurl @jackie421blfdgurl

Hi Rosy..thank y for thinking about me during my second crappy trip to the OR!!!!
How r u? How did your ck up go? Mine went well.dr.keeps an eye on kidneys.they don't like
Tacrolimus..oh well ! I hope all members r doing well....still want to get that bus trip going!!u take care...😁

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@jackie421blfdgurl I’ve been on Tacrolimus for nearly 17 years for pancreas transplant. I also have Chronic Kidney Disease stage 4. Tacrolimus is toxic to kidneys. I have biopsy verified evidence of kidney damage due to Tacrolimus.

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Profile picture for Rosemary, Volunteer Mentor @rosemarya

@jackie421blfdgurl, So sorry to hear of your OR visit. My most recent one was last October, I really don't want another one anytime soon, Are you okay now?
My check up - it was perfect. Except that I goofed on my meds on the night before my labs, so I had everything except the tacrolimus test which was delayed until 2nd morning. I am so happy to say that everything was in the Normal Range!!!! On our (hubby and me) way out the door after my final appointment, the PA asked me how I was going to celebrate. (We planned 5 day mini vacation) I told her that I was going to splurge on ice cream. She told me that, 'with my good numbers, I could enjoy as much ice cream as I wanted!' So I am proud to say that I followed my doctor's orders! YumYum!

Jackie, Take a look at this discussion about tacrolimus and kidney where @hello1234 is also dealing with kidney concerns. (just click on the link) https://connect.mayoclinic.org/discussion/transplant-tacronlimis-target-range/

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Rosey .love ya..love ya..wish u were here so I could give u a big bear hug.love all the discussions on tactolimus. At times you all are more informative than doctors..love ya have a great day. So glad Rosemary to hear of your great ck up..thank God.. jackie

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Profile picture for jackie421blfdgurl @jackie421blfdgurl

Hi Rosy..thank y for thinking about me during my second crappy trip to the OR!!!!
How r u? How did your ck up go? Mine went well.dr.keeps an eye on kidneys.they don't like
Tacrolimus..oh well ! I hope all members r doing well....still want to get that bus trip going!!u take care...😁

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@jackie421blfdgurl, So sorry to hear of your OR visit. My most recent one was last October, I really don't want another one anytime soon, Are you okay now?
My check up - it was perfect. Except that I goofed on my meds on the night before my labs, so I had everything except the tacrolimus test which was delayed until 2nd morning. I am so happy to say that everything was in the Normal Range!!!! On our (hubby and me) way out the door after my final appointment, the PA asked me how I was going to celebrate. (We planned 5 day mini vacation) I told her that I was going to splurge on ice cream. She told me that, 'with my good numbers, I could enjoy as much ice cream as I wanted!' So I am proud to say that I followed my doctor's orders! YumYum!

Jackie, Take a look at this discussion about tacrolimus and kidney where @hello1234 is also dealing with kidney concerns. (just click on the link) https://connect.mayoclinic.org/discussion/transplant-tacronlimis-target-range/

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Profile picture for Rosemary, Volunteer Mentor @rosemarya

@jackie421blfdgurl, How are you getting on while waiting for your surgery?

You mentioned in another discussion that you needed daily naps and I want to share that I also needed naps in the afternoon. Gradually my naps became shorter, and then not necessary everyday. However, I always permit myself to a good nap when my body tells me to slow down. Even now, after 12 years since my transplant and recovery, I like to treat myself to a good nap, sometimes I even plan my daily activities around it! I hope that you are also able to work a nap into your day when you feel you need one. I wonder if your energy will pick up after your hernia repair and recovery.

I had a surgical procedure at my transplant hospital after my 1st year of transplant. I was treated by my transplant team as they were the ones to diagnose my problem. My transplant surgeon was even the one who performed the surgery, and that made me real comfortable going into it. A real treat for me was to re-connect with some of the nursing staff on the transplant floor! It was like a reunion because I had spent so much time on that floor before and during my transplant. We had a few days to catch up on big events like my recovery and adventures, marriages, babies, etc.

I am sending my thoughts and wishes for a successful surgery and a comfortable recovery. I am here if you would like to chat or if there is any way I can help you to prepare for your visit.
Will your surgery be at your transplant hospital while you are doing your check up? Will you be able to have someone with you?

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Hi Rosy..thank y for thinking about me during my second crappy trip to the OR!!!!
How r u? How did your ck up go? Mine went well.dr.keeps an eye on kidneys.they don't like
Tacrolimus..oh well ! I hope all members r doing well....still want to get that bus trip going!!u take care...😁

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