Sacral Musings

I have a patient, 49, he had appenticitis about ten years ago associated with peritonitis. He is left with a scar - a bit higher than expected for appendicitis and a bit larger. A small part of the scar opened up again a few days after the intervention and then got closed again.
The interesting thing is that as the day goes on, he seems to be getting a painless incisional hernia that he can push back in. As we push it back in we can also hear a boborygmi-like noise - indicating that it is gut, I think.
I think what's happened is that the surgeon joined the skin and muscle (I hope!) but not the peritonium. I've refered him to his GP for a second opinion so we'll see...

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Ha! The surgeon did not join up the muscles either. Conclusion, don't go the Hasting's Conquest hospital! I've asked him to get in opened up again and joined up. Then we'll work on it. He's had an incisional hernia for the last ten years!!!

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that's scary

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