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Hernia Surgery

Umbilical / Ventral Hernias

Umbilical and ventral hernia is occur very commonly.
The region around the umbilicus and ventral midline above the bellybutton to that of the sternum is a natural weak point in the abdominal wall.

Multiple hernias can exist in this region.
Obesity and genetic factors play a part in the development in these hernias along with smoking.
There are multiple approaches to fixing his heart is including laparoscopic, open, and robotic approaches.
my philosophy has always been about doing the most straightforward approach minimizing the risks and postoperative pain, as well as minimizing the complication rates associated with these repairs.

Most of these hernias are best repair with mesh (either synthetic or biologic) and mesh repair is associated with decreased recurrence rates.

Most of the repairs can be performed on an outpatient basis with minimal discomfort and minimal time off work.
within 1 to 2 weeks the mesh is fully integrated into the tissues and I usually will release people for full activity within two weeks.
The indications for repair are increasing size, risk for incarceration of bowel, and increasing symptoms, such as discomfort pressure or pain.

If you have a hernia that is causing such symptoms perhaps repair is the right answer for you.
please call our office for a consultation to see whether not we can help you in alleviating your symptoms.

Inguinal Hernia Surgery

Inguinal hernia‘s extremely common

They occur mostly men and are associated with pain, and or a mass in the groin and potentially with bowel obstruction
Most hernias occur in men and less commonly in women. Hernias are repaired most frequently for progressive symptoms and also for increasing size. These hernias often times caused by genetic factors, smoking, obesity, and lifestyle factors that include increased abdominal pressure.

Hernias that are small and cause no symptoms can be watched expectantly and do not necessarily need to be repaired.
Often times in inguinal hernias can be bilateral.

For patients that have inguinal hernias hernias that are growing or symptomatic, my preferred repair is a laparoscopic approach with mesh. (The meshes that I use is NOT the meshes you hear about on TV and are tried and true for decades)
The laparoscopic repair with mesh has been shown to decrease the amount of postoperative pain and a faster return to work.

Most people return to work within two weeks after surgery with minimal restrictions if any.

The laparoscopic approach allows me to repair both hernias if bilateral hernias are identified and also minimize the complications after surgery

Open repairs are associated with increased postoperative nerve injury, infection, and pain. They also have a slightly higher recurrence rate compared to a laparoscopic repair performed in expert hands. The laparoscopic approach has a recurrence rate under two percent when performed in experienced hands.
I personally have seen minimal recurrences less than one percent during my 15 year career and have successfully perform this procedure over 1500 times.
However not everyone is a candidate for a laparoscopic repair, in such case and open repair is preferable (very large, incarcerated hernias)
Such determination can be made at the time of consultation.

If you have any questions or concerns or if you feel like you may be a candidate for repair please feel free to contact the office for a consultation. Is always better to treat these hernias when they are small and relatively not dangerous