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Hernia Surgery

What is a hernia?
A hernia occurs when the layers of the abdominal wall weaken. The inner lining of the abdomen pushes through the weakened area of the abdominal wall to form a bulge or balloon-like sac which is many times appreciated under the skin. This weakened area may be present at birth or could be the result of aging, trauma or previous surgical incisions. Risk factors for the development of new hernias, or factors that could worsen already existing hernias, are smoking, chronic cough, obesity and pregnancy among others.

 

Symptoms
Each person may experience different symptoms depending on the type of hernia and the individuals' physical health and wellness. Our hernia specialists can properly diagnose your signs and symptoms as to whether or not they are indeed hernia related.
Some of the most common symptoms are:
• Bulging or swelling beneath abdominal/inguinal skin    
• Pain or dull aching sensation  in the area of the bulge
• Vague feeling of fullness
• Nausea and/or vomiting
• Urinary difficulties

 

Types of hernias we treat include:

  • Umbilical hernias; occur at the navel or belly button
  • Incisional hernias; occur at the site of a previous surgical incision
  • Inguinal hernias; occur in the groin
  • We also specialize in the diagnosis and treatment of epigastric, femoral, para-stomal and spigelian hernias.
  • Complex ventral hernias with loss of abdominal domain requiring extensive preoperative planning and abdominal wall reconstruction

Types of surgical repair
Our main objective is to repair your hernia in the best way possible. We take a dynamic approach by tailoring our treatments to the personal needs of each patient. We select the best method for incorporating the latest advances in hernia surgery techniques and repair materials.
All hernia repairs require two steps; reduction of the hernia (push back the protruding bulge inside the abdominal cavity) and closure or patching of the muscular defect (appreciated as a hole in the abdominal wall) through which it came out initially.

Suturing: Is an option for very small hernia defects. They can be sutured closed with good results.

Laparoscopic repair:  Approximately 3 to 5 small skin incisions are needed to perform a laparoscopic or minimally invasive repair. These small incisions create a passageway for special surgical instruments and a laparoscope. The abdomen is then inflated with gas to give the surgeon space to work. After reducing the hernia sack and its contents, the now evident abdominal wall defect is widely patched with a piece of mesh. The majority of inguinal hernias and a big percentage of ventral hernias could be appropriately and safely repaired using the laparoscopic technique

Open repair: An incision is made in the skin near the bulge and the surgeon will repair the hernia through the incision. Once the hernia is reduced, a piece of mesh is placed to reinforce the abdominal wall. It is recommended by all means to try to close the abdominal wall muscles on top of the mesh to decrease chances of recurrence, infection, etc. Complex large ventral hernias, with what is described as loss of abdominal domain, need to be repaired this way. Diligent preoperative planning and properly trained surgeons in component separation techniques and abdominal wall reconstruction are required for a successful long-lasting repair