At Center for Hernia Repair we are a frequent choice for patients coming from remote locations with multiple failed hernia repairs in the past.

Patients with 2-6 failed repairs in the past, often have large complicated hernias with significant disfigurement.  These large and complex hernias require a completely unique approach for repair.  Abdominal wall reconstruction is the preferred term for those cases that involve more radical of an approach.

In order to facilitate a return to normalcy of the abdominal wall, we emphasize the benefits of reapproximation of the midline by mobilizing the rectus muscles back toward each other.  The techniques that are utilized in this setting are called components separation.  There are many aspects of component separation including but not limited to anterior division of external oblique, posterior transversus abdominis release (TAR), and posterior rectus release.

A mesh (significant variation in type) is used under the rectus muscles but inside the muscular sheath.  This mesh may be permanent (usually a lightweight polypropylene ) and often a synthetic absorbable mesh or a biological mesh (porcine dermis).

At the conclusion of the reconstruction, the emphasis becomes one of cosmetic satisfaction for the patient.  Often times a complete abdominoplasty is offered to patients at the conclusion of the reconstruction.

We enjoy changing peoples lives for the better with our experience in abdominal wall reconstruction.




This literally means to reshape the abdominal wall.  While many who suffer from large ventral hernias complain of discomfort or pain, most are frustrated by the cosmetic disfigurement .

Clearly the goal for a safe, durable, and comfortable abdominal wall reconstruction is clear – at Center for Hernia Repair a pleasing and attractive cosmetic result is emphasized.

Abdominoplasty, the cosmetic fine tuning of the abdominal wall reconstruction usually involves a transverse incision in the lower pelvis across the pubic bone with extensions under the skin fold to each side.  The tightening of muscular laxity, often referred to as diastasis, is performed in addition to hernia repair.  Finally the skin is shortened in order to eradicate all laxity and wrinkling and the umbilicus (belly button) is reimplanted to a more natural location.