Options for repair are numerous. Several different hernia repair methods exist for any given hernia. All of these techniques may have excellent outcomes when performed by surgeons with extensive experience in that particular method.
At the Center for Hernia Repair, all possible approaches for repair are explored for each and every one of our hernia patients. This customized approach helps us to achieve a durable and comfortable outcome. Reduction of post-surgical pain, quick recovery and prevention of recurrence are the highest priorities for Dr. Yunis. Optimization of cosmetic satisfaction is a priority at Center for Hernia Repair. Abdominoplasty is offered with or without hernia repair.
INGUINAL HERNIA REPAIR
Inguinal Hernia Repair Without Mesh
Shouldice technique is the most effective in this class for reduction of future hernia recurrence.
The Shouldice Hernia Clinic has proven excellent results with their dedication for reproducibility and perfection. At Center for Hernia Repair, we have extensive experience in this excellent no-mesh technique.
Dr Yunis began his training in surgery with the Shouldice Technique as the primary approach to all groin hernias. With visits to the Shouldice Clinic and extensive studying and experience, Dr Yunis offers his patients the Shouldice technique for inguinal hernia repair.
- Can be performed under local anesthesia or general anesthesia with a 3-5 inch incision.
- Return home the same day often with pain controlled by ibuprofen and/or acetaminophen.
- Minimal Restrictions
Laparoscopic Total Extraperitoneal Inguinal Hernia Repair
Three small incisions in the lower abdomen are used to gently expose the area behind the hernia (on the inside of the abdominal wall). High definition video imaging is utilized to facilitate a gentle exposure of the hernia. A customized mesh is placed to repair the hernia defect.
- Statistically less pain
- Easier and more rapid return to work and sports
- Lowers risk of infection
- Cosmetically more appealing given the minimal size of the incisions
Robotic Transabdominal Preperitoneal Inguinal Hernia Repair
- A useful tool for hernias that have recurred after open and laparoscopic repairs
- Minimal postoperative discomfort
- Low risk of infection and similar advantages to laparoscopic repair
Open Inguinal Hernia Repair With Mesh
Many different techniques exist based on different designs of mesh. Mesh for groin hernia repair is usually a medium weight plastic (polypropylene). The mesh ultimately becomes integrated into the body’s tissue manifested by human tissue ingrowth into the pores or matrix of the mesh itself. Popular open mesh repairs include:
- Lichtenstein Repair
- Prolene Hernia System mesh repair
- Open tension free preperitoneal mesh repair
Ventral Hernia Repair
Open ventral hernia repair involves an incision over the hernia and the hernia is repaired usually with a prosthetic mesh. In recurrent or complicated ventral hernias many techniques have been described and many are useful for different types and sizes of ventral hernias. The recovery period after this procedure varies from same day discharge to a 5 night hospital stay.
Advantages of open ventral hernia repair are:
- Improved abdominal wall contour
- Proper management of infection problems of the abdominal wall
Laparoscopic ventral hernia repair involves one 12mm and two 5mm incisions on one side of the abdominal wall. High definition video is used to expose the hernia and repair it with one of many different mesh prostheses.
Not everyone is a candidate for a laparoscopic repair. In fact in many patients an open repair is recommended for many reasons including those that have a significant problem with abdominal wall contour and those with infection.
The advantages of a robotic or laparoscopic ventral hernia repair are:
- Lower risk of infection
- Lower risk of recurrence of the hernia
- Lower risk of wound related complications
Robotic (DaVinci) Ventral Hernia Repair
- 3 small incisions
- Allows for precise closure of hernia defect
- Allows for avoidance of tacking devices as robot facilitates sewing of the mesh in position
- Recovery with similar advantages to laparoscopic technique
Abdominal Wall Reconstruction for recurrent and complex ventral hernia
At Center for Hernia Repair we have far-reaching experience in reconstruction of the abdominal wall. Our experience has accelerated with the increased incidence of patients with extraordinarily large and complicated hernias. These conditions can often be severely disabling as they interfere with daily activities. Unsightly hernias are often part of the motivation for repair and we emphasize your cosmetic satisfaction as well as your safety .
When hernias recur they tend to become more difficult to repair. The scarring from previous surgery and mesh material often complicates the recurrent hernia repair. A unique approach and advanced technique are necessary in order to eradicate these problems. Mobilization of muscles of the abdominal wall and use of biological prosthetics are often necessary in the management of these problems. When you have suffered from previous failed repairs – your next operation should be your last operation. A surgeon who specializes in hernia repair and abdominal wall reconstruction is your best choice for insuring a good final result.