HERNIA SURGERY

Hernia surgery is one of the bread and butter procedures for a general surgeon. This is a very common problem and approached in several ways and using different types of meshes and equipment.
Hernia is a defect in the abdominal wall. This could be an acquired defect or a defect from birth.
The name of the hernia will be based on the location of the hernia or the cause of the hernia.

Types of hernia: (these are just the general types, there are others but will keep simple here)

  • Ventral hernia - hernia in the abdominal area, either around the umbilicus or in any part of the central abdominal region

  • Umbilical hernia - around he umbilicus

  • inguinal hernia - in the groin area

  • femoral - usually in the groin and towards the leg.

  • incisional - It can be found anywhere in the abdomen. It is usually at the location of aprevious operation and results from a weakenss in the abdominal wall.

  • Hiatal Hernia - see GERD for more


​HERNIA REPAIR 101

This is a simplified explanation and mant to give you an idea of what goes on.
As any other procedure we perform, this is done in the traditional way, with a full size incision or with small incisions using the laparoscope or the Davinci robot.
The principle is always the same. To close the defect primarily or with a mesh. Primarily is harder and more prone to have a recurrence due to the tension created. For that reason we use mesh that will bridge the defect and in that way avoid tension and decrease recurrence.
What is the mesh made of?
There are innumerable materials. Many and most are synthetic and permanent, but some are made of biological materials and can be reabsobed.

Each company will give you a different explanation about how their product is better. Part of my job as your surgeon is to check on all the claims and always try to use the best product available with the best results and least chance of recurrence. I beleive in giving the patient the best technique and product available with an objective, unbiased view. I always put the patient outcome as the number one priority.

​RISKS​

  • Bleeding - this is a risk that we can see with every operation. Hernia surgery is not inmune to this and we strive to make sure that ther is no excess bleeding during or after surgery. There are many factors that will determine the level of risk and some are even the patient and their own genetic make up and propensity to bleed.

  • Infection - any time that we cut, we can have bacteria invade and cause an infection. In hernia surgery this can be serious if the mesh gets infected since it is a foreign object. We prevent this through intraoperative antibiotics and a sterile environment.

  • Recurrence - hernias can recurr, even witht he best technique. We strive to use the best procedure and materials to prevent it from happening.

  • Specific risks - Depending to the hernia type there may be different risks. For inguinal hernia we can have issues with the testicle and the conduits that bring sperm out. The reason for this is the location of these structures and the blood suply to the testicle. There are also some nerves in the area that if entrpped, can cause pain and if cut numbeness. Of course we are careful to protect these structures. Even though we can have other issues.

Lugo Surgical Group

150 Pine Forest Dr,,

Shenandoah, TX 77384

Phone. 832-377-5846

Email. lugosurgicalgroup@gmail.com