Houston Hernia Center is now one of the largest surgical practices in the country to focus on hernia repair; many hernias are now repaired successfully within 30 minutes in outpatient procedures. There are no sutures to remove after the procedure
Treatment Options For a Hernia Include:
Traditional hernia repair surgery involves making an incision in the abdomen, pushing back any protruding tissue, and then stitching the tissue together to close the incision. Recovery time usually lasts about 4-6 weeks, and there is a 10-15 percent chance that the hernia will recur. This type of tension repair is not recommended for adults.
Non-Tension repair using a synthetic mesh device. In some cases, a section of flat polypropylene mesh is sutured over the hernia on the outer layer of the abdominal wall.
- With laparoscopic repair, a fiber optic viewing tube is used to examine the hernia and place a mesh patch on the inside of the abdominal wall where pressure from within the abdominal cavity helps to hold the mesh in place.
- More recently, one-piece mesh repair devices were developed that can be inserted and positioned to cover the affected area from both the inside and outside of the abdominal wall. Now available is a novel version of this device, featuring a mesh cone that can be inserted through a small incision and then flattened to cover and support the inside of the abdominal wall. This new technique has been extensively studied and has the highest success rate of any of the prior techniques. The recurrence rate has been shown to be 1 in 1000 cases for Non-Tension repairs instead of 12 in 100 as is seen in tension repairs.
In the procedure involving the mesh device, known as the PROLENE® , surgeons insert the device right through the abdominal wall at the site of direct or indirect inguinal hernias. The inside section of the mesh device is positioned to lie flat against the inner abdominal muscle wall, and is held in place by the natural pressure of the abdomen. Minimal suturing is used to secure the outer section of mesh in place on the outside of the abdominal muscle wall. The high tissue compatibility of PROLENE® mesh enables tissue ingrowth for fast healing.
Another tried and proven technique is called the Shouldice Inguinal hernia repair. This technique involves the meticulous repair of the Inguinal floor and NO MESH is used. It was pioneered in Canada by Dr. Shouldice and has an excellent tract record for reduced recurrence and reduced occurance of post operative Chronic Pain Syndrome.
- Heal Naturally – Lighter-weight mesh with larger pores for natural abdominal wall mobility
- Heal Strongly – Macroporous PVP™ Device promotes strong healing with robust tissue ingrowth
- Heal Comfortably – Unique design promotes increased flexibility for greater patient comfort and mobility
“With newer treatment options we can now repair a hernia using an outpatient procedure that is generally faster and less invasive than traditional surgical procedures,” explains Dr. Garza. “Following treatment, hernia patients can now return home the same day and resume many normal activities in a matter of days.”
A hernia is a weakness or tear in the abdominal muscles that allows fatty tissue or an organ such as the intestines to protrude through the muscle tissue. Hernias most often occur in or around the groin, abdomen, and navel or near previous sites of abdominal surgery. A hernia will generally increase in size and become more painful if left untreated, and can also lead to more serious, life-threatening complications.
“In the past, patients often spent weeks or even months recovering from hernia repair surgery. Houston Hernia Center is committed to being a leader in hernia repair to make sure that patients learn about and have access to all of the most advanced treatment options. Our goal is to get them back to their regular routine faster and with less discomfort,” adds Dr. Garza.
The National Center for Health Statistics estimates that about 5 million people in the U.S. have an abdominal hernia. Hernia repair is one of the most common surgical procedures performed in the U.S. More than 750,000 people seek treatment for hernias each year.