Our Mission Statement
Goal: My goal is to provide the most effective treatments of Hernias that involve that abdominal wall and the groin with Minimally Invasive Surgery (small and not large incisions) to provide for:
Best Cosmetic outcomes
Minimal use of Narcotics
Early return to work and full function
Only use the best meshes which lead to better outcomes
We use the new Phasix™ Mesh with disappears after a period of time and lets the patient’s body to heal itself
The most up to date advancement in surgery now uses the Davinci Robotic instruments which are the latest improvements in Minimally Invasive Surgery. When compared to the standard Laparoscopic Surgical techniques, my patients receive a better technical operation and have less discomfort.
When the Davinci is compared with the standard Laparoscopic Groin hernias are now treated with The Davinci Robot and no longer require the use of painful tacks (tiny screws) that can cause short and long time chronic pain.
The Davinci now makes it possible to treat large and complicated hernias that typically could only be performed with large painful incisions. Even patients with large complicated hernias usually go home within 24 hours after the procedure instead of 5-7 days.
Most of my patients return to work (light duty) after 1 week. Many have even returned to work on following Monday after an operation performed on Thursday of Friday.
I also focused on pre-surgery and post-surgery pain control using the latest in non-narcotic medications. The majority of my patients do not require narcotics after the operation. Narcotics are addicting and can cause severe constipation with prolongs the patient’s recovery.
What is a Hernia?
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. Studies have shown that 30% of all patients who undergo and abdominal operation will develop a hernia. This includes Gallbladder, Gastric weight loss operations, prior laparoscopic in Inguinal Hernia repairs, and Cesarean operations.
A hernia will generally increase in size and become more painful if left untreated, and can also lead to more serious, life-threatening complications.
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.
Why Choose Houston Robotic Hernia Surgery?
Dr. Garza specializes only on the treatment of Hernias of the Abdomen and Groin. As such, he is constantly researching hernias, studying hernias and attending surgical meetings that address the latest advancements in the treatment of HERNIAS.
That is also why he is using the Davinci Robot as a major part of his practice.
He is also at the leading edge of PAIN PREVENTION and has been actively involved in numerous Pain Control Medication Studies. The USA is currently in an Opioid Epidemic and every physician should be involved in controlling this problem.
Treatment Options For a Hernia Include:
Traditional hernia repair surgery
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 15-30 percent chance that the hernia will recur.
Non-Tension Repair involves using a synthetic mesh device that is sutured on top of the hernia repair.
With Laproscopic Repair, a small fiber optic viewing tube is used to examine the hernia, close the hernia hole with sutures or tacks 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. The mesh acts to support the closure of the repair to reduce the chances that the hernia will recur.
This 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 2 in 100 cases for Non-Tension repairs instead of 6-8 in 100 patients as is seen in tension repairs.
Shouldice Inguinal hernia repair
Another tried and proven technique in selected cases is called the Shouldice Inguinal Hernia Repair. This technique involves the meticulous repair of the Inguinal floor and NO MESH is used. The Houston Robotic Hernia Surgery is one of a few centers in the USA that performs this procedures.
Robotic Laproscopic Hernia Repair
The latest improvements in surgery have been advanced by the use of Davinci Robotic Laparoscopic Repair. This is a system in which the surgeon inserts a Laparoscope to view the inside of the abdominal wall. Once the instruments are inserted, the surgeon sits at a console with Magnified Stereoscopic Vision. With his fingers, the surgeon guides the Robot to perform simple and complex procedures which cannot be performed with a Laparoscope. Sewing, cutting and tying sutures and tissue are more precise. Very precise sutures are used instead of tacks (tiny screws).
With the Davinci Robot, I can now repair large abdominal wall hernias. I have found that patients recover quicker and with less pain when compared with an open or Laparoscopic operation. Whenever possible, I prefer to operate with the Davinci Robotic System.
“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.”