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. We use the latest advancements in surgery which include the Davinci Robotic Laparoscopic System.
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 fiber optic viewing tube is used to examine the hernia, close the hernia hole with sutures 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 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 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 Repairin. This technique involves the meticulous repair of the Inguinal floor and NO MESH is used. The Houston Hernia Center is one of a few centers in the USA that performs this procedures. It was pioneered in Canada by Dr. Shouldice and has an excellent track record for reduced recurrence and reduced occurrence of post-operative Chronic Pain Syndrome.
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 abominal 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.”
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.