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    • Jorge L. Florin, MD
    • Christopher Johnson, DO
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    • Lucy Woodley, MD
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    • Home
    • Menu
      • Jorge L. Florin, MD
      • Christopher Johnson, DO
      • Jason Boardman, MD
      • Alexander Schroeder, MD
      • Owen Kieran, DO
      • Lucy Woodley, MD
      • Philosophy
      • Appointment forms
      • Patient education
      • FAQS
      • Hernia Center
      • Breast health
      • Colon surgery
  • Home
  • Menu
    • Jorge L. Florin, MD
    • Christopher Johnson, DO
    • Jason Boardman, MD
    • Alexander Schroeder, MD
    • Owen Kieran, DO
    • Lucy Woodley, MD
    • Philosophy
    • Appointment forms
    • Patient education
    • FAQS
    • Hernia Center
    • Breast health
    • Colon surgery

Hernia Center of Excellence

Our Vision

The Hernia Center of Excellence aims to provide outstanding whole-person care (body, mind, and spirit) to the patients of our community with the highest standards in safety, less complications, and best outcomes. 

Published Results

Text us. Just tap and hold.

352-290-2930

Experience Matters

Robotic surgeons

10,000+ Hernia Repairs

We adopted robotic surgery in 2011 and advanced since, as one of the busiest robotic private practices in the country. Our surgeons collaborate, so you benefit from our combined experience in open and minimally invasive hernia surgery.

appointment

Our concept

1) Minimally invasive surgery is our 1st line approach.

We offer minimally invasive robotic approaches for small and larger, complex hernias.  These techniques are feasible in up to 90% of our hernia patients. 

2) A tailored approach to mesh placement.

For most hernias, mesh repair is preferred to reduce the risk of recurrence. Our surgeons will discuss all options with the patient.

3) One shoe doesn't fit all.

Our surgeons have experience with all types of minimally invasive and open techniques. This allows for an individualized approach, that is tailored to your specific hernia.

4) Measuring for excellence.

We would like to know how you are doing long-term. We are asking for your consent to call or text you in the future. 

What Are Hernias?

 A hernia is a weakness in the abdominal wall, usually resulting in a bulge that contains intraabdominal structures.

If bowel gets "stuck" inside a hernia, emergent surgery is needed. Therefore, we recommend elective repair before a "hernia accident" occurs. 

Groin hernias (also inguinal hernia) are very common. One out of four men and one out of 50 women will suffer a groin hernia in their lifetime. The most common presentation is a painful bulge in your groin.


A bulge underneath or around your umbilicus (belly button). Most common symptom is tenderness with activity.


Incisional hernias often present as a bulge underneath an old incision from prior surgery.


Femoral hernias are a type of groin hernia and are more common in females. Bulging onto the thigh and pain are common symptoms. These should be repaired as soon as possible due to high risk of incarceration/strangulation.


Separation of your rectus muscles (sixpack muscles). Especially visible above your belly button when laying down and performing a sit-up.  This is not a hernia and usually doesn't require surgical repair. However, if associated with a hernia at the same time, surgical consultation is recommended. 


Hernia Repair Techniques

Robotic surgeons

Minimally invasive repairs

For the majority of hernias, we recommend a minimally invasive robotic approach.


Our preferred techniques are advanced robotic repairs with mostly extraperitoneal mesh placement (mesh outside of the abdomen). 


Even complex ventral hernia repairs requiring abdominal wall reconstruction techniques are now often amenable to robotic surgery.

Open repairs

Some hernias require an open approach for the best possible outcome. For inguinal hernia repair, our preferred open technique is the Tension - free Amid-Lichtenstein repair. 


For ventral hernia repair, our preferred open technique is the Rives Stoppa repair, also called retrorectus repair. It has the lowest recurrence rate of all open repairs.

This technique can be combined with component separation techniques for complex abdominal wall reconstruction. 

Hernia Surgery Education

Brochures in English and Spanish

Groin hernia (pdf)Download
Umbilical hernia (pdf)Download
Ventral hernia (pdf)Download
Eventracion (Spanish) (pdf)Download
Hernia inguinal (Spanish) (pdf)Download
Hernia umbilical (Spanish) (pdf)Download

Hernia Mesh Information

We take your concerns serious.

We are aware that many patients are concerned about synthetic mesh implantation during hernia repair. Our surgeons of the Hernia Center of Excellence are available to discuss your concerns and questions at your clinic appointment. 


Please find Americas Hernia Society mesh advisory statement below. 

Mid-Florida Surgical Associates
Download PDF

Follow Up

Robotic surgery

Two weeks after your hernia surgery, you will be seen by your surgeon in one of our offices in Winter Garden or Clermont. But we would like to know how you are doing long-term. We are asking for your consent to call or text you in the future. 


This is part of your hernia care and also allows us to check on the quality of care that we provide through the Hernia Center of Excellence. Ultimately, we like to scientifically publish our results to contribute to the advancement of the field of hernia surgery.



Appointment Forms

What you need for your appointment (pdf)

Download

PtMedQuestionnaire2023 (pdf)

Download

Home instructions after surgery (pdf)

Download

Published Research

Journal of Robotic Surgery
surgical endoscopy
annals of surgery
Advances in surgery
World Journal of surgery
Journal of surgical education
JAMA Surgery
American Journal of surgery
hernia #1
hernia #2
hernia #3
hernia #4

Helpful Links

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american hernia societyACS for patientsACHQC abdominal core rehab
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Mid-Florida Surgical Associates Business Office

1804 Oakley Seaver Drive, Suite A, Clermont, Florida 34711, United States

(352) 243-2622

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