The Hernia Center of Excellence aims to provide outstanding whole-person care (body, mind, and spirit) to the patients of our community.
In the field of hernia surgery, this means providing a personalized, multi-disciplinary treatment approach utilizing the most advanced surgical techniques available.
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.
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.
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.
Some hernias require an open approach for the best possible outcome. For inguinal hernia repair, our preferred open technique is the Tension - free 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.
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.
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.