A Hernia most often appears within the abdominal wall but can also form in the upper thigh, groin or internally. Hernias are a weakness in the muscle or connective tissue that allows an organ or other tissue to push through the weak spot. This can result in a bulge that can be seen externally if on the abdominal wall or groin. Internal hernia or hiatal hernia can not be visualized externally.
If you have or suspect you may have a hernia issue, our comprehensive Hernia Center can help.
What can I expect during a General Surgery consultation?
The decision to have surgery is as important to Dr. Mutafyan as it is to you. To determine if you would benefit from surgery, Dr. Mutafyan starts with a comprehensive General Surgery consultation. During your consultation, Dr. Mutafyan conducts a physical exam, reviews your medical history, and obtains lab work.
Dr. Mutafyan also reviews the surgical procedure you need, including the pros and cons of surgery, the various surgical approaches, and risks and benefits. Dr. Mutafyan wants to understand the motivation behind your desire for surgical intervention so he can ensure your expectations are aligned with the anticipated results.
Dr. George Mutafyan
Ventral Hernia refers to defects or weaknesses of the abdominal wall. An Incisional Hernia involves a previous surgical incision. These hernias may present with any or all of the following findings; protrusions or bulging of the anterior abdominal wall tissue through the abdominal muscle cavity, abdominal pain, and nausea and/or vomiting.
Hiatal Hernias are located inside the abdominal cavity at the junction of the esophagus and the stomach at the level of the diaphragm. This condition is where the upper portion of the stomach this is usually located in the abdominal cavity has migrated through the esophageal hiatus into the chest cavity. These hernia’s usually present with reflux, episodes of nausea and are quite frequently seen in patients with experienced complications of the LAP-BAND.
Inguinal Hernias can form due to heavy lifting, coughing, obesity, genetics, etc. An inguinal hernia is a bulge of tissue through the inguinal canal in the lower abdomen in the groin area. Surgery is the primary treatment for inguinal hernias. It’s a very common operation and a highly successful laparoscopic procedure.
Internal hernias, if left undiagnosed and treated, can become dangerous. Internal hernias form within the abdominal cavity when internal organs or intestines protrude through a defect in the mesentery thereby possibly compromising essential blood flow.
Patients having weight loss surgery either primary or revision are sometimes also diagnosed with having a hernia. Whether a hernia can be repaired concurrently with or not, depends on the type of the hernia and also type of weight loss surgery. Further information regarding surgical treatment of hernia here
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Frequently Asked Questions
A hernia is a weakness or opening in the abdominal wall, which often results in soft tissue such as fat or intestine protruding through the abdominal muscles and occupying space under the skin. The mechanism of the hernia is similar to what happens with a bulge in a damaged tire, where the inner tube, normally contained by the hard rubber of the tire, extends through a thin or weakened place. The opening in the abdominal wall that leads to the hernia is also known as a hernia defect.
Hernias are most often diagnosed during a routine physical exam. Accurate diagnosis sometimes requires a CT (CAT) scan.
Anyone who has the symptoms of a hernia, such as pain or a bulge, should consider having a hernia repair. All candidates for hernia repair are evaluated to identify factors that can be modified to minimize the risk of complications.
Hernia repair is conducted using one of two surgical approaches, both of which utilize a piece of synthetic, or prosthetic, mesh to reinforce the weakness in the abdominal wall. When expertly performed, both approaches result in a successful hernia repair.
Open Surgical Repair
The surgeon makes an incision directly over the hernia defect and sews the prosthetic mesh to the abdominal wall. The surgery is done on an outpatient basis, usually under local anesthesia with conscious sedation. This approach is very successful in the repair of small hernias.
Alternatively, a hernia may be repaired using a minimally invasive, or laparoscopic, approach performed while the patient is under general anesthesia. The surgeon inserts small tubes called cannulas through the abdominal wall at some distance from the hernia defect. A mesh prosthesis is then passed through one of the tubes into the abdomen and fixed to the undersurface of the abdominal wall with stitches and staples. This technique is used for both small and large hernias of the abdomen.