Texas Health Surgical Care of Dallas Texas

Hernia Repair: Advanced Abdominal Wall Reconstruction

An abdominal wall hernia forms when an internal organ or soft tissue protrudes through a weak area or hole in the abdominal muscle. Unfortunately, abdominal hernias can recur and become more complex and difficult to repair.

The physicians at Texas Health Surgical Care have been performing complex abdominal wall reconstructions of difficult hernias for more than a decade. This includes comprehensive evaluation and treatment of inguinal, hiatal, incisional, umbilical and ventral hernias using both open and laparoscopic hernia repairs. We also have the expertise to treat recurrent hernias.

Our goal through surgical treatment is not just to “patch a hole” but to reconstruct the muscles and soft tissue to optimize function and durability while providing you with pain relief. Reconstruction of large and complex hernias requires sound preoperative planning, solid surgical experience and diligent postoperative care. Expect no less from our skilled physicians and staff.

About Abdominal Wall Reconstruction

Our abdominal wall reconstruction program starts with a thorough assessment and examination by one of our board-certified physicians with experience in the affected area to determine what type of abdominal wall reconstruction will be the most beneficial. The entire range of treatment options and modern techniques are available, including complex abdominal reconstruction with component separation and muscle transfer flaps to minimally invasive procedures using mesh materials that can be performed robotically or laparoscopically. When appropriate, we provide coordination with plastic surgeons to promote an optimal outcome.

Inguinal Hernias

Most inguinal hernias happen when an opening in the wall of the groin muscle does not close properly before birth. That leaves a weak area in the belly muscle. Inguinal hernias are fairly common, and Texas Health Surgical Care has experience in the management of primary, recurrent and complicated inguinal hernias. We believe that one size does not fit all when it comes to hernia repair. For this reason, we use open and minimally invasive robotic repairs for inguinal hernias based on factors such as size, location and any preexisting conditions.

Hiatal Hernias and Anti-reflux Procedures

When a hiatal hernia is present, part of the stomach moves up through the hiatus (the opening in the diaphragm where the esophagus connects to the stomach) and into the chest cavity. The condition raises the risk for symptoms of heartburn and gastroesophageal reflux disease, or GERD. Hiatal hernias require appropriate preoperative testing to decide the optimal approach for surgical treatment. Recommended tests include but are not limited to EGD, UGI and esophageal manometry. We work with your primary physician to coordinate testing and appropriate surgical treatment. Texas Health Surgical Care has extensive experience in the repair of primary and recurrent hiatal hernias using minimally invasive robotic assistance. This preferred treatment approach allows for smaller incisions, less pain and a shorter hospital stay.

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