innovative techniques for hernia repair

personalized care.

robotic precision.

Hernias can range from completely benign to potentially life-threatening. Leading edge surgical techniques with tiny incisions, minimizing the need for traditional “open” surgery with large incisions, ensures a smoother recovery with less pain.

Summary

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  • A hernia happens when an organ or tissue pushes through a weak spot in the muscles or connective tissue, creating a lump or bulge. Common types include hernias in the groin (inguinal), near the belly button (umbilical), or in areas where you’ve had surgery before (incisional). Some hernias may not hurt, but others can cause discomfort, especially when lifting, coughing, or standing. It’s important to have a hernia checked by a doctor, as it can sometimes lead to more serious problems if not treated.

    • Inguinal (groin)

    • Umbilical (belly button)

    • Ventral (abdominal wall)

    • Spigelian (lower abdomen)

    • Incisional (through previous surgical incision)

    • Hiatal (through diaphragm)

    • Lumbar (back)

  • Symptoms depend on what type of hernia you have, but will often appear as a bulge (can be painless or painful), at the site of hernia. If bowel is within the hernia, symptoms can also include nausea or vomiting due to blockage.

    Symptomatic hernias can severely restrict your activity levels, so be sure to get evaluated sooner than later.

  • Hernias are often easily diagnosed by examination of the site alone, but can sometimes require imaging studies, such as ultrasound or CT scans. Testing is individualized per patient, and if the diagnosis is obvious, there is no need for additional testing, getting you treatment faster.

    Ultrasound can be done at the point of care, rather than having to go to a separate imaging facility. Our office will have this capability, saving you time and testing.

  • Most hernias require surgery to repair. This can be done through tiny incisions, even for the most complicated hernias. Robotic hernia repairs have been shown to decrease recovery time, improve pain, ultimately getting you back to normal life.

Hernia

Left untreated, hernias can grow larger and potentially lead to complications, such as incarceration (the contents within the hernia are “stuck”), and more severely, strangulation (the contents within the hernia are losing blood supply, leading to tissue death). Fortunately, the more severe the hernia, the more severe the symptoms. If you are experiencing a significant amount of pain, it is recommended you seek care, to avoid or minimize the potential effects of strangulation. Thankfully, hernias are often noticed by both patient and physician in early stages, with surgical intervention preventing major complications. There are even rare instances depending on the individual patient that their hernia does not require surgery at all.

A hernia occurs when an organ or tissue pushes through a weak spot in the surrounding muscle or connective tissue, often creating a noticeable bulge. While hernias can develop anywhere in the body, they most commonly occur in the abdomen or groin. Symptoms may include discomfort, pain that worsens with activity, or even no symptoms at all.

Hernias are typically named by their anatomical location, and their location can also determine the symptoms you may have.

Fortunately, modern surgical techniques—especially minimally invasive and robotic-assisted approaches—offer effective, low-risk solutions with faster recovery times. If you have a hernia, a consultation can help determine the best treatment option for you.

On the topic of hernia mesh: Hernia mesh is a widely used and well-studied medical device designed to reinforce weakened or damaged tissue, reducing the risk of recurrence. Modern mesh materials are biocompatible, meaning they integrate safely with the body while providing long-term support. While complications can occur, they are fortunately uncommon, and the vast majority of patients experience successful outcomes with lower recurrence rates compared to traditional suture-only repairs. Advances in surgical techniques, including minimally invasive and robotic-assisted approaches, further enhance the safety and precision of mesh placement.

The idea of permanent mesh can be intimidating or a non-starter for many patients. Though it is well studied and safe, there are other alternatives. These include mesh that is fully absorbed by the body over time, leaving no permanent implant, with studies showing equal effectiveness in its ability to add support and strength to tissue long term.

Robotic hernia surgery

Dr. Le has performed numerous hernia repairs of all types in a minimally invasive fashion with excellent outcomes. In particular, the innovative techniques utilized allow the mesh to be kept completely outside of the abdominal cavity, eliminating contact of mesh with the bowels, which has been shown to cause abdominal adhesions and potential for long term side effects. Even complicated hernias can be approached robotically, showing a significant decrease in length of hospital stay (even being able to leave the same day). As a surgeon with vast experience and one who trains others on these techniques, Dr. Le’s approach to hernia repair is superior to open or laparoscopic approaches.

Before Surgery

  • You will be seen by Dr. Le in the clinic for a comprehensive history and physical, and to discuss your symptoms specific to your problem.

  • Tests will be ordered or performed if the diagnosis isn’t clear, which usually consists of ultrasound or CT scans.

  • Follow up visit or telehealth visit to discuss results of testing if needed.

  • Smoking cessation for 2 weeks before and 2 weeks after surgery to lower anesthetic risks.

  • Prepare for surgery.

After Surgery

  • Most of the time, you will be able to go home the same day of a hernia surgery.

  • Depending on the extent of your surgery, you may be admitted to the hospital overnight for observation and pain control.

  • No heavy lifting more then 30 lbs for about 3 weeks, with a slow and steady increase back to normal activity over 2 weeks after that.

  • You will be permitted to shower 24 hours after your surgery, patting dry the areas of your incisions.

  • You will be scheduled for at least one followup visit about 1 week after your operation.

additional services we offer

STOMACH PROBLEMS

Trusted expertise in a vast range of surgical and functional stomach problems that can often present with vague symptoms, finally getting you answers.

SMALL BOWEL DISEASES

Leading-edge surgical techniques in a wide array of common and uncommon small bowel diseases, supporting you in your treatment journey.

REFLUX & HEARTBURN

Tailored surgical treatments specific to each patient, with the ultimate goal of eliminating heartburn and getting you off of your acid-blocking medications.

COLON DISEASES

Progressive, patient-centered operations and treatments, from hemorrhoids to colon cancer, decreasing your time in the hospital so you can get home faster.

GENERAL SURGERY

Lumps and bumps, lacerations, cysts, and many other problems can be treated by general surgeons.

Gallbladder Surgery

GALLBLADDER DISEASES

Cutting edge techniques to remove the gallbladder through “hidden incisions,” as well as single-anesthesia operations to remove stones stuck in the biliary tubes.

MALS

Median arcuate ligament syndrome, a rare and difficult diagnosis, requires expertise and precision to treat. See why Dr. Le is at the forefront.

SMAS

Superior mesenteric artery syndrome requires expert diagnosis and treatment. Dr. Le has developed a new surgical treatment with excellent results.