Hernia Care

New Jersey Hernia Care

Our surgeons at Highland Park Surgical Associates providing New Jersey with a unique hernia care service line.  Their service excellence is founded by taking a holistic approach to a common disorder. By integrating evidence based medicine with best surgical practices, our surgeons offer high quality Hernia Care, tailored to each patient. By utilizing tension-free and minimally invasive techniques, our patients return to their activities of daily living soon and are left with a durable repair.

Hernia

A hernia is a hole in the body, where tissue or organs can protrude from its native cavity. Abdominal hernias occur in areas of inherent weakness or in areas of weakness created by previous surgery.

Consequences

Incarceration

The biggest concern with an abdominal wall hernia is that anything within the abdomen can protrude through that and get stuck or “Incarcerate.” Incarceration of intestine, colon, fat or omentum and bladder are among the most common contents which incarcerate.

Strangulation

Once incarceration occurs the blood supply to those organs may become compromised and “strangulate.” If not dealt with in a timely manner, can cause ischemia, necrosis, gangrene or organ death.

 

If hernias are left untreated, emergency room visits are often required, hospital admission, intensive resuscitation and acute surgical intervention is often required.  Organ removal is sometimes necessary and patients could suffer greatly.

Treatments

Once diagnosed, all hernias should be repaired in an elective setting, as long as patients are medically fit.  Hernias should be repaired in order to prevent long and short-term complications.

 

Often performed in a same-day setting, the vast majority of patients can enjoy a rapid recovery and return to normal activities in a timely manner.

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Depending on the type, size and location of the hernia an array of options may be offered. While laparoscopy and mesh offer the most durable repairs, open and primary techniques are still utilized and are sometimes more appropriate. In some severe circumstances or in situations where recurrences have occurred, Abdominal Wall Reconstruction may be indicated. Separation of components or muscle advancement may be needed to bring the abdominal wall into a more natural contour in order to restore functional and structural integrity.

Types of Abdominal Hernias

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  • Incisional Hernia: Occur in old surgical sites anywhere in the abdominal and flank regions. Approximately 10% of patients who undergo abdominal surgical procedures can develop hernias in their old incision sites. This can even happen after laparoscopic surgery and more commonly after robotic surgery.
  • Epigastric Hernia: Occurs in the upper part of the abdomen in the same line as the umbilicus.  An inherent natural area of weakness can cause loosening of the mid-line structure causing a hernia.
  • Umbilical Hernia: Occur at the belly button. Sometimes referred to as, “outies,” they are indeed hernias and should be repaired.
  • Spigelian Hernias: Also know as lateral ventral hernias occur where two set of muscles should naturally come together.  After a lifetime of stress and weakening this area can split apart causing a hernia.

Groin

  • Obturator Hernia: Although rare can occur in the pelvic floor and seldom has external findings.  An obturator hernia occurs where two of the pelvic bones connect.  While intestines sit in this position, intestines can protrude through if weakness and opening of this space occurs.
  • Femoral: Present In the region where the blood vessels of the
    abdomen pass to the leg. Slightly lower than an inguinal hernia and toward the middle of the groin.
  • Inguinal Hernia: The most common type of abdominal wall hernia. Occur in the region between your hip and pubic bone. May also be felt in the scrotum in males.

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Hiatal Hernia

Also known as a diaphragmatic hernia, occur within the abdomen, where the esophagus passes from the chest into abdomen. A common cause of Gastro-Esophageal Reflux Disease (GERD), can also cause obstructive complications associated with the stomach and other organs.

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Symptoms

  • Discomfort and a lump in the region of a hernia are the most common complaints patients have. The lump usually increases in size with exertion. Standing, coughing, sneezing or constipation often make symptoms more noticeable. Rest and lying flat can ease symptoms and sometimes give patients the ability to push their hernia back in.
  • Hiatal hernias, however, are most commonly associated with reflux. They may also be noticed incidentally while working up patients for other diseases.