Who performs hernia surgery. What types of hernias are treated. How are hernias diagnosed and treated. What are the benefits of choosing a specialized hernia center. What advanced surgical techniques are available for hernia repair.

Types of Hernias and Their Characteristics

Hernias occur when an organ or fatty tissue squeezes through a weak spot in the surrounding muscle or connective tissue. There are several types of hernias, each with distinct characteristics:

• Epigastric hernia: Located in the upper abdomen, between the breastbone and navel
• Femoral hernia: Appears in the upper thigh, near the groin
• Incisional hernia: Develops at the site of a previous abdominal surgery
• Umbilical hernia: Occurs around the navel
• Inguinal hernia: Found in the groin area, more common in men

Understanding the specific type of hernia is crucial for determining the most appropriate treatment approach. Specialized hernia centers, such as the Vanderbilt Hernia Center, offer comprehensive care for all types of hernias, ensuring patients receive tailored treatment plans.

Specialized Doctors for Hernia Treatment

When it comes to hernia treatment, various medical professionals may be involved in a patient’s care. The primary specialists who diagnose and treat hernias include:

• General surgeons
• Hernia specialists
• Gastroenterologists
• Pediatric surgeons (for hernias in children)

These specialists work together to provide comprehensive care, from initial diagnosis to post-surgical follow-up. For instance, at the Vanderbilt Hernia Center, a team of experts collaborates to ensure optimal outcomes for patients with various types of hernias.

The Role of General Surgeons in Hernia Care

General surgeons play a crucial role in hernia treatment. They are trained to perform a wide range of surgical procedures, including hernia repairs. General surgeons often specialize in specific areas, such as abdominal wall reconstruction or minimally invasive techniques, which are particularly relevant for hernia surgeries.

At specialized centers like the Vanderbilt Hernia Center, general surgeons with expertise in hernia repair work alongside other specialists to provide comprehensive care. This collaborative approach ensures that patients receive the most appropriate treatment for their specific condition.

Advanced Surgical Techniques for Hernia Repair

Modern hernia treatment has evolved significantly, with advanced surgical techniques offering improved outcomes and faster recovery times. Some of the cutting-edge approaches include:

1. Laparoscopic surgery: Minimally invasive technique using small incisions
2. Robotic-assisted surgery: Offers enhanced precision and control
3. Tension-free repair: Uses mesh to reinforce the weakened area
4. Abdominal wall reconstruction: Complex procedure for large or recurrent hernias

These advanced techniques allow surgeons to tailor their approach to each patient’s specific needs, potentially reducing complications and improving long-term results.

Robotic Abdominal Wall Reconstruction

One of the most significant advancements in hernia surgery is robotic abdominal wall reconstruction. This minimally invasive technique offers several benefits:

• Enhanced surgical precision
• Reduced hospital stay
• Faster recovery times
• Improved cosmetic results

Centers like the Vanderbilt Hernia Center offer this advanced treatment option, demonstrating their commitment to providing state-of-the-art care for hernia patients.

The Importance of Specialized Hernia Centers

Choosing a specialized hernia center for treatment can offer numerous advantages. These centers typically provide:

• Expertise in all types of hernias
• Access to the latest surgical techniques
• Comprehensive care from diagnosis to recovery
• Participation in research and quality improvement initiatives

For example, the Vanderbilt Hernia Center is part of the American Hernia Society Quality Collaborative, a national network dedicated to improving hernia repair and prevention. This involvement ensures that patients benefit from the latest advancements in hernia care.

Benefits of a Multidisciplinary Approach

Specialized hernia centers often employ a multidisciplinary approach to patient care. This collaborative model brings together various specialists to provide comprehensive treatment. The benefits of this approach include:

• More accurate diagnoses
• Personalized treatment plans
• Improved surgical outcomes
• Reduced risk of hernia recurrence

By working together, these specialists can address all aspects of a patient’s hernia, from the initial repair to long-term prevention strategies.

Diagnosis and Treatment Planning for Hernias

Proper diagnosis and treatment planning are crucial for successful hernia management. The process typically involves:

1. Physical examination
2. Medical history review
3. Imaging studies (e.g., ultrasound, CT scan)
4. Assessment of hernia size and location
5. Evaluation of patient’s overall health

Based on these factors, the medical team develops a personalized treatment plan. This may include watchful waiting for small, asymptomatic hernias or surgical intervention for larger or symptomatic hernias.

Non-Surgical Management of Hernias

While surgery is often the definitive treatment for hernias, some cases may be managed non-surgically. Non-surgical approaches may include:

• Lifestyle modifications
• Weight management
• Use of supportive devices (e.g., trusses)
• Pain management techniques

Specialized hernia centers can provide guidance on these non-surgical options and monitor patients to ensure the hernia does not worsen over time.

Recovery and Follow-up Care After Hernia Surgery

Proper recovery and follow-up care are essential for successful outcomes after hernia surgery. The recovery process typically involves:

1. Pain management
2. Gradual return to normal activities
3. Wound care and monitoring
4. Follow-up appointments with the surgical team

Specialized hernia centers often provide comprehensive post-operative care, including access to pain management specialists and rehabilitation services if needed.

Long-Term Hernia Prevention Strategies

After successful hernia repair, patients can take steps to reduce the risk of recurrence. Long-term prevention strategies may include:

• Maintaining a healthy weight
• Avoiding heavy lifting
• Quitting smoking
• Treating chronic cough or constipation
• Engaging in core-strengthening exercises

Specialized hernia centers can provide guidance on these prevention strategies, helping patients maintain their surgical results over the long term.

Research and Innovation in Hernia Care

Ongoing research and innovation play a crucial role in advancing hernia care. Specialized centers often participate in clinical trials and research initiatives aimed at improving surgical techniques, developing new materials for hernia repair, and enhancing patient outcomes.

For example, the Lichtenstein Hernia Institute at UCLA Health is dedicated exclusively to hernia surgery, research, and teaching. This focus on research and innovation ensures that patients have access to the most advanced and effective treatments available.

Emerging Technologies in Hernia Repair

Several emerging technologies show promise in improving hernia repair outcomes:

• 3D-printed mesh implants
• Bioengineered tissue for hernia repair
• Advanced imaging techniques for surgical planning
• Artificial intelligence for predicting surgical outcomes

As these technologies continue to develop, they have the potential to revolutionize hernia care, offering more personalized and effective treatment options for patients.

Choosing the Right Hernia Care Provider

Selecting the right healthcare provider for hernia treatment is crucial for achieving optimal outcomes. When choosing a hernia care provider, consider the following factors:

• Expertise and specialization in hernia repair
• Access to advanced surgical techniques
• Multidisciplinary approach to care
• Success rates and patient outcomes
• Participation in research and quality improvement initiatives

Specialized hernia centers, such as the Vanderbilt Hernia Center or the Lichtenstein Hernia Institute at UCLA Health, often meet these criteria, offering patients access to expert care and advanced treatment options.

Questions to Ask Your Hernia Specialist

When consulting with a hernia specialist, consider asking the following questions to ensure you receive the best possible care:

1. What type of hernia do I have, and what are my treatment options?
2. How many hernia surgeries have you performed, and what is your success rate?
3. What surgical technique do you recommend for my specific case?
4. What are the potential risks and complications of the procedure?
5. What can I expect during the recovery process?
6. How can I reduce the risk of hernia recurrence after surgery?

By asking these questions, you can gain a better understanding of your condition and the proposed treatment plan, allowing you to make an informed decision about your hernia care.

In conclusion, hernia treatment has advanced significantly in recent years, with specialized centers offering expert care and cutting-edge surgical techniques. By understanding the types of hernias, the roles of different specialists, and the importance of comprehensive care, patients can make informed decisions about their treatment. Whether opting for advanced surgical procedures or exploring non-surgical management options, the key to successful hernia care lies in choosing a specialized center with a multidisciplinary approach and a commitment to innovation and patient-centered care.

Hernia Center | Vanderbilt Health Nashville, TN

Hernia Center | Vanderbilt Health Nashville, TNSkip to Main ContentSkip to Footer

The Vanderbilt Hernia Center includes specialists who work together to surgically repair all types of hernias. Our team performs a wide range of hernia surgeries, including robotic abdominal wall reconstruction. We personalize treatment to your circumstances. If your hernia does not need surgery, we can refer you to other Vanderbilt specialists who can offer treatment that’s right for you.

Conditions We Treat

We treat all types of hernias, including but not limited to these most common ones:

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  Epigastric hernia (belly)

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  Femoral hernia (upper thigh)

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  Incisional hernia (scar)

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  Umbilical hernia (navel)

Meet Your Care Team

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4. 9

Joel F. BradleyIII, MD

Abdominal Wall Reconstruction, Biliary Disease / Gallbladder, Diaphragmatic Hernias, General Surgery, Hernias (Inguinal, Ventral, Incision), Sports Hernia/Athletic Pubalgia

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4.7

Stephane A. BraunMD

Breast Reconstructive Surgery, Cleft Lip and Palate, Fetal Surgery for Spina Bifida, Microvascular Reconstructive Surgery, Pediatric Plastic Surgery, Plastic Surgery, Plastic and Reconstructive Surgery

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4.8

Joseph BroucekMD

Benign Disease of the Esophagus, Benign Diseases of the Stomach / Duodenum, Gastroesophageal Reflux Disease, General Surgery, Hernias (Inguinal, Ventral, Incision), Minimally Invasive Foregut Surgery

Bradley M. DennisMD, FACS

Biliary Disease / Gallbladder, Complex Ventral / Incisional Hernias of the Abdominal Wall, Emergency General Surgery, General Surgery, Management of Enterocutaneous Fistula, Trauma and Burn Surgery, Trauma and Surgical Critical Care

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4. 8

Meredith C. DukeMD, MBA, FACS

Abdominal Wall Reconstruction, Biliary Disease / Gallbladder, Diaphragmatic Hernias, Gastroesophageal Reflux Disease, General Surgery, Surgical Weight Loss Surgery

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4.9

Kent K. HigdonMD

Aesthetics, Breast Reconstructive Surgery, Cosmetic Plastic Surgery, Hair Restoration Surgery, Plastic Surgery, Plastic and Reconstructive Surgery, Reconstructive Plastic Surgery

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4.8

Lisa M. TruettAPN, MSN, BSN

General Surgery

Why Choose the Hernia Center at Vanderbilt

• Advanced treatment

  We offer laparoscopic robotic abdominal wall reconstruction. This is a major advancement for repairing nearly any type of hernia. It’s a minimally invasive surgery that reduces hospital time.

• Recognized expertise

  We are part of the American Hernia Society Quality Collaborative. This is a national network dedicated to improving hernia repair and prevention. We gain knowledge from and share information with hundreds of doctors around the country.

• A team approach

  Our specialists work together. This helps make sure that your hernia is repaired correctly the first time, preventing a second occurrence.

• Online health portal

  We want to make your experience as seamless and stress-free as possible. You can contact your care team directly by phone or use our secure online portal, My Health at Vanderbilt, to send messages, schedule appointments, manage medications and access your medical records.

Tests, Treatments and Services

We offer a full range of tests, treatments and services, including:

Location

Related Programs and Clinics

• General Surgery

• Osher Center for Integrative Health

• Pain Management

• Reflux/GERD Care

Hernia Care | UCLA Health

Why choose UCLA Health for hernia care?

The Lichtenstein Hernia Institute at UCLA Health is the only facility in the nation devoted exclusively to hernia surgery, research and teaching. A long history of leadership in hernia repair surgery means our expert team offers you accurate diagnoses and effective treatment for all types of hernia.

Highlights of our program include:

Nationally recognized expertise: UCLA Health consistently ranks among the top hospitals in the nation. Our renowned specialists offer world-class hernia care for you or your child.

Personalized care: You and your care team decide on a treatment plan together. Our experienced surgeons tailor their approach to your needs to ensure the best possible outcome. By individualizing your care, we maximize treatment success.

Gold-standard treatment: Our hernia experts developed and popularized a revolutionary surgical procedure to treat hernias: the “tension-free” mesh technique. Now used worldwide, it’s considered the gold standard in the field. Our surgeons expertly perform this technique, creating a strong and permanent hernia repair.

Chronic (long-term) pain expertise: We use precise surgical techniques to minimize your risk of persistent pain after hernia repair. Our team specializes in training and educating other physicians on the best practices for preventing and reducing pain. We can help, even if you’ve had hernia surgery elsewhere and still experience chronic pain.

What is a hernia?

A hernia occurs when an organ or other tissue pushes through the muscle that surrounds it, often creating a bulge. The muscle may have a hole or be weakened from strenuous activity or a medical problem.

Hernia services

We offer complete hernia care for infants, children and adults at the Lichtenstein Amid Hernia Clinic . You can rely on our team for:

Multispecialty care: Our team works together with expert gastroenterologists (digestive-tract specialists), radiologists (imaging specialists) and pulmonologists (lung and respiratory-system specialists) to provide you with comprehensive treatment.

Hernia diagnosis: We confirm the presence of a hernia during a physical exam and use imaging tests analyzed by our expert radiologists. You may receive imaging tests such as a CT scan, MRI or ultrasound of your abdominal area.

Hernia repair: We specialize in safe, minimally invasive and robot-assisted surgical procedures to fix hernias. These procedures typically result in fewer incisions and a faster recovery.

Emergency hernia surgery: In life-threatening situations, our experienced surgeons perform emergency hernia repairs. We quickly address hernias with severe symptoms and hernias at risk of strangulation (loss of blood supply).

Chronic pain management: You may experience continued pain after hernia surgery for a variety of reasons. Our interventional pain specialists have specific expertise in the prevention and management of chronic pain after hernias. Eligible patients have access to clinical trials designed to identify causes of pain after hernia surgery and offer effective treatments.

Types of hernias we treat

We treat rare and common hernias ranging from mild to severe. Our patients most commonly have:

• Femoral hernias (in the groin and thigh)
• Hiatal hernias (in the chest)
• Inguinal hernias (in the groin)
• Umbilical hernias (near the belly button)

Hernia treatments we offer

Some hernias may not cause symptoms or pose a health risk to you. In this case, our team closely monitors the hernia over time. If the hernia grows or causes symptoms, you and your care team can discuss treatment options.

For hernias that limit your activity, cause symptoms or place you at risk for complications, we provide successful therapies. We offer comprehensive hernia treatment, including medication, surgery and pain management after surgery.

Hiatal hernia treatment

For hiatal hernias, unlike other types, your health care team usually tries a nonsurgical approach first using medication. If medication fails to help, or if you experience complications from a hiatal hernia, you may need surgery.

We aim to relieve your symptoms and prevent complications using medications that control reflux (when acid flows back) and related symptoms. These medications work to:

• Decrease acid production
• Neutralize stomach acidity
• Strengthen the muscle that opens and closes to block stomach acid from coming up into the esophagus (the tube from your mouth to your stomach)

Hernia surgery

Surgery is the only treatment that permanently repairs a hernia. In most cases, you go home the same day as your surgery.

Our team uses their extensive surgical experience and expertise to treat all types of hernias. We perform hernia surgery in state-of-the-art operating rooms at UCLA Health that allow for advanced and collaborative procedures.

We specialize in:

Open and laparoscopic procedures: An open surgery uses one large incision to repair the hernia. Laparoscopic surgery is a minimally invasive technique that uses three small incisions. Laparoscopic surgery typically results in less scarring and pain, reduced risk of infection and faster recovery than open surgery.

Robot-assisted surgery: With this technique, your surgeon controls the arm of a surgical robot from a control panel. The robotic system smoothly reproduces your surgeon’s movements with greater precision. It also shows your surgeon three-dimensional images during the procedure. We use robot-assisted surgery to repair both mild and complex hernias, and to rebuild the abdominal wall.

Careful nerve handling: To avoid nerve damage, we expertly identify and work around all the nerves that send signals from your central nervous system (brain and spinal cord) to your body. Our careful attention to your surgical plan significantly reduces your risk of experiencing chronic pain after hernia repair.

Lichtenstein tension-free hernia repair

Surgeons at the Lichtenstein Hernia Institute pioneered the tension-free mesh method. We cover the opening of the hernia with a patch of surgical mesh instead of sewing the muscle back together.

This thin and flexible mesh acts as a bridge for new tissue to grow and reinforces broken or weakened muscle. Within two-to-three weeks, the mesh safely becomes part of your muscle tissue, creating a strong and permanent repair with a low risk of pain over time.

Pain after hernia surgery

Nerve injury, nerve entrapment (compression) or a reaction to surgical mesh may cause severe pain after hernia surgery. Our specialists tailor treatment to your specific needs using a thorough and methodical approach.

We use conservative, nonsurgical treatments for pain when possible. If your condition is severe, our surgeons specialize in procedures for complex causes of pain.

We offer a specialized clinical program to treat this complex and challenging problem. Our team has extensively researched chronic pain after hernia surgery and continues to improve therapies for patients.

Meet our team

Our internationally recognized experts deliver compassionate and effective hernia care. We lead the field, offering advanced surgical techniques and relieving chronic pain after surgery.

Which doctor treats a hernia of the spine?

• Spinal treatment

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• Articles

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• Manual therapy

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• Which doctor treats spinal hernia?

The human musculoskeletal system is the most complex mechanism in which all departments interact with each other. At the same time, they are supported by the spine – the main part of the entire apparatus. It is not surprising that the greatest burden falls on him. And there is also no doubt that a hernia, the most common back problem, occurs in most cases in people of working age.

Patients of this age category, not wanting to be out of work for a long time, often try to solve their problems without the participation of a doctor. In the meantime, the spinal hernia is progressing, and it becomes quite probable that a scenario in which a once healthy person becomes bedridden. But you can avoid an unfavorable outcome, just by contacting qualified doctors in a timely manner. Do not put off a visit to a specialist, take care of yourself and your health.

04/15/19

FREE DOCTOR CONSULTATION

By phone
In the medical center

The first symptoms of this formidable disease do not always attract attention. Doctors usually diagnose a hernia by several main signs and complaints:

• numbness in the limbs, fingers or toes;
• severe prolonged pain at the site of the hernia, or radiating to the gluteal muscle or other area.

An experienced doctor can easily distinguish between pathological changes in the spine by questioning the patient and after palpation of problem areas. Just a few years ago, people had to treat a hernia by neurologists – already busy medical workers. If the patient has acute pain, then long queues in clinics and the absence of specialized doctors will most likely frighten the patient away and force him to sit and self-medicate at home.

Modern medical centers are a real salvation for people suffering from vertebral hernia. In such a clinic, anyone has the opportunity to:

• make an appointment in advance, avoiding a long wait under the office;
• comprehensively examine your body using the best equipment;
• if desired, entrust the treatment of a hernia to the chief doctor, head of the department or specialist vertebrologist ;
• during the desired period to be observed for prevention purposes.

There are situations when a hernia is discovered as a result of an examination of a patient who applied for other reasons. This is why it is extremely important to trust vertebrologist – a professional in the detection of dystrophic processes in the back.

If a hernia of the spine is treated by such a specialist, then you can count on the fact that it will be a consultation of an orthopedist, a surgeon, and a neurologist all rolled into one.

A.G. Medical Center Gritsenko gathered in the ranks of his employees the most qualified people in this field. For the treatment of hernia, we use conservative methods that have been developed and successfully used in many similar cases. You are not alone in your problem, so do not waste your precious time – contact us and we will definitely help!

FREE DOCTOR CONSULTATION

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Microsurgical operations to remove herniated discs in all parts of the spine

HomeServicesNeurosurgeryMicrosurgical operations to remove herniated discs in all parts of the spine

The vast majority of the adult population periodically experiences pain in the spine. In severe forms of osteochondrosis, compression of one or more roots of the spinal nerves by a disc herniation develops. In this case, the patient develops pain in a “stripe” throughout the arm or leg, sensitivity is impaired, and strength in certain muscles may decrease. Initially, conservative treatment is carried out by a neurologist. If treatment is ineffective within 1-2 months, surgical treatment is indicated – removal of a herniated disc. It is urgently necessary to do an operation with the development of gross weakness in the limbs and impaired urination.

All over the world and in our clinic, the following methods of removing herniated discs are used:

1. Microsurgical discectomy

2. Endoscopic discectomy

3. Removal of herniated discs from the ventral anterior-lateral approach with subsequent fixation of the vertebrae with an implant.

Microsurgical discectomy – the operation is performed from the back through a small incision. Under the operating microscope, the disc herniation is removed and the compressed root is released. Then the wound is sutured.

Clinical example of an extraforaminal hernia at the L4-5 level on the right.

MRI – control after microsurgical discectomy – the hernia was removed, the roots were released from compression.

Endoscopic discectomy (Easy Go technique) – the operation is also performed from the back. The skin incision is somewhat smaller, the muscles are not dissected, but moved apart by special dilators. A special tube with an endoscope is installed and the disc herniation is removed. There are no fundamental differences in the removal of a herniated disc between the microsurgical and endoscopic methods. Postoperative management is similar. But endoscopy is less traumatic for soft tissues and muscles, it allows you to more fully examine the area of ​​​​the disc, root and dural sac (“look around the corner”).

After the operation, the patient is allowed to walk on the same or the next day, a semi-rigid corset is used for about a month. Bending forward, straining, lifting weights up to a month from the day of surgery are limited. Disability for non-physical workers is about a month, physical about 2 months.

Removal of herniated discs from the ventral anterior-lateral approach with subsequent fixation of the vertebrae with an implant – the operation is performed from the side of the abdomen. After a skin incision of 5–7 cm, retroperitoneal access to the vertebral bodies is performed. Completely removed disc and disc herniation. An implant is placed and the wound is sutured. Activation of the patient the next day, wearing a corset for about 2 months. Terms of disability from 3 to 6 months.

Foraminal disc herniation L5 – S1 before surgery.

MRI – control after removal of a herniated disc and spinal fusion with a porous titanium nickelide implant.

The advantage of these operations is radicalness – the disc is completely removed, there are no relapses, instability, less cicatricial adhesions in the spinal canal.

When removing a hernia of the cervical region, the incision is made along the front surface of the neck. The disc is removed, the disc herniation, the roots and the spinal cord are released from compression. The operation ends with the installation of the implant. After the operation, the patient is allowed to walk on the same or the next day, a semi-rigid corset is used for about a month. The period of disability is about 2-3 months.

Cost of services

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Neurosurgeon consultations

• Consultation of a neurosurgeon, initial appointment

  1500 rub.

• Consultation of a neurosurgeon, repeated appointment

  1500 rub.

• Consultation of a neurosurgeon, candidate of medical sciences, initial appointment

  2000 rub.

• Consultation of a neurosurgeon, candidate of medical sciences, repeated appointment

  2000 rub.

Surgical interventions

• Percutaneous vertebroplasty

  75000 rub.

• Nerve suturing using microsurgical technique

  45000 rub.

• Spinal fusion with NiTi implant

  96000 rub.

• Accipitospondylodesis with the “Vertex” system

  450000 rub.

• Decompressive laminectomy for spinal stenosis

  80000 rub.

• Decompressive laminectomy for Arnold Chiari anomaly

  85000 rub.

• Interbody fusion by posterior approach using cages

  1

  rub.

• Nerve transposition

  40000 rub.

• Removal of a herniated disc of the thoracic spine using microsurgical techniques

  98000 rub.

• Transpedicular fusion 4-screw

  1

  rub.

• Removal of disc herniation by posterior approach with reconstruction of the lateral divisions of the radicular canal

  75000 rub.

• Lumbar disc herniation anterior access and spinal fusion with NITI implant

  95000 rub.

• Microsurgical removal of a neoplasm of the spinal cord

  102000 rub.

• Removal of a spinal tumor with stabilization by a transpedicular system

  196000 rub.

• Osteosynthesis of a fracture of the odontoid process of C2 vertebra

  98000 rub.

• Anterior interbody fusion at the cervical level using porous NITI implants and a plate

  99000 rub.

• Anterior interbody fusion at the cervical level using porous NITI implants

  82000 rub.

• Decompression of the vertebral arteries in the bone canal of the transverse processes at the level of unco-vertebral growths

  78000 rub.

• Interbody fusion for spondylolisthesis with NITI implant

  96000 rub.

• Interbody fusion using the Obelisc implant

  300000 rub.

• Interbody fusion using the ADD plus implant

  280000 rub.

• Removal of a spinal tumor with porous metal stabilization and the “Vantage” system

  300000 rub.

• Cervical or lumbar osteochondrosis – examination and conservative treatment in addition to the CHI program

  20000 rub.

• Transcutaneous transpedicular fusion using the “Sextant” or “Longitude” system

  230000 rub.

• Spinal stabilization with M6 disc prosthesis (cervical)

  3

  rub.

• Spinal stabilization with M6 disc prosthesis (lumbar)

  450000 rub.

• Stabilization of the spine with the Legacy-8 system and hook

  340000 rub.

• Cranioplasty with titanium plates

  150000 rub.