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Bruce E. Freedman, M.D., F.A.C.S.
Breast Surgery
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Hernia Surgery

The term"hernia" refers to a 'hole'. They can be in various locations of the abdomen (ventral hernia),the groin(inguinal or femoral), or at previous surgical sites.

The risk of any hernia  regardless of location is incarceration or strangulation. That implies something from within the abdominal cavity has gone through the hole and has gotten stuck. This can then choke off the blood supply to whatever has gotten through the defect. Whether or not a patient decides to have surgery for a hernia, at least in part, should be dependent upon symptoms. Pain in the site of the bulge or intermittent nausea are the most common symptoms.

All hernias,when repaired, should be reinforced with some type of mesh. Most mesh materials are synthetic; they work very well in incorporating your tissue with them. However, there are situations where synthetic meshes cannot be used. Containdications for synthetic meshes are active infections, contaminated cases (ie. bowel perforations), or certain previous infections due to the high risk of infecting the new mesh. For these patients, biologic materials can be used. These are primarily porcine dermis products ('pig skin'). These products will not prevent an infection from occuring, but if one occurs, most of the time these products will not have to be removed.

No one technique is ideal for all patients. Some repairs can be done laparoscopicaly, others can not. A thorough discussion with you surgeon is extremely important regarding your lifestyle, activity level, and overall risk factors(obesity, smoking, COPD, and the number of previous repairs).

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