Laparoscopic Primary / Incisional Umbilical Hernia Surgery Baltimore, Maryland

Abdominal wall hernias can occur spontaneously (presumably from congenital defects) or after surgery. When they occur after surgery, they are called incisional hernias, which can range from small to extremely large defects. Some defects are so large that their contents are irreducible, owing to an abdominal wall that is chronically injured and reduced. This is referred to as “loss of domain.”

Laparoscopic surgery allows more controlled repair of the hernia because a defect in a strong layer of the abdominal wall is more visible than with open surgery. Laparoscopic technology also allows for the detection of obscured multiple hernias and shorter post-surgery recovery.

Hernia surgery is a medical procedure designed to repair a hernia, which occurs when tissue or part of an organ pushes through a weakened area in the abdominal wall. The primary goal of hernia surgery is to restore the integrity of the abdominal wall, alleviate symptoms, and prevent potential complications. There are several types of hernia surgery, including open surgery, laparoscopic surgery, and robotic surgery. The choice of surgical technique depends on the type and severity of the hernia, as well as the patient’s overall health. Laparoscopic and robotic surgeries are often preferred for their minimally invasive nature, which typically results in shorter recovery times and less postoperative pain.

Laparoscopic hernia repair involves the placement of a mesh inside the abdomen without abdominal wall reconstruction. The mesh is fixed with sutures, staples, or tacks. The recurrence rate of the laparoscopic repair is reported as equal to or less than that done with the open approach.

Incisional hernia repair is considered a challenging procedure, especially in recurrent hernias, in which the chances of failure increase with each surgical attempt.

As far as ventral incisional hernia is concerned, a laparoscopic approach is considered far superior to open repair and is associated with the lowest risk of recurrence and complications.

The difference between the open and laparoscopic approach is the access and exposure of the defect. In the open procedure, the abdominal wall is incised over the defect. The disruption of surrounding tissue can lead to devascularization. When large incisions are performed, a higher incidence of seromas, hematomas, and wound infections has been reported.

Serving cities such as Frederick and Columbia and the counties of Lancaster and Anne Arundel, Maryland, hernia repair specialists Dr. Andrew Averbach and  Dr. Isam Hamdallah are highly trained in the use of laparoscopic technology technology. Please request an appointment online with Dr. Averbach or Dr. Hamdallah or call their office at (667) 234-8725.

Our Comprehensive Hernia Center is dedicated to providing the highest level of care for patients with hernias. Our team of experienced surgeons and medical professionals utilizes the latest surgical techniques and technology to ensure the best possible outcomes. We offer a range of treatment options, including minimally invasive and robotic surgery, and work closely with each patient to develop a personalized treatment plan. Our goal is to provide safe, effective, and compassionate care to each and every patient, ensuring a smooth recovery and a return to normal activities as quickly as possible.