Dr. Averbach and Dr. Hamdallah offers the most advanced, minimally invasive approach to surgically treat a variety of primary abdominal wall hernias (ventral, umbilical, inguinal or groin hernia) with laparoscopic procedures in Baltimore, Maryland. A hernia is the protrusion of tissue or part of an organ through the bone, muscular tissue, or the membrane by which it is normally contained. Hernias can be classified as internal or external and as abdominal or thoracic.
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 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 abdominal wall is more visible than with open surgery. Laparoscopic technology also allows detection of obscured multiple hernias, and allows for shorter post-surgery recovery.
Laparoscopic hernia repair in Baltimore, Maryland 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 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 lowest risk of recurrence and complications.
The difference between 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 410-368-8725.
In general, recovery time for umbilical hernia surgery is short. Most patients are able to return to work within 2-3 days. This depends on the kind of work you do, however: physical exertion should be avoided for 1-2 weeks and heavy lifting and strenuous exercise should be held off for 4-6 weeks.
Yes, umbilical hernia surgery is done under general anesthesia. The procedure itself is a short one that doesn’t require much time under the knife. Many patients are able to return home either the same day or the day after surgery.
After getting umbilical hernia surgery, you can expect to either be discharged within a matter of hours or stay overnight in the hospital. You’ll be given some pain medication to help you recover. You’ll be back to work within a matter of days, if not a week. We recommend taking it easy for a few weeks.
"*" indicates required fields
For more than 150 years, Ascension Saint Agnes Hospital has been dedicated to the art of healing by providing exceptional care to the greater Baltimore area. Built on a strong foundation of excellent medical care and compassion, Ascension Saint Agnes is committed to providing the best care for our patients for many years to come.