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How is a Hernia Repaired?

Why Robotic Hernia Surgery?

da Vinci Robotic
There are many treatment options for a hernia repair: open surgery, laparoscopic, robotic, or hybrid. Despite the technological advances, many surgeons are still performing hernia repair using the traditional open surgery, leaving a substantial incision.

“I will always strive to provide patients a hernia treatment that is tailored to them and delivered in the least invasive way possible”.

Why is robotic surgery better?

Da Vinci Robotic Surgery is the upgrade of laparoscopy. The advantage of this robotic repair is its technology- by using a 3D camera that provides superior imaging of the tissues and the use of specialized instruments that rotate and articulate, Surgeons have MORE precise and efficient action. But, remember is the surgeon, not the robot, that is in full control of your repair.
Dr. Arevalo is applying robotic technology to large hernias that were not able to perform laparoscopically. Patients experience less discomfort, less pain, and recover faster with a quicker return to their activities because robotic hernia repair is much kinder on the body.

Hernia Mesh Surgery

Hernia repair
Hernia mesh is a medical device that provides support to damaged tissue around hernias. By making educated choices, we do hernia repairs with mesh to provide a more durable hernia repair and lower the risk of a hernia coming back.

There are different types of hernia mesh available in the US market, and keep in mind that hernia repair with mesh is individualized, one size doesn't fit all.

We only use the best hernia mesh for every patient to tend their needs. We use monofilament mesh or bioabsorbable mesh, which is fully resorbable and disappears with time. It provides strength and avoids the long term permanence of a mesh.

Monofilament mesh, more BIOCOMPATIBLE
FULLY RESORBABLE MESH
Non Mesh repair are available for small umbilical and inguinal hernias.

Hernia Surgery Complication

Despite numerous technological advances and increased awareness, complications after hernia repair remain common. Managing these complications is an essential skill of a hernia Surgeon.

Dr. Arevalo is a fellowship certified hernia specialist in Houston that takes care of many complicated, high-risk patients that have had multiple hernia repairs, and some are in pretty bad condition. By applying novel management strategies, Dr. Arevalo is repairing these complicated hernias.

Our ‘’prehabilitation’’ strategy for hernia repairs focuses on reducing your specific risk factors before surgery and tailor your hernia repair according to your condition and risk factors.

Common hernia surgery complications include:

  • Recurrent incisional hernia. Multiple failed hernia repairs. 
  • Mesh-related complications. These include: mesh infection, mesh fracture leading to hernia recurrence, bowel obstructions, and mesh-related pain from a wrinkle mesh or mesh folding on its own casing, a ‘’Meshoma”. For these conditions is considered doing a mesh removal.
  • Mesh removal is performed open, laparoscopically, or robotically-assisted, depending on the patient characteristics.
Hernia repair complications
contracted and fractured mesh
Postoperative hernia repair pain: Patients receive a local anesthetic at the hernia site before the hernia surgery to have less pain after their surgery.

Houston has many oil and gas field workers and also serves a primary Airport hub. My patients have been able to fly the day after their surgery or even deployed to offshore with minimal to no pain.

More about Hernias

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