Procedures

At the North Suburban Hernia Center, we individualize the procedure to the patient's needs. Most hernias are repaired safely as an out-patient or same day surgery. Occasionally patients may be observed overnight, but this is usually based on age or other medical conditions. Most patients can be safely sent home the same day.

Inguinal, or groin hernias, are repaired with a tension-free mesh repair. Use of mesh is standard in virtually all groin hernias. We employ both the open tension-free and laparoscopic techniques. Patient selection is the key to successful surgery. We take great care to determine the best technique for each individual to ensure the best chance for success with the least chance of recurrence. Patient age and body habitus, size and chronicity of the hernia, recurrence or incarceration, as well as other medical conditions are just some of the factors we consider and discuss before determining what is the best approach.

Umbilical, or bellybutton, hernias may be repaired primarily (without mesh) if they are small. As they increase in size, the chance for recurrence also increases and mesh is often used to strengthen the repair.

Incisional or ventral hernias usually require a mesh repair. Some can be done with a laparoscopic repair and others require an open technique. Again, we are capable of both approaches at the North Suburban Hernia Center and will use many of the criteria listed above to help decide which technique is most likely to result in a successful outcome. These can often be quite challenging and carry a high rate of recurrence. We have additional training and experience in the most advanced technique of component separation. The component separation technique is only used in very complex or recurrent hernias and should only be performed by surgeons with additional training in this repair.

The tension-free mesh repair allows us the ability to further individualize the procedure to the patient. We employ various types of synthetic mesh, including the most advanced light-weight mesh, along with our varied placement techniques. The mesh acts as a scaffold to allow new tissue ingrowth to strengthen the repair. You cannot feel the mesh as it is placed deep in the tissues but it acts as a flexible support to the weak or thinned tissue. Occasionally, we may need to place a biologic mesh rather than a synthetic mesh. These are natural products which have been processed in a manner that allows the patient's body to replace them with their own tissue. These are typically used when there is a greater chance of infection. All of these options are available to our patients at the North Suburban Hernia Center.