Hernia Surgery in Louisiana
Inguinal Hernia Repair
The repair of inguinal hernia is the most common hernia repair procedure in the world, and the most frequently performed surgical procedure among general surgeons. Unfortunately, most general surgeons in the US and around the world have not embraced the latest and most effective techniques for hernia surgery. At the Hernia Institute of Louisiana, we are dedicated to changing that, and are actively engaged in surgeon education in hopes of improving the quality of outcomes for patients not only in our region, but also across the country and worldwide. You can read about our commitment to surgeon education elsewhere on our site by clicking here.
Methods for the repair of inguinal hernias have evolved over the last 20 years more so than in the previous 100 years. As a result of this evolution of thought, there are numerous new techniques and mesh devices designed to provide reconstructive opportunities for surgeons and patients. Dr. Treen has evaluated each of these techniques and devices, and has concluded that in the vast majority of cases, the most consistently reliable technique is the use of the Prolene Hernia System and the UltraPro Hernia System. Published results of the effectiveness of these techniques indicate that their reliability and durability is unsurpassed, the incidence of post operative pain is the lowest, and patient satisfaction is among the highest. Skin Closure for most all hernia repairs is completed with DermaBond topical skin adhesive, which eliminates the need for bulky gauze dressings, and allows patients to bathe or shower within hours of their surgery.
These procedures are nearly always performed as an outpatient, under general or local anesthesia, and typically require about 45 minutes to complete. Most patients are discharged from our facilities within 1-2 hours following their surgery. In general, follow up visits are prearranged in our clinic in 1-2 weeks. Most patients are able to return to work at that time, or shortly thereafter.
Since 1999, and after several thousand inguinal hernia repairs using these techniques, not a single patient has returned with a recurrence of their hernia. As a consequence of this outstanding performance with these methods, we offer a 100% guarantee of our repair.
If your inguinal hernia repair fails, regardless of your age, weight, or occupation, provided you are not on chronic corticosteroid treatment, we will provide a second repair without cost to you or your insurance company.
Femoral Hernia Repair
This is actually a type of groin hernia very similar to an inguinal hernia. Unlike inguinal hernias, femoral hernias occur more commonly in women, and usually in older women. The repair of these hernias is essentially identical to that of inguinal hernias.
Umbilical hernias can be the result of a congenital weakness, a pre-existing dilatation of the natural umbilical ring, occupational stress, obesity, collagen deficiency, or previous surgery in the area of the umbilicus. Certain lifestyle choices can contribute to the development of an umbilical hernia as well, such as smoking and over eating. The vast majority of umbilical hernias are limited in size, and are therefore repairable with a simple mesh patch device, the Proceed Ventral Patch. This device is constructed mostly of absorbable components, a permanent lightweight mesh foundation, and features attributes which make repair with this device simple, fast, and most importantly highly reliable with minimal residual scar tissue.
Umbilical hernia repairs are usually performed as an outpatient, requiring about 30 minutes to complete. General or spinal anesthesia is the most common choice in these procedures.
Patients are free to return to normal leisure and work activities as soon as the minimal postoperative discomfort dissipates. This can be in as little as a few days.
Patients who suffer from chronic heartburn or gastroesophageal reflux disease (GERD) may have a condition called hiatal hernia. This is a dilatation of the normally occurring teardrop shaped opening in the diaphragm through which the esophagus passes from the chest into the abdomen to reach the stomach. The degree of dilatation and the resultant herniation of stomach through the dilatation are variable, as are the symptoms and treatment required. Patients who are unsuccessful in controlling symptoms with lifestyle changes and/or medications may be candidates for surgical correction of the hernia. Studies have shown that hiatal hernia repairs without the use of mesh can have a recurrence rate of 25-30% despite the fact that most of these recurrences are not associated with return of symptoms. Synthetic mesh products for use in this setting have been fraught with complications, however, due to scar formation around theesophagus, leading in some cases to erosion of mesh into the esophagus. Recent data suggests that the use of biologic mesh for these repairs is much better tolerated and carries much reduced risks of significant complications.
The repair of a hiatal hernia is performed laparoscopically, under general anesthesia, and usually requires only an overnight stay in the hospital. Patients are able to return to normal activities and work in 5-10 days.
Transoral Incisionless Fundoplication (TIF)
For many patients suffering from heartburn with a small hiatal hernia, or even without evidence of a hiatal hernia, a new procedure has demonstrated remarkably good results with an operation which requires NO INCISIONS AT ALL. The Transoral Incisionless Fundoplication (TIF) procedure is performed in the operating room, under general anesthesia, through the mouth with the aid of a standard endoscope. The procedure takes about an hour, can be done as an outpatient, and has been shown to eliminate the need for anti heartburn medications in up to 97% of patients. Patients may require preoperative endoscopy and radiographic studies to determine if they are candidates for this procedure. Individuals with moderate to large hiatal hernias require the traditional laparoscopic surgical repair.