Treatment Options

Each patient is guaranteed a comprehensive evaluation, an individualized treatment plan, and after surgery care performed by our hernia specialist Dr. Gergis Ghobrial. 

Hernias do not get better on their own.  Without treatment, they may stay the same or more commonly get bigger.  In some cases, they can lead to life-threatening complications.  For this reason, Dr. Ghobrial often recommends surgery; but not every hernia needs urgent treatment.  It depends on the size and symptoms of the hernia and the medical condition of the patient.  Our surgeon may recommend one of the following:

1. Watchful Waiting:  For small inguinal hernia with little or no symptoms, this option is usually considered in patients with severe illness that renders them high risk for surgery.  We do not recommend this options for healthy patients.

2. Robotic-assisted laparoscopic repair with mesh:  Uncomplicated inguinal, umbilical and ventral hernias are repaired by robotic-assisted laparoscopy through three small keyhole incisions.  The hernia defect is closed by suture and reinforced by surgical mesh to reduce the risk of recurrence.  All precautions are taken to lessen the risks of complications related to the mesh. In addition to antibiotics, the mesh is handled by no touch technique to prevent infection and is covered by the peritoneum (the lining of the abdomen) to isolate it from the intestine.  This operation is usually performed under general anesthesia.  The patient is sent home 1-2 hours after surgery and encouraged to resume a regular diet and routine daily activities in 1-2 days.

3. Open repair:  When hernias are left untreated for a long time they may grow to a very large size.  These hernias often contain a significant portion of small bowel, omentum and/or colon in addition to adhesions.  The hernia defect is very large that can't be closed with suture and requires abdominal wall reconstruction, a procedure known as components separation.  To be able to replace the hernia content back into the abdomen and adequately repair the hernia,  Dr. Ghobrial often recommends the open repair.

 "We pride ourselves in providing exceptional care through a strong partnership with our patients."

Informed Consent

We strongly believe in empowering our patients with the required knowledge to make an informed decision and to follow recommended instructions.  We dedicate one office visit for an informed consent during which all treatment options are discussed with emphasis on the type of hernia, the size of hernia, treatment options and patient's medical, surgical, social and work history.  We also discuss before and after surgery care.

You will be provided with the following information:

The type of hernia you have

Treatment options recommend for your hernia

Alternative non-surgical and surgical treatment options

Factors you should consider in the decision to have surgery or to wait

Why we recommend a particular treatment option over another

Risks and side effects of the recommended treatment

Our experience with the recommended surgery

Anticipated outcome

Options for anesthesia

If surgery requires a hospital stay

Medications you should stop taking before your operation and medications you may take the day of your operation

Things you should do to prepare for your operation

How long will the surgery take

How will you feel after surgery

The need for pain medication

How much time you should allow for recovery

What kind of incision you will have

What is the chance your hernia will recur

If your medical insurance will cover all of our charges

How you should care for the incision after surgery

When should you see your surgeon for follow-up care after surgery

What should you watch out for after your operation and when do you need to call our office

When will you be able to shower, drive, return to your normal activities and to work