Hernia Surgery

About

The Oregon Clinic - Hernia Surgery specialty provides advanced hernia care solutions with emphasis on quick recovery and aggressive pain control. 

Nearly 5 million people in the U.S. are living with an abdominal wall hernia. Many people still believe that hernia repair involves difficult and invasive surgery that requires an overnight hospital stay and a painful recovery that can last for weeks or even months. However, new treatment options exist today that can make hernia repair faster and more effective. With today's advanced treatment options, many hernias can often be repaired in less than an hour. Patients typically go home the same day.

During your consultation, our surgeons will discuss what treatment options and possible repair techniques are best suited for your specific needs. We use the most advanced procedures available and believe in an active pain management plan to reduce the amount of discomfort involved in your hernia repair.

 

We are currently welcoming new patients. Please see our list of office locations to the right to find the location closest to you.

Once selecting a location, you can either call to schedule an appointment or click on a provider of your choice and request an appointment online.

Log into your online portal, MyHealth Connection, to request an appointment online, retrieve your medical records, request prescription refills, and communicate with your office.

If you don't have a log in, you can click on your office location to the right, and call or click on your provider to request an appointment.

Please visit the office location page of your physician to print check-in forms, procedure instructions, medical history forms, and other helpful information.

To refer a patient to our practice, please visit the Office Location page of your choice to conveniently submit your referral online or call us at the number listed.

Team

Areas of Focus:
Colorectal Cancer, Gall Bladder, Hernia Repair, Thyroid
Areas of Focus:
Barrett's Esophagus and Esophageal Cancer, Endoscopic Resection and Ablation of Esophageal Cancer, Esophageal Motility Disorders & Achalasia, Esophagectomy (Vagal Sparing, En Bloc & Minimally Invasive), Gastric Cancer, Gastroesophageal Reflux Disease (GERD), Minimally Invasive and Robotic Surgery of the esophagus and stomach
Areas of Focus:
Burn Surgery, Cholecystectomy (Gallbladder Removal Surgery), Colon and Small Bowel Surgery, Hernia Surgery, Minimally Invasive Surgery, Pilonidal Disease, Skin, Soft Tissue, and Wounds, Venous Access
Areas of Focus:
Acute Care Surgery, Hernia Surgery, Minimally Invasive and Open Repairs, Treatment of Breast Disease including Cancer, Surgical Treatment of Skin and Soft Tissue Disorders including Cancers, Melanoma Surgery, Minially Invasive Adrenal, Spleen, Gallbladder and Gastointestinal Surgery
Areas of Focus:
Advanced Laparoscopy, Gastrointestinal Surgery, Hernia Repair, Surgical Oncology, Venous Disease
Areas of Focus:
Gall Bladder and Bile Duct Surgery, Liver Resections and Ablations, Minimally Invasive Adrenal Surgery, Minimally invasive hernia repairs, Minimally Invasive Spleen Surgery, Minimally invasive surgery (including laparoscopic and robotic procedures), Pancreatic Resections (including Whipple procedures), Treatment of liver cancer, pancreatic cancer, and bile duct cancer
Areas of Focus:
Liver and Pancreas Surgery, Minimally Invasive Gastrointestinal Surgery, Adrenal Surgery
Areas of Focus:
Thyroid & Parathyroid Surgery, Gallbladder Surgery, Gastrointestinal Surgery, Minimally Invasive Adrenal Surgery, Minimally Invasive Hernia Surgery, Minimally Invasive Spleen Surgery, Varicose Vein Treatment, Venous Access
Areas of Focus:
Cholecystectomy (Gallbladder Removal Surgery), Gastrointestinal Surgery, Hernia Repair, Burn Management, Complex Wound Management, Minimally Invasive Surgery
Areas of Focus:
Breast Disease, Burn and Wound Care, Colonoscopy, Complex Hernias, Contracture Release, General Surgery, Cholecystectomy (Gallbladder Removal Surgery)
Areas of Focus:
Esophagectomy (Vagal Sparing, En Bloc & Minimally Invasive), Inguinal Hernia Repairs, Laparoscopic Adrenal Surgery, Laparoscopic Hernia Surgery, Minimally Invasive and Robotic Surgery of the esophagus and stomach, Minimally Invasive Gastrointestinal Surgery
Areas of Focus:
Breast Disease, General Surgery, Venous Disease
Areas of Focus:
Acute Care Surgery, Melanoma, Laparoscopy, Surgical Oncology, Hernia Repair, Gallbladder Surgery
Areas of Focus:
Adrenal Resections, Barrett's Esophagus Treatment, Colon Resections, Endoscopic Antireflux Procedures, Endoscopic Treatment of Achalasia, Esophageal Disease and Swallowing Disorders, Gastroesophageal Reflux Disease (GERD), Laparoscopic Antireflux Procedures, Laparoscopic Treatment of Achalasia, Paraesophageal Hernia Repairs, Transanal endoscopic microsurgery (TEM), Upper Endoscopy
Areas of Focus:
Breast Cancer Surgery, Gallbladder Surgery, Gastrointestinal Surgery, Hernia Surgery, Laparoscopic Surgery, Thyroid & Parathyroid Surgery, Varicose Vein Treatment
Areas of Focus:
Gall Bladder and Bile Duct Surgery, Liver Resections, Pancreatic Cancer, Pancreatitis, Radiofrequency Ablation of Liver Tumors, Surgical Oncology, Whipple Procedure (Pancreaticoduodenectomy)
Areas of Focus:
Colon Surgery, Gallbladder Surgery, General Surgery, Hernia Surgery, Small Bowel Surgery
Areas of Focus:
Acute Care Surgery, General Surgery, Melanoma, Thyroid & Parathyroid Disease, Surgical Oncology, Breast Disease, Colon Surgery, Soft Tissue Tumor
Areas of Focus:
Anterior Spine Exposure Surgery, Cholecystectomy (Gallbladder Removal Surgery), Colectomy, Endovenous Laser Ablation, Hernia Repair, Melanoma Surgery, Varicose Vein Treatment, Venous Access, Sports Hernia Repair
Areas of Focus:
Acute Care Surgery, Hernia Surgery - Open and Laparoscopic, Gallbladder Surgery, Breast Disease, Melanoma, Colon & Small Bowel Disease, Laparoscopy, Soft Tissue Tumor

Conditions & Procedures

Conditions:

Procedures:

There are several different techniques used in hernia repair. Your surgeon will discuss these techniques with you and use the technique best suited for your situation.

  • Inguinal Hernia (Groin)

    • Open Repairs- a small incision is made in the groin and the repair is performed from the “front”. This is typically outpatient surgery.
    • Laparoscopic Repairs - small incisions are made in the lower abdomen and the repair is made from the “inside”. This is typically outpatient surgery.
       
  • Ventral Hernia (Abdominal)
    • Open Repairs - a small incision is made above the hernia and the repair is performed from the “front”. This is usually outpatient surgery for smaller hernias and inpatient for larger hernias.
    • Laparoscopic Repairs - small incisions are made in the abdomen and the repair is made from the “inside”. This is usually outpatient surgery for smaller hernias and inpatient for larger hernias.
       
  • Complex Ventral Hernia Repairs (Abdominal Wall Reconstruction)
    • Some patients will have hernias which require advanced techniques to repair. Very large or multiple hernias are often challenging to repair. Hernias associated with infection risk (obesity, diabetes, smoking, prior wound infection, etc.) are also complex.
    • A technique referred to as "component separation" is used for larger and more complex hernias. The hernia is repaired by moving the patient's own muscle and abdominal tissue together to repair the hernia. The hernia is repaired by closing the defect with the patient's own tissue and a mesh is used to reinforce the repair. This leads to a more functional long term repair. This technique requires inpatient surgery.
  • Mesh

    • Hernia repairs were traditionally performed using a series of sutures to close the hernia opening. This type of repair has a very high failure rate and has been abandoned by most hernia repair experts. Modern hernia repairs use a reinforcing “mesh” to give the repair strength and durability. Mesh comes in two broad categories: synthetic and biologic.
    • Synthetic mesh is made from a variety of products including sterile plastics, gortex and polyester. These are permanent implants that the body incorporates into the repair. Biologic mesh is derived from animal and human collagen tissue. These products are incorporated into the repair and are slowly remodeled into the patients own tissue.

Pain Management

Pain management is very important after hernia surgery. The surgeons of the Pacific Northwest Hernia Center will work hard to manage your pain effectively. There are generally two types of pain, Acute Pain and Chronic Pain. Understanding the type of pain you have will help in your recovery process. Pain after a surgical procedure is also acute pain. Acute pain is temporary and may last from a few seconds to several months. It usually goes away as part of the normal healing process. This type of pain is called post-operative pain. Pain after surgery is not something you have to just “put up with.” We want you to be comfortable after surgery. Controlling your pain after surgery is important to your recovery. With less pain you can start walking sooner, do your breathing exercises easier, and may even leave the hospital earlier. Patients whose pain is well controlled after surgery may avoid some complications, such as pneumonia and blood clots.

  • Local anesthetic

    • Local anesthetic is injected at the time of surgery to "numb" the area during and after surgery.
  • Pain pumps

    • Pain pumps are implanted at the time of surgery to provide continuous surgical site pain relief for the first 2-3 days. Continuous surgical-site pain relief involves giving a constant infusion of a local anesthetic medicine directly into the surgical site. You experience pain relief directly at the incision site without the side effects of narcotics. Because the medicine is given continuously at a safe and slow rate, you do not have to worry about the medicine wearing off. As a big plus, being comfortable after surgery may actively speed your recovery.
    • The system works by providing a small balloon-like pump that is filled with local anesthetic medicine. The pump is attached to a catheter (tiny tube) that the doctor places near your incision site. The system is very easy to use. The pump automatically delivers the medicine at a slow rate. The pump may last anywhere from two to five days. The pump is completely portable, lightweight and can be attached to your own clothing or placed in a carrying pouch. When the infusion is complete, the catheter is removed and the pump thrown away. Depending on your surgery, you may go home with one of these pain relief systems. You will be shown how to remove the pump at home. We will also provide you with a 24/7 resource regarding the pump.
  • Narcotics

    • Narcotics are taken by mouth to ease the pain after surgery.  They are taken every 3-4 hours as needed.  Follow the directions on your individual prescription.
  • Anti-inflammatories (NSAID)

    • These medicines include ibuprofen and Alleve.  They will help as a pain reliever and reduce inflammation after surgery.  It may be taken with narcotics and may help to increase the effect of the narcotics. Follow the directions on your individual prescription
  • Tylenol

    • Tylenol will help as a pain reliever after surgery.  It may be taken with narcotics and may help to increase the effect of the narcotics. Follow the directions on your individual prescription.

Post Surgery Information

After surgery many patients have questions concerning their incisions and recovery. The following is some information regarding the days and weeks following your surgery. 

Day 1. When you leave the hospital you will have a wound closure type and wound covering type. Staples, sutures, steri-strips or medical glue may be used. Whatever closure type is used it is important to keep the wound clean and dry. Spend the day relaxing and take your medications as prescribed.

Day 2. Return to a normal diet and resume any medications you normally take unless specifically told otherwise by your surgeon. Normal swelling and bruising may start to occur on this day. You may remove plastic covering and replace gauze bandage. Try to keep wound covered with clean dressings. 

Day 3. You may shower but not bathe. Try to keep the wound from being soaked and pat dry as necessary. If you have not had a bowel movement by this day you may want to try a mild laxative such as milk of magnesia. Continued swelling and bruising is normal. Some people may feel well enough to return to work on this day. Activity should be based on your body. If an activity is causing pain discontinue. Continue pain medications as prescribed.

Day 4-14. Continue to let your body heal and follow prescribed medication courses. Changing your coverings and allowing air to your wound will help with the healing process. When the steri-strips start to curl at the ends this will indicate they are ready to be removed. They should be easy to remove and not require much manipulation. Your stitches will most likely be self dissolving and will not require assistance to be removed. Try new activities and gauge how your body responds. 

Day 15-30. You should have a post-op appointment in this time to make sure that the incision is healing well and that your return to normal activity is in progress. Swelling, bruising and pain management should be minimal at this time.

 

Instruction for post operative care:

  1. Resume a regular diet after release from the hospital.
  2. Resume normal medication after release from the hospital unless specifically instructed by the surgeon.
  3. You may shower the day after surgery. Avoid soaking bandage or taking baths for the first 2 weeks. 
  4. Driving should be restricted if you are taking narcotic pain medications. 
  5. Activity as tolerated. Let your body be your guide and refrain from activites that cause pain. 
  6. Return to work when you feel able. This will be typically 3-5 days and depending on the work you do. 
  7. Avoid constipation (Milk of magnesia works well)
  8. It is common to have swelling and bruising around operative sites. 
  9. Take prescriptions as prescribed.
  10. Use tylenol and Ibuprofen if you can tolerate these medications.
  11. Sexual relations as tolerated.
  12. Call the office if your incisions are red or draining fluid. (Clear or straw colored fluid is typically not concerning)
  13. Call the office if you have extreme pain or nausea.

Activity Chart

Activity UP TO 1
WEEK
1-2
WEEKS
2-4
WEEKs
1-3
WEEKS
Walking D D D D
Hiking, strenuous exercise B C D D
Running, Jogging B C D D
Lifting, < 25 lbs B C D D
Lifting, > 25 lbs B C D D
Swimming, recreational A A D D
Swimming A A D D
Rowing B C D D
Biking, Casual B C D D
Sexual Activity B C D D
Tennis, racquetball B C D D
         
Key   
A. Do not engage in this activity
B. Proceed cautiously, stop immediately if discomfort occurs
C.Essentially no restriction, but don't really push it
D. No restrictions, resume normal activity in this area