General Surgery Procedures
Millions of people undergo hernia surgery every year. Hernias can be caused by hereditary factors, pregnancy, trauma, a surgical incision or a weakness in the abdominal wall that occurs at birth if the abdominal lining doesn’t close. Hernias can affect children and adults alike, and men are at a higher risk. If you believe you have developed a hernia, talk to Dr. Tom Umbach and Dr. Matt Apel about your options for removing it. Dr. Umbach and Dr. Apel are board-certified general surgeons who focuses on gastric sleeve, gastric bypass and revision surgeries previously done elsewhere as well as hernia surgery at his Las Vegas practice.
Hiatal hernia occurs when the upper portion of the stomach and the lower esophageal sphincter (LES) move above the diaphragm. This is problematic because normally the diaphragm helps the LES keep acid from rising into the esophagus. With the development of a hiatal hernia, acid can more easily escape into the esophagus and cause heartburn and other gastroesophageal reflux symptoms. Hiatal hernias can affect anyone and may not produce any symptoms.
Hiatal hernias may be repaired through a procedure called the Nissen fundoplication, which is often performed laparoscopically (i.e., using minimally invasive techniques). During a Nissen fundoplication, Dr. Umbach or Dr. Matt Apel wraps the upper part of the stomach around the LES to strengthen the sphincter and prevent acid reflux symptoms.
Inguinal hernia occurs when the intestine or another internal organ bulges through a weak area of the lower abdomen. Inguinal hernias are usually painful, especially if you cough, bend over or lift something heavy. These types of hernias typically do not cause any dangerous complications, but they do not go away on their own. Inguinal hernias that become larger or more painful should be treated surgically.
Dr. Umbach or Dr. Matt Apel can take the traditional or laparoscopic approach to inguinal hernia repair. For otherwise healthy clients free of any compromising medical conditions, laparoscopic surgery is a great option.
During traditional open hernia repair, he makes an incision in your groin and pushes the protruding intestine back into your abdomen. Then, he repairs the weakened or torn muscles by sewing it together, sometimes closing any holes in the area with a synthetic mesh.
During laparoscopic surgery, Dr. Umbach makes several smaller incisions and inserts a tiny tube with a camera into the abdomen. The camera helps to guide him as he returns the intestine back to the abdomen and uses synthetic mesh to strengthen the weakened area of the abdominal wall.
Other Hernia Types
Other types of hernias include:
- Femoral hernia: appears in the upper thigh, just beneath the groin
- Incisional hernia: occurs through a scar after abdominal surgery
- Umbilical hernia: appears as a bulge around the belly button when the muscle around the navel doesn’t close completely
Contact Us for More Information
If you have been diagnosed with a hernia and would like to have it surgically repaired, please contact Las Vegas surgeon Tom Umbach or Dr. Matt Apel at Blossom Bariatrics for more information. You can reach our practice by calling (702) 463-3300.