Hernia Repair Surgeryman with hernia

The Midwest Institute for Robotic Surgery at Silver Cross Hospital is a leader in robotic hernia surgeries having performed over 400 procedures since 2012.

  • Physicians from all over the United States and South America travel to Silver Cross to learn advanced techniques from Reza Gamagami, M.D. and the surgical team.

What is a Hernia?

A hernia is a tear in the lining of your abdominal wall. It is actually a hole that allows tissues inside the abdomen to stick out. This often causes pain and bulging and can be very uncomfortable. This can happen in any part of the abdomen in men and women of all ages. Adult hernias usually are the result of strain on the abdominal wall caused by aging, genetic predisposition, heavy lifting, pregnancy, athletic activities, obesity, previous surgery, constipation, and chronic coughing. There are two types of hernias:

  • Ventral hernia is located in the abdomen and may appear at an incision site any time after surgery (incisional hernia).
  • Inguinal hernia occurs in the groin area.

Ventral hernia and repaired hernia

What is a Hiatal Hernia?

A hiatal hernia occurs when the muscle tissue around the opening becomes weak and the upper part of your stomach bulges up through the diaphragm into your chest cavity. A large hiatal hernia can allow food and acid to back up into your esophagus, leading to heartburn and difficulty swallowing. If a hiatal hernia is causing Gastroesophageal Reflux Disease (GERD) symptoms, your surgeon may also repair the hernia during this operation.

Hernia Repair

Your doctor may suggest lifestyle changes to ease the pain and other symptoms, but surgery is often the only way to truly repair a hernia. During hernia repair surgery, an incision is made near the site of the hernia. The hernia is usually repaired with mesh by stitching, stapling or clipping it to the muscle around the hernia site. The hernia site can also be sewn directly together. Hernia repair can be done using traditional open surgery, minimally invasive (laparoscopic) surgery or robotic surgery.

Comparison of incisions for open, laparoscopic, and da Vinci surgery for ventral hernia

da Vinci surgery for inguinal hernia uses a few mall entry points rather than one long incision

Compared with traditional open surgery, robotic surgery requires significantly smaller incisions. The potential benefits for hernia repair patients include:

  • Reduced pain; especially when performed using the da Vinci® XI
  • Fewer complications
  • Minimal blood loss
  • Less scarring
  • Shorter hospital stay
  • Fast recovery time
  • Low risk of the hernia returning

Using a da Vinci® robot, the surgeon makes a few small incisions in the abdomen using long, thin instruments and a tiny camera. The camera sends images to a video monitor in the operating room to guide your surgeon during the operation. The robot is designed to provide surgeons with enhanced capabilities, including high definition 3D vision and a magnified view. Your doctor controls the robot, which translates his or her hand movements into smaller, precise movements of tiny instruments inside your body. The robot cannot act on its own. Surgery is performed entirely by the surgeon.

To be affiliated with the Midwest Institute of Robotic Surgery at Silver Cross Hospital, surgeons must meet rigorous criteria and demonstrate excellent outcomes and high patient satisfaction.

Physicians on Silver Cross Hospital’s Medical Staff have expertise in their areas of practice to meet the needs of patients seeking their care. These physicians are independent practitioners on the Medical Staff and are not the agents or employees of Silver Cross Hospital. They treat patients based upon their independent medical judgment and they bill patients separately for their services.