A hernia is a gap or space in the strong tissue known as the "fascia" that holds muscles in place. A hernia occurs when the fascia has weakened, resulting in a bulge or tear. If there is a defect in the fascia, the inner lining of the abdomen pushes through the weakened area of the abdominal wall to form a small balloon like sac. This can allow a loop of intestine or abdominal tissue to push into the sac. Hernias typically, cause discomfort, severe pain, or other potentially serious problems that could require emergency surgery. It is usually easy to recognize a hernia. You may notice a bulge under the skin. You may feel pain or discomfort when you lift heavy objects, cough, strain during urination or bowel movements, or during prolonged standing or sitting. Many times a hernia may be detected by your doctor on a routine physical examination.
Hernia quick facts:
Dr. Schultzel treats a variety of hernias robotically including:
Robotic Hernia Repair is a technique to fix tears in the abdominal wall (fascia) using small incisions, a special camera and a patch (mesh). A Robotic repair offers a shorter return to work and normal activity for most patients. Dr. Schultzel employs the use of the robot for his hernia repairs.
Common advantages may include:
Dr. Schultzel employs the use of the DaVinci Robot to surgically repair hernias.
The Robotic hernia repair is done with the use of a laparoscope (a special) is inserted through a cannula (portal), allowing Dr. Schultzel to view the hernia and surrounding tissue on a video screen.
Other portals are inserted which allow your Dr. Schultzel to work "inside." The hernia is repaired from inside the abdominal wall. A small piece of surgical mesh is placed to cover the hernia defect, and is held in place with sutures. This operation is usually performed with general anesthesia. Dr. Schultzel will perform a Transverse Abdominus plane block (TAP Block), which is conducted via ultrasound guidance and reduces the patient's pain after surgery.
The most common complications after hernia surgery are:
The majority of these complications are treated conservatively and are self-limiting.
Be sure to call your physician or surgeon if you develop any of the following: