Hernias: A Widespread Problem

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Hernias: A Widespread Problem

The Ohio State University Wexner Medical Center offers unparalleled expertise and innovative surgical approaches to treating patients with hernias and other abdominal wall defects. A team of reconstructive experts, led by Jeffrey Janis, MD, FACS, takes a personalized approach to treating each patient.

Every year in the United States, nearly 250,000 people experience hernias. Hernias can result from a variety of issues, including trauma, cancer, infection, prior surgery or weak abdominal muscles. Hernias and other abdominal wall defects can cause extreme discomfort and can result in serious health complications. Surgery is usually necessary to repair the opening in the abdominal wall. These complex procedures require the significant level of training and expertise found at Ohio State’s Wexner Medical Center.

When treating hernias, surgery is the only permanent solution to the problem. Ohio State’s surgeons use advanced techniques to diagnose and treat hernias in a way that offers patients individualized treatment plans that are tailored to their specific problem, as well as designed to optimize long term outcomes and minimize complications.

Surgical Approach

Hernias can be treated with a variety of surgical approaches — it’s not a one-size-fits-all surgery. When patients are evaluated at Ohio State’s Comprehensive Hernia Clinic, they get a customized approach to tackling their problem. The team does its homework before the patient’s appointment. All records and images are reviewed. If additional images are needed, those are often ordered and reviewed prior to the appointment.

With a broad range of expertise, we use the most advanced surgical techniques for each patient. These can include advanced perforator sparing minimally invasive component separation to get the muscles and fascia back together, skin and muscle flaps to restore soft tissue coverage, tissue expansion to generate more skin, a variety of surgical meshes (both biologic and synthetic) to provide more strength to the repair and a more durable result and concomitant panniculectomy, when indicated, to remove extra heavy, weighty skin and fat.

The Comprehensive Hernia Clinic reviews the patient’s record before the patient is seen to help provide an efficient patient experience. Records, images and referral paperwork from other physicians are analyzed to ensure that the right members of the team are present during the patient consultation. The goal is to provide a seamless patient-centered experience whereby the doctors come to the patient and not the other way around. When a patient shows up to the Hernia Clinic, they will see multiple professionals, and by the time the patient leaves their one appointment with the entire team, he or she will have a treatment plan in hand.

Challenging Cases

We routinely take care of complex patients with previous surgical complications or comorbidities. Using our multidisciplinary approach, we evaluate the risk of each surgery and do what it takes to optimize each and every patient to have a successful outcome. We do our homework. This optimization not only prepares a patient for surgery, but also helps them recover afterwards. Best scientific evidence, advanced techniques, modern technologies and enhanced recovery pathways are used to promote best outcomes.

At the end of the day, our Comprehensive Hernia Clinic has the experts and expertise to take care of hernias from simple to complex, and we strive to do so in a personal, patient-centered approach that uses best practices to obtain optimal results that last.

Contact the Ohio State University Wexner Medical Center

For more information about hernia surgery, or if you would like to schedule a consultation, please contact us today.