Whether you have already received a hernia diagnosis or suspect you have a hernia, there’s probably one question echoing in your mind: “Where can I go for quality hernia surgery near me?”
Technically, any general surgeon can do a hernia repair. But for optimal results, you want the best of the best.
Here are some points to consider as you prepare for hernia surgery in Orange County and look for the right specialist.
Understanding Hernias: A Quick Overview
A hernia occurs when a piece of tissue or intestine pushes through a weak area in the abdominal wall. Depending on the location, a hernia generally falls into one of the following categories:
- Femoral: While quite rare, a femoral hernia appears in the lower groin area near the upper thigh.
- Hiatal: When the stomach pushes through the diaphragm into the chest, it results in a hiatal hernia.
- Incisional: This hernia type appears in previous incision sites, no matter the location.
- Inguinal: Like femoral hernias, inguinal hernias occur in the groin area. However, the difference is that inguinal hernias occur in the area above the femoral canal and are much more common—particularly in men.
- Ventral: As a broad category, ventral hernias include any protrusion located in the abdominal area above the inguinal canal. Examples of ventral hernias include umbilical, epigastric, and incisional hernias (when located on the anterior part of the abdomen).
No matter the type, hernias typically present as a bulge in the affected area. This protrusion often comes and goes at first, appearing only when the patient does certain activities like sitting up, coughing, or lifting something heavy. Some people even have asymptomatic hernias, which don’t cause any pain or nausea.
However, hernias do not go away on their own and only worsen with time. Once a hernia becomes incarcerated—or trapped—it usually becomes symptomatic. Common symptoms include sharp pain, constipation, a burning sensation around the affected area, nausea, and vomiting.
The next phase of hernia development is the most dangerous—and potentially fatal. When an incarcerated hernia becomes strangulated, the protruding tissue or intestine no longer receives any blood flow and becomes gangrenous. If that tissue dies, it releases fatal toxins into the bloodstream.
A strangulated hernia usually presents sudden, intense pain, a fever, vomiting, and a red or purple bulge around the affected area. Patients might also struggle to have bowel movements.
Because of the potentially fatal effects of a strangulated hernia, it’s critical that patients seek hernia surgery well before it reaches that point. The sooner a patient seeks a hernia repair, the better—especially since minimally invasive surgical options are usually only available in non-emergent, simple hernia repair cases.
The Crucial Role of the Hernia Surgeon
Finding the right hernia surgeon is essential to a successful repair.
The goal of a hernia surgery in Orange County is to return the tissue or intestine to its place and close the abdominal opening so the hernia does not reappear. However, hernia recurrences are quite common, with studies reporting a recurrence rate between 5.5% and 32%.
Some hernia recurrences result from lifestyle choices, underlying conditions, and the natural weakening of the abdominal wall with age. Nevertheless, the surgeon’s expertise also plays a significant role—especially since recurrent hernias often appear within two years of the initial surgery. That’s why patients need an experienced surgeon to help them choose the best, most effective surgical approach the first time around and reduce the probability of recurrence.
Hernia surgery—particularly complex procedures—also present several risks, such as adhesion, intestinal obstruction, seroma, and mesh migration. An inexperienced surgeon might not know how to prevent or mitigate these complications, causing the patient to undergo additional procedures.
On the other hand, a skilled hernia repair surgeon weighs all the risks and creates a personalized treatment plan with the patient—whether that’s a robotic, open, or laparoscopic procedure.
Experience and Specialization in Hernia Repair
Hernia specialists are usually general surgeons with expertise in hernia repair. However, it’s important for patients to confirm that these surgeons have adequate experience with hernias—especially their particular type.
For example, some surgeons work primarily with inguinal hernias but not hiatal or umbilical hernias. Other general surgeons might complete diverse procedures and only occasionally do hernia repairs. Since hernias present such a high recurrence rate, it’s best for patients to find a surgeon that specializes in hernia surgery in Orange County and has extensive experience with their particular type.
Patients should also consider what type of repair procedures the surgeon does (i.e., laparoscopic, open, or robotic). Robotic and laparoscopic surgeries are the least invasive options and offer the quickest recovery times. However, people should also keep in mind that not every hernia—nor every patient—is eligible for a minimally invasive procedure. That’s why finding a hernia specialist with experience in all procedure types is ideal since they create a personalized plan for each patient.
Ask the surgeon about their track record with hernia surgeries, how much experience they have, and whether they received hernia specialist training. For example, surgeons who have worked at an accredited and/or certified hernia center need to have participated in at least 300 hernia repair surgeries within three years before they become specialist hernia surgeons.
Board Certification and Credentials
One way to ensure a hernia surgeon’s expertise is to review their certifications and credentials. They typically display these on their website or in their office. Patients should check for a medical degree and board certification, often shown by including the letters FACS (Fellow of the American College of Surgeons) after their name. Other notable distinctions to look for include awards from the Surgical Review Corporation (SRC) or other reputable organizations.
Hospital Affiliations and Surgical Facilities
Moving beyond the surgeon’s personal experience, consider where they work. Do they have any hospital affiliations? Do they work at an accredited surgical center? Both options provide further proof that the surgeon is an experienced and qualified hernia specialist. Plus, having affiliations and connections with reputable centers give the surgeon access to top-of-the-line equipment.
Patient Care
While hernia expertise is critical, a hernia specialist must also offer patients excellent quality care, from the initial consultation to post-op checkups.
Consultation Process
The initial consultation is the perfect time for the patient to evaluate how the surgeon interacts with them and identify any potential red flags. Ideally, the hernia specialist engages the patient with direct eye contact, welcoming body language, and a thorough evaluation.
The consultation should cover medical history, current medications, lifestyle, and procedural options, as well as a physical examination and potential imaging of the hernia. Patients should also take this time to ask questions about different procedure options, risks, and recovery timelines.
Some tests are necessary before hernia surgery in Orange County, so the entire consultation process typically requires several visits. During this process, the patients should look for warning signs, such as the following:
- The surgeon appears rushed or disinterested.
- The surgeon doesn’t make the patient feel comfortable or dismisses their questions and concerns.
- The specialist doesn’t display their credentials or avoids questions about their experience.
- The surgeon doesn’t have experience dealing with the patient’s type of hernia.
- The surgeon doesn’t take a full medical history or doesn’t perform a comprehensive physical examination.
- The specialist doesn’t provide detailed pre- and post-op care guidelines.
Before-and-After Surgery Care
Once patients finish the consultation process, they typically set the surgery date and wait. But there are still crucial steps leading up to the procedure that are often overlooked or minimized. That’s why pre- and post-op care are essential.
The best hernia repair surgeons go above and beyond to make sure patients understand what to expect on the procedure day and the following weeks, answering any questions they might have. Hernia specialists also outline the details of how to prepare for the surgery, covering everything from lifestyle and medication changes to hygiene and emotional support.
The same goes for post-op care. Medical care doesn’t end with the operation, instead, it continues for months or even years but continue afterward. Follow-up appointments are critical to a successful recovery since they allow the surgeon to identify potential complications and hernia recurrences before they become emergent.
Final Thoughts
Choosing the right specialist for your hernia surgery in Orange County can take time, but it’s more than worth it. Any procedure carries risks, and hernia repairs bring a particularly high recurrence rate.
The best thing you can do for your health—both now and in the future—is to choose an experienced hernia specialist. So take the time to research hernia specialists near you, looking for someone with extensive experience and high-quality patient care. And don’t hesitate to schedule a few initial consultations before choosing one specialist. Call today (714) 947-1108
Contact Us
To find out if inguinal hernia repair surgery is right for you, Contact Orange County General Robotic Surgery at (714) 706-1257 for a consultation with Dr. Abtin H. Khosravi.