Meet Hernia Surgeon: Dr. Jonathan Yunis, MD FACS

by  on  in Surgical Repair

Methods of Hernia Repair

centerforherniarepair.com

Options for repair are numerous. Several different hernia repair methods exist for any given hernia. All of these techniques may have excellent outcomes when performed by surgeons with extensive experience in that particular method.

At the Center for Hernia Repair, all possible approaches for repair are explored for each and every one of our hernia patients. This customized approach helps us to achieve a durable and comfortable outcome. Reduction of post-surgical pain, quick recovery and prevention of recurrence are the highest priorities for Dr. Yunis.

Inguinal Hernia Repair

Non – Mesh Inguinal Hernia Repair

Shouldice Technique

The Shouldice Technique has a remarkable history of safety and durability. The Shouldice repair is a very specific technique involving sewing of distinct anatomical layers of the groin without the use of mesh.

Dr. Yunis began his training with this technique early in is career and continues to enjoy excellent success with the Shouldice repair technique.

The repair involves reconstruction of the entire inguinal floor with 4 layers of sutures and no mesh. The type of suture can be discussed and customized for each patient.

Desarda Technique

Desarda Technique is another non-mesh technique that has been championed by Dr. Mohan Desarda who has demonstrated excellent results. This is another option for many of our patients who desire a non mesh inguinal hernia repair. This repair is a very specific technique involving sewing of distinct anatomical layers of the groin without the use of mesh. For more information, please review Dr. Desarda’s website – http://www.desarda.com

What its like to undergo open non-mesh inguinal hernia repair :

  • Can be performed under local anesthesia or general anesthesia with a 3-5 inch incision.
  • Return home the same day often with pain controlled by ibuprofen and/or acetaminophen.
  • Minimal Restrictions after surgery.
  • Early return to work

Laparoscopic Total Extraperitoneal Inguinal Hernia Repair

Three small incisions in the lower abdomen are used to gently expose the area behind the hernia (on the inside of the abdominal wall). High definition video imaging is utilized to facilitate a gentle exposure of the hernia. A customized mesh is placed behind the muscular wall to repair the hernia defect. The use of mesh in this operation has a long history of safety and durability.
  • Easier and more rapid return to work and sports
  • Lowers risk of infection
  • Lowers risk of recurrence
  • Cosmetically more appealing given the minimal size of the incisions

Robotic (DaVinci) Transabdominal Preperitoneal Inguinal Hernia Repair

  • The robot is a tool that allows the surgeon to have improved range of motion and ultra high definition 3D resolution.
  • Three 1 inch incisions are created in the upper abdominal wall and different instruments are passed through them.
  • The surgeon is seated adjacent to the operating room table and controls the camera and instruments with various hand controls and clutches and foot pedals.
  • The surgeon exposes the hernia from the inside of the abdominal wall and creates a space for a customized piece of mesh to be placed behind the muscle and with another layer separating it from the internal organs.
  • Minimal postoperative discomfort
  • Low risk of infection
  • For more information, please review the DaVinci website
  •  http://www.davincisurgery.com

Ventral Hernia Repair

Conventional or “open” ventral hernia repair involves an incision over the area of the hernia and the hernia is repaired usually with a prosthetic mesh. Incisions can range from a few inches to the entire length of the abdomen.
The recovery period after this procedure varies from same day discharge to a 5 night hospital stay.

Robotic (DaVinci) Ventral Hernia Repair

  • The robot is a tool that allows the surgeon to have improved range of motion and ultra high definition 3D resolution.
  • Three 1 inch incisions are created in the  abdominal wall and different instruments are passed through them.
  • The surgeon is seated adjacent to the operating room table and controls the camera and instruments with various hand controls and clutches and foot pedals.
  • The surgeon exposes the hernia from the inside of the abdominal wall and creates a space for a customized piece of mesh to be placed behind the muscle and with another layer separating it from the internal organs.
  • Minimal postoperative discomfort
  • Low risk of infection
  • Shorter hospital stay – patients usually discharged within 36 hours.
  • For more information, please review the DaVinci website
  •  http://www.davincisurgery.com

Abdominal Wall Reconstruction for Recurrent and Complex Ventral Hernia

At Center for Hernia Repair we have far-reaching experience in reconstruction of the abdominal wall. Our experience has accelerated with the increased incidence of patients with extraordinarily large and complicated hernias. These conditions can often be severely disabling as they interfere with daily activities. Unsightly hernias are often part of the motivation for repair and we emphasize your cosmetic satisfaction as well as your safety .

When hernias recur they tend to become more difficult to repair. The scarring from previous surgery and mesh material often complicates the recurrent hernia repair. A unique approach and advanced technique are necessary in order to eradicate these problems. Mobilization of muscles of the abdominal wall and use of biological prosthetics are often necessary in the management of these problems. When you have suffered from previous failed repairs – your next operation should be your last operation. A surgeon who specializes in hernia repair and abdominal wall reconstruction is your best choice for insuring a good final result.

 More about Abdominal Wall Reconstruction and Abdominoplasty

 

___
https://www.centerforherniarepair.com/jonathan-yunis-md/