Jandali Plastic Surgery offers complex and large abdominal hernia repair for patients in Connecticut, Stamford, Norwalk, Westport, Fairfield, Shelton, Trumbull, Bridgeport, Milford, and New Haven. Dr. Jandali performs abdominal hernia repairs with Board Certified general surgeons at multiple hospitals where he has privileges.
Large abdominal wall hernias are common after abdominal surgery, such as gastric bypass, liver/pancreas surgery, small intestine surgery, colon surgery, and ob-gyn surgeries (e.g. hysterectomies). These hernias include epigastric, umbilical, ventral, incisional, and Spigelian hernias. Hernias are caused by a defect or weakening in the fascia and a separation of the muscles of the abdominal wall. These are almost always caused by an abdominal incision during a previous operation. Hernias can cause pain and imbalance, be unsightly, and interfere with activities of daily living.
Hernias are a tough problem and they have a relatively high rate of recurrence after repair. For this reason, Dr. Jandali performs these operations in conjunction with a general surgeon in Norwalk, Fairfield, or Bridgeport, using the newest surgical techniques and meshes. This multidisciplinary approach is used for both primary (first time) and recurrent hernias. A plastic surgical procedure called "components separation" is performed on large hernias to help take tension off of the repair, allowing time for healing, and decreasing the chance of the hernia reforming.
A synthetic mesh is most commonly used when there are no risk factors for infection. However, sometimes a biologic mesh made from porcine (pig) skin is used if there are risk factors for infection or exposure of the mesh. Examples of these products include Strattice and Permacol. With whichever mesh is used, the goal is to perform a lasting repair, with minimal pain and a quick recovery to normal activity.
Dr. Jandali performs nerve blocks during the hernia repair operation in order to decrease pain after surgery. A long-acting anesthetic is injected into the muscles around the hernia repair in order to increase the patient's comfort level.
If there is excess skin and fat on the abdomen, this can often be removed at the same time as the hernia repair and is also covered by insurance. This is called a panniculectomy and can give a flatter abdomen with better contour and less visible scarring.
The surgical consultation is performed to evaluate the location and size of the hernia. Your medical and surgical history will be reviewed and the planned operation will be discussed. A CT scan of your abdomen may be ordered to determine the exact size and location of the hernia. All questions will be answered in a warm and caring environment.
If you have an abdominal hernia, come visit our plastic surgery office in Fairfield County, Connecticut. Call 203-374-0310 to set up an appointment with Board Certified plastic surgeon Dr. Shareef Jandali. We look forward to seeing you!