Hernias occur when part of an organ or tissue protrudes through the wall of the cavity containing it. Many types of hernias require surgical intervention such as hiatal, ventral, inguinal, femoral, and umbilical hernias as examples. If you have one of them, distinguished surgeon Mohammed Kalan, MD, FRCS, FACS, at the Washington Institute of Surgery in Chevy Chase, Maryland, can help. Dr. Kalan specializes in performing laparoscopic hernia repair surgery for all types of abdominal and gastroenterological hernias. To find out more, please call the Washington, DC area office today or book an appointment online.
A hernia is a piece of tissue that’s supposed to be in one area of your body but is protruding through a hole and into an adjoining area.
Common types of hernia include:
There are two types of hiatal hernia: sliding hiatal hernia and paraesophageal hiatal hernia.
Sliding hiatal hernias form when your stomach and the part of your esophagus that connects to your stomach slide into your chest through an opening in the diaphragm called the hiatus.
A paraesophageal hiatal hernia occurs when the top of your stomach bulges through the hiatus into your chest. Hiatal hernias are a common problem, particularly for older adults and people who are overweight.
A ventral hernia occurs if tissues such as the intestines push through a weak area in your abdomen. An example of a ventral hernia is an incisional hernia that arises as a postoperative complication of surgery.
Inguinal hernias are a common type of hernia. There’s an opening called the inguinal canal in the layers of the abdominal muscle, which can develop a weak spot. Pieces of the intestine can bulge through this vulnerable area, causing an inguinal hernia.
Femoral hernias also involve abdominal tissues, but in this case, they push through into the femoral canal. A femoral hernia appears as a protrusion near your groin or thigh.
An umbilical hernia is one where the intestine protrudes through the space in your muscles occupied by your umbilical cord before birth. Umbilical hernia lumps appear in or near your belly button.
You need hernia repair surgery if you have a problematic hernia, or there were complications that required emergency treatment.
Some hernias don’t cause many – or any – symptoms, but very often, they do cause painful problems. For instance, hiatal hernias can cause heartburn and GERD (gastroesophageal reflux disease).
It’s also possible for a hiatal hernia to twist, causing extreme pain and potentially a blockage. This condition requires emergency surgery. Abdominal types of hernia can cause an obstruction or cut off the intestinal blood supply, which also requires urgent intervention.
Dr. Kalan of the Washington Institute of Surgery excels in performing hernia repairs and complex hernia surgeries.
Where possible, Dr. Kalan uses minimally invasive laparoscopic hernia repair techniques. Laparoscopic surgery involves making three to four small incisions near the site of your hernia. Dr. Kalan passes a flexible tube called a laparoscope into the incision.
The laparoscope has a camera on one end, which sends back images of your hernia that Dr. Kalan can use to make any repairs. The precise repairs your hernia requires depends on the nature of the problem and the tissues involved.
For example, if you have a hiatal hernia, he might perform a Nissen fundoplication procedure. This involves repairing the hernia and then twisting the top of your stomach around to bolster the repair and prevent the hernia from developing again.
Dr. Kalan might also need to use special surgical mesh to support the hernia repair and prevent any recurrence. He has more than 20 years of experience in carrying out hernia repair and is a renowned expert in this field.
If you’re concerned because you’ve been experiencing symptoms of a hernia, call the Washington Institute of Surgery now to schedule a hernia repair consultation or book an appointment online.