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Locations
Fort Sanders Regional

1819 Clinch Avenue, Suite 200
Knoxville, TN 37916
865.524.3695

Fort Sanders Surgeon

Joel F. “Trey” Bradley, III, MD


Parkwest

9430 Park West Boulevard, Suite 310
Knoxville, TN 37923
865.690.5263

Parkwest Surgeon

Kristopher B. Williams, MD


Patient Resources

News

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Visit the  Premier Hernia Center website for more information about hernia repair.

Complex Hernia Repair

Abdominal Wall Reconstructioncomplex hernia before-side-view

According to the Food and Drug Administration, hernia repair is one of the most common surgeries performed in the United States. Over one million American undergo some type of hernia surgery annually. An abdominal wall hernia is a weakness or hole in the abdominal muscles through which organs or tissue may protrude.

For common small hernias such as an inguinal or umbilical hernia, the hole or weakness is often repaired using a mesh material, commonly with laparoscopic techniques. For non-complex hernias, the repair is usually performed as outpatient surgery and patients can normally go home the same day.

Complex Hernias
Calculate your risk for wound-related problems & associated costs from a ventral hernia repair with this free app!

Calculate your risk for wound-related problems & associated costs from a ventral hernia repair with this free app available on Google Play and the App Store!

In cases of multiple previous failed hernia repairs, if there is catastrophic injury to the abdominal wall, or for very large hernia, advanced hernia repair techniques may be required in order to reconstruct the abdominal wall properly.

The goal of complex hernia repair with abdominal wall reconstruction is to repair the hernia defect, reinforce the abdominal wall to prevent recurrences or other hernias from developing, recover abdominal wall functionality, prevent intraabdominal organs from protruding through the abdominal wall, and provide a cosmetically-pleasing appearance.

During the procedure, the surgeons may need to rearrange the abdominal muscles in order to close the hernia defect. The abdominal wall is then reinforced with mesh.

The end result of this complex abdominal wall reconstruction is a restored, physiologic and functional abdominal wall with enough strength and flexibility to withstand physical activity and to improve quality of life. When performed properly by specially trained surgeons, complex hernia repair generally has a low rate of relapse, resulting in a long-term functional repair with an esthetically-improved result.

Preparing for Complex Hernia Surgery

Because factors like smoking, obesity, uncontrolled diabetes, poor nutrition and previous wound infections can diminish the success of hernia surgery, our surgeons counsel hernia patients before surgery to help lower known risk factors. Smoking cessation, adequate control of diabetes, weight management, and proper nutrition are necessary elements for achieving a successful, lifelong hernia repair.

newu%20logo_thumbPremier Surgical has partnered with Fort Sanders Health & Fitness to offer N.E.W. University. This Nutrition, Education, and Wellness program is designed to help Complex Hernia patients meet their pre-surgery weight, health and nutrition goals. Our patients are required to have a healthy weight, control their diabetes, and stop smoking before undergoing a complex hernia procedure.

Complex Hernia Surgeons: Dr. Bradley and Dr. Williams
Dr. Trey Bradley & Dr. Kris Williams

Dr. Trey Bradley & Dr. Kris Williams

Premier Surgical physicians Dr. Joel “Trey” Bradley and Dr. Kristopher Williams specialize in abdominal wall reconstruction for complex hernia patients. The pair were fellowship-trained at the nationally-known Carolinas Medical Center in Charlotte, North Carolina, and work as a team on many of these challenging cases.

Talk to your physician about whether you may be a candidate for complex hernia repair. A lasting, successful result can greatly improve your mobility and quality of life.

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Surgical Specialties

Our surgeons have specialized skills and knowledge in diverse areas. We are equipped to provide patients with the best options for comprehensive, state-of-the-art care.