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Location
Fort Sanders Regional

1819 Clinch Avenue, Suite 200
Knoxville, TN 37916
865.524.3695

Fort Sanders Surgeons

Joel F. “Trey” Bradley, III, MD

Paul S. Dudrick, MD, FACS

Troy F. Kimsey, MD, FACS

Michael D. Kropilak, MD, FACS

Gregory P. Midis, MD, FACS


North Knoxville & Physicians Regional

7557A Dannaher Drive, Suite 110
Powell, TN 37849
865.938.8121

North Knox & Physicians Regional Surgeons

Brian H. Garber, MD, FACS

David J. Harrell, MD, FACS

Jose Luis Mejia, MD, FACS

Jessica L. Vinsant, MD

Roland B. Weast, MD, FACS


Parkwest

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

Parkwest Surgeons

Lytle Brown IV, MD, FACS

Willard B. Campbell, MD, FACS

William C. Gibson, MD, FACS

Michael E. Kelly, MD, FACS

Kristopher B. Williams, MD

K. Robert Williams, Jr., MD, FACS, FASMBS


Patient Resources

Hernia Center websiteHernia website graphic

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

Hernia Repair

An abdominal wall hernia is a weakness or hole in the abdominal muscles through which organs or tissue may protrude.

Types of hernias

common-places-hernias
Inguinal – Located near the inner groin, inguinal hernia are the most common type of hernia. They are especially prevalent in men because of a natural weakness in this area.

Femoral – Occurs in the outer groin and is most common in women, especially those who are pregnant or obese.

Incisional or Ventral – Results from an incompletely healed incision at the site of a previous abdominal surgery. Incisional hernia occur most often in elderly or overweight people who are inactive after abdominal surgery.

Umbilical – Located near the navel, umbilical hernia are common in newborns, obese women or those who have had many children.

Hiatal – Occurs when the upper stomach pushes through an opening in the diaphragm through which the esophagus passes.

Complex Hernia Repaircomplex hernia before-side-view

Premier Surgical physicians treat all types of hernias -from routine to very complex cases, such as recurrent hernias. Please visit our Complex Hernia Repair webpage for information about treatment for complex hernias.

Hernia Symptoms

The signs and symptoms of hernia depend on the type of hernia. Some hernias don’t cause any symptoms, but are discovered during medical exams. Some common symptoms include:
• A bulge under the skin in the groin or other abdominal area
• A burning or aching sensation at the bulge
• Groin pain or discomfort, especially when bending over, coughing or lifting
• Groin weakness or pressure

Sudden pain, discoloration of the bulge, vomiting and constipation can be signs of “strangulation”. This occurs when the intestines or abdominal tissue becomes trapped in the weakened muscle layer. This condition can cut off the blood supply and requires immediate medical attention.

Who is at risk of a hernia?

Hernia can affect men, women and children. A hernia may be the result of a defect or weakness in the abdominal wall at birth, or a weakness caused by age, injury or a previous surgical incision. Factors that can increase your risk of hernia include:
• Improper heavy lifting
• Straining during bowel movements
• Sharp blows to the abdomen
• Chronic cough
• Smoking
• Obesity
• Pregnancy
• Poor nutrition
• Family history

Treatmenthernia repair

Painful or enlarging hernias usually require surgery to relieve discomfort and prevent serious complications. For common small hernias such as an inguinal or umbilical hernia, the hole or weakness is often repaired using a mesh material to reinforce and support the weakened area. A hernia may be repaired using an open or laparoscopic technique. Hernia repair is one of the most common surgeries in the United States. According to the FDA, over one million Americans undergo some type of hernia surgery annually.

Laparoscopy Repairhernias1

In this minimally invasive procedure, a few small incisions are made in your abdomen. The surgeon places a tiny laparoscope (a viewing tube with a camera) and small instruments through the incisions. The organs or tissues are pushed back into their original position and the abdominal wall is reinforced with a special mesh that is secured by sutures, stables, or tacks.

Most non-complex hernia laparoscopic repair patients experience less pain and scarring and a quicker return to their normal activities. Laparoscopic hernia repair may be a good choice for patients who have previously had traditional hernia surgery because it can allow the surgeon to avoid scar tissue from the earlier surgery.

Laparoscopic hernia surgery may not good option if you:
• Have a hernia on both sides of the body
• Have a very large hernia
• Have undergone previous pelvic surgery
• Can’t undergo general anesthesia

Open Hernia RepairOpen-Mesh-Repair
In this procedure the surgeon makes an incision in your abdomen or groin and the bulging intestine or tissue is pushed back into place and sewed securely. The weakened area is usually reinforced and supported with a mesh material.
You will be encouraged to move about soon after surgery, but it may be 4-6 weeks before you are fully able to resume normal activities.

Your Premier Surgical physician will discuss your hernia treatment options with you and determine which repair method is best for you.

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.