HERNIA INSTITUTE OF PENNSYLVANIA
North Penn Hernia Institute
North Penn Hernia Institute Logo
.THE SURGICAL TECHNIQUE for
UMBILICAL HERNIAS

The Surgical Repair of Umbilical Hernias, like that of Inguinal, Femoral, and many Simple and Complex Incisional Hernias is SAFELY and EFFECTIVELY performed as a "Same Day", out-patient ambulatory procedure. This includes most "RECURRENT" hernias as well.

With the patient awake, yet fully calm, sedated and comfortably free of pain, the risks of General Anesthesia are avoided. Our patients are walking on their own shortly after surgery and are discharged from the Day Surgery Center within about 1-2 hours.

We utilize a Mini-Incision "Open" Technique, using mild sedation and local anesthesia (i.e., Novocaine-like medication) for the overwhelming majority of all hernia repairs including Umbilical Hernias. Under normal circumstances, our incisions are very small (about 2 inches or less), located near the umbilical area. These incisions are cosmetically designed to be mostly hidden within the normal concave contour of the navel, which is returned to its natural desired inverted ('INNIE') shape after surgery. The navel is not removed.

For the most common
UMBILICAL HERNIAS, we utilize a "Tension Free" repair, increasingly recognized by Hernia Specialists as the "benchmark" method for hernia surgery. This is performed by carefully inserting a specially designed sterile "Mesh"safely and securely 'BENEATH' the hernia defect itself to close and repair the hernia defect. This mesh extends well beyond the under edges of the umbilical muscle defect to reduce pressure on the hernia defect opening, and reinforce the entire area at the same time. The hernia is immediately strong. No mesh is placed over the defect in the repair of Umbilical Hernias (Details). In time, tissue grows into the mesh itself and the mesh becomes safely incorporated into the muscle wall, undetectable and flexible to conform with position and activity. The mesh is held in place without tension. No painfully tight sutures are placed to pull muscle unnaturally together, nor are staples or tacks utilized in this repair method. More importantly, since the mesh is UNDER the muscle layer, not on top, it is not detectable or felt at all by patients later on. The intestines are fully protected in this procedure by a natural membrane (called Peritoneum) that exists between the under-surface of the muscle and the intestine. This membrane is positioned between the inserted mesh and the intestine so there is no concern about adhesions or intestinal injury.

Several "Mesh Systems" are available. We feel that no two patients are alike and therefore no two hernias are alike either. All hernias differ from patient to patient, often quite significantly. We therefore feel that no one single TENSION FREE operative approach nor single mesh product system is suitable for all patients or all hernias.

Surgery at NORTH PENN HERNIA INSTITUTE is tailored specifically to the individual needs of each and every patient. We are expertly familiar with the various advanced Tension Free repair techniques commonly in use today, and all of these mesh system methods and diverse products are fully available to us. We individually select the precise mesh product (selecting the precise size, shape, configuration and product manufacturer) at the time of surgery that is best suited for each umbilical hernia. This selection process, which is the foundation of what we call our "Benchmark" approach, is based on our extensive experience, developed by performing nearly one thousand various hernia repairs annually and "Specializing" in hernia repairs for over 20 years. This expertise in both routine and complex umbilical hernia surgery assures that all of our patients receive the most satisfactory, safest and importantly the most effective repair available.

Recovery is therefore more rapid! Pain is minimal, since muscles are not pulled together nor sewn under tension. Post-operative restrictions are few, if any, and our patients can actually return to NORMAL activity in 1-2 DAYS! This includes resumption of work and recreational activity as desired.

This fully effective contemporary umbilical hernia repair technique allows for your comfortably rapid recovery. The advanced techniques we utilize are associated with the Lowest Risk of Recurrence when compared to most other older surgical techniques which place extreme tension on the muscle and the repair by simply cutting and sewing muscle together. Our Benchmark technique is equally safe and the fully effective for "Recurrent" Umbilical Hernias as well.

TYPICAL POST-OPERATIVE INSTRUCTIONS
for NPHI Patients


In addition, and equally important, Hernia repair with this advanced "Benchmark" approach is:




For Specific Questions on Umbilical or other Hernia Repairs
PLEASE

OR

or Call 215-368-1122

Thank You,
James A. Goodyear, M.D., F.A.C.S.
Surgeon and Director

Surgery is performed at
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in Lansdale, Pennsylvania