Hernias are a common medical issue that can cause discomfort, pain, and recurring complications if not treated effectively. Dr. Farbod Esmailian, a board-certified plastic surgeon, specializes in hernia repair and abdominal wall reconstruction in Orange County. Using advanced surgical techniques, Dr. Esmailian collaborates with general surgeons to provide effective solutions for initial and recurrent ventral hernias.
What Is a Hernia and Why Is Repair Necessary?
A hernia occurs when an organ or tissue pushes through a weak spot in the abdominal wall, creating a visible bulge. While some hernias may initially appear harmless, they can lead to complications such as pain, intestinal blockage, or even strangulation of the bowel if left untreated.
Key facts about hernia repairs in the U.S.:
- More than 1,000,000 hernia repair surgeries are performed annually.1
- Recurrence rates for untreated or improperly repaired hernias range from 40-70%.2
Dr. Esmailian employs advanced techniques to significantly lower recurrence rates, ensuring lasting results for patients with incisional and ventral hernias.
Advanced Techniques for Hernia Repair
For Orange County hernia repair patients, Dr. Esmailian uses the latest surgical advancements to achieve optimal outcomes. These procedures often involve the following steps:
1. Removing Prior Mesh or Scar Tissue
In cases of recurrent hernias, previous mesh or scar tissue is carefully removed to prepare the abdominal wall for reconstruction. This step ensures that the new repair is performed on a clean, stable foundation.
2. Component Separation Technique
The component separation technique is often used to close large or complex hernias. This involves creating a flap of the rectus muscles (the muscles running vertically along your abdomen) and advancing them to facilitate primary closure of the hernia.
3. Biologic Mesh for Reinforcement
Dr. Esmailian reinforces the hernia repair with Strattice™, a biologic mesh made by Lifecell. This advanced mesh provides additional support to the abdominal wall while integrating with the body's tissue for a natural and durable result.
What Is Abdominal Wall Reconstruction?
For patients with complex or recurrent hernias, abdominal wall reconstruction may be required. This advanced surgical procedure involves rebuilding the abdominal wall to restore its strength and function. In certain cases, panniculectomy (removal of excess abdominal skin and fat) may also be performed to further support the reconstruction and reduce stress on the abdominal wall.
Key Steps in Abdominal Wall Reconstruction:
- Freeing the Bowel: The intestines are carefully separated from the abdominal wall to create a clean space for repair.
- Removing Redundant Skin (Panniculectomy): If excess, hanging skin is present, a panniculectomy is performed to reduce strain on the repaired abdominal wall.
- Reinforcement with Biologic Mesh: Strattice™ mesh is used to strengthen the repair, significantly reducing the risk of recurrence.
This procedure is typically performed in a hospital setting and requires a short hospitalization for recovery.
Who Is a Candidate for Hernia Repair or Abdominal Wall Reconstruction?
You may be a candidate for hernia repair or abdominal wall reconstruction if:
- You have an incisional or ventral hernia that is causing pain or discomfort.
- You've experienced recurrence after previous hernia repairs.
- Your hernia is large or complex, requiring advanced techniques for closure.
- You have excess abdominal skin that contributes to abdominal wall stress.
During your consultation, Dr. Esmailian will evaluate your condition, medical history, and goals to determine the best approach for your surgery.
Benefits of Advanced Hernia Repair Techniques
Choosing an experienced surgeon like Dr. Esmailian for your hernia repair or abdominal wall reconstruction provides several advantages:
- Reduced Recurrence Rates: Advanced techniques and biologic mesh reinforcement lower the risk of recurrence.
- Improved Functionality: Abdominal wall reconstruction restores strength and stability to the abdominal area.
- Enhanced Aesthetic Results: Combining hernia repair with panniculectomy can improve the appearance of the abdomen by removing excess skin and fat.
- Comprehensive Care: Dr. Esmailian collaborates with general surgeons to address even the most complex cases effectively.
Recovery and What to Expect
Most patients undergoing hernia repair or abdominal wall reconstruction require hospitalization for 1-3 days, depending on the complexity of the procedure. Full recovery can take several weeks, during which time patients must avoid heavy lifting and strenuous activities.
Dr. Esmailian provides detailed post-operative care instructions to ensure a smooth and successful recovery. Follow-up appointments are scheduled to monitor progress and address any concerns.
Schedule a Consultation
If you're dealing with a hernia or require abdominal wall reconstruction, trust Dr. Farbod Esmailian to provide the expert care you need. With years of experience and a focus on advanced surgical techniques, Dr. Esmailian delivers results that improve both form and function.
Contact us today to schedule your consultation and learn more about hernia repair and abdominal wall reconstruction in Orange County.
1 Cleveland Clinic. Hernia Repair Surgery. https://my.clevelandclinic.org/health/procedures/17967-hernia-repair-surgery. Accessed February 13, 2025.
2 JAMA Surgery. Year-Over-Year Ventral Hernia Recurrence Rates and Risk Factors. https://pubmed.ncbi.nlm.nih.gov/38536183/. Accessed Feburary 13, 2025.
